Journal of neonatal-perinatal medicine
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    J Neonatal Perinatal Med · Jan 2014 Multicenter Study Clinical TrialAssociation between tracheal pepsin, a reliable marker of gastric aspiration, and head of bed elevation among ventilated neonates.To determine the frequency of tracheal pepsin in ventilated neonates and whether the angle of head elevation was associated with tracheal pepsin. ⋯ Pepsin, a marker for gastric secretion aspiration, was detected in 53% of ventilated low birth weight neonates; early elevation of the head of the bed was associated with a lower rate of tracheal pepsin.