Every Angle Counts:
Boosting Patients with Respiratory Insufficiency
By Jimbo Varnum, RRT-NPS-ACCS, CSPHA and Samuel Fox, BSE
For many critically ill patients, clinical practice guidelines recommend elevating the head of the bed to 30–45° whenever feasible (AACN, 2016; Chan et al., 2024).
Patients receiving mechanical ventilation or enteral feedings are at increased risk of gastroesophageal reflux and aspiration of gastric contents, which can precipitate ventilator-associated pneumonia and other respiratory complications (American Association of Critical-Care Nurses [AACN], 2016).
This semi-recumbent position of 30–45° also improves lung mechanics and oxygenation in many critically ill patients, including those with acute respiratory distress syndrome (ARDS) (Duggal et al., 2024).
However, this semi-recumbent position makes boosting these patients up in bed more challenging for caregivers. Standard nursing procedure is to place the bed flat to provide a gravity assist for the caregivers. Most assistive repositioning devices, such as slide sheets or air-assist devices, require the bed to be flat to operate effectively.
With EasyBoost Repositioning System, the patient can be boosted at a 30° angle without placing the bed flat.