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Allocating head-of-bed position

National University of Singapore · Phase 3 active Biologic

Elevating the head of the bed reduces gastric reflux and aspiration risk by using gravity to maintain gastric contents below the esophageal sphincter.

Elevating the head of the bed reduces gastric reflux and aspiration risk by using gravity to maintain gastric contents below the esophageal sphincter. Used for Prevention of aspiration pneumonia in hospitalized or mechanically ventilated patients, Management of gastroesophageal reflux disease (GERD) symptoms.

At a glance

Generic nameAllocating head-of-bed position
SponsorNational University of Singapore
ModalityBiologic
Therapeutic areaCritical Care / Respiratory / Gastroenterology
PhasePhase 3

Mechanism of action

Head-of-bed elevation is a non-pharmacological positioning intervention that leverages gravitational forces to prevent retrograde flow of gastric contents into the esophagus and upper airway. By maintaining the head and thorax at an incline (typically 30–45 degrees), this approach reduces the likelihood of aspiration events and reflux-related complications. It is commonly used as a supportive care measure in hospitalized patients, particularly those at high risk for aspiration pneumonia or gastroesophageal reflux disease (GERD).

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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