The withholding of enteral feedings during repositioning of critically ill patients receiving mechanical ventilation is based on tradition. However, DiLibero et al remind us that there is no consistent standard for managing continuous enteral feedings while repositioning patients. This matter weighs the risk of aspiration against the potential interruption of nutrition that will negatively impact the patient. It is important that all patients receiving enteral feedings, whether continuously or in intermittent bolus feedings, are assessed for feeding tube positioning and feeding tolerance before making any repositioning practice a standard for the unit. It should not be assumed that one standard protects all patients equally.

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