Enteral nutrition is safe but not without the risk of various GI, metabolic, and respiratory
complications. Aspiration is one of the most serious complications of enteral feedings and
may be related to inhibited cough reflex, delayed gastric emptying, or gastroesophageal reflux. Ensuring the tube is properly placed and that it remains in position and elevating
the head of the bed at least 30 degrees help reduce the risk of aspiration.