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How to Evaluate a Safe Placement for an Nasogastric Tube or Nasoenteric Tube, and Its complications

Nasogastric feeding tubes need to be placed safely to avoid injuries or death. Innovative technology and techniques could decrease the dangers. Read more.

Preventing the Issues of Nasoenteric Tubes
A professional medical practitioner must be able to safely insert a nasogastric/nasoenteric tub. They must also be exact. The nasogastric (NGT/NET), or nasal gastric tubes are flexible tubes that traverse the nose, and into the stomach or small intestine (respectively). small bowel feeding tube This allows for adequate nutrition as as medical management of patients who are critically ill or who have undergone surgery. These tubes can cause complications, a Brazilian study illustrates.


Early treatment of NGT/NET is associated with less infections, protection and strength of the gut mucosa, enhanced gastrointestinal motility, and increased immune response.


NGT/NET could also have a positive impact on patient outcomes, improve healing of wounds, decrease the severity of illness and complications reduce the duration of hospitalization in the ICU and even reduce the mortality rate. NG tube positioning They are beneficial for elderly patients at the death.

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The feeding tube NG/NE can be placed using a variety of techniques, including blind insertion and guidance placement devices.

Two major complications can be found with tube feeding malposition. They are comparable to other problems with tubes.


Aspiration pneumonia: A misposition of NGT/NET within the esophagus, or the stomach of a patient who requires small bowel feeds significantly increases the chance of developing aspiration pneumonia. Nowadays it is the result of 28 percent of malpositions of tubes.
Inadvertently misplaced lung. 2 to 5 percent of NGT/NET are inserted into the lungs due to accident which can lead to an increase of 30% for a collapsed lung (pneumothorax). The misplacement of the lungs can in rare cases, lead to death.
Healthcare professionals need to evaluate the risks and make sure that patients are secure and receive top-quality healthcare.

This article will present the signs of feeding tube misplacement, risk, and location confirmation methods. In addition, it will present a novel technology, the ENvue system that assists medical teams navigate the proper feeding tube in order to avoid complications.

What are the signs and symptoms of a lost NGT/NET
Many signs such as increased breathing rate or blood pressure, asthma, coughs as well as heart rate rises and a decrease in oxygen saturation may all suggest that a feeding tube is not properly placed.

Healthcare workers must periodically review the safety risks and adopt security-related protocols for patients.



The most serious risk of misplaced feeding is due to blind tube placement. This is why tube inspection is crucial to ensure the safety of patients and satisfaction.

The doctor must stop feeding through the tube immediately when they suspect that the tube is not properly placed. This will avoid further problems. Lung collapse feeding tube The correct placement of the tube may be verified using a variety of techniques. Every technique's efficacy must be assessed in relation to the specific patient.

How to verify safe tube placement for an enteral feed
An evidence-based method is required to confirm correct positioning of NGT/NET tubes prior to when EN can begin. There are many valid methods for verification such as radiography, pH readings and capnography (ultrasound) and fluoroscopy.

small bowel feeding tube A radiograph of the abdomen is the "gold gold" to determine the position of a nasal and nasoenteric feeding tube. post pyloric feeding tube place This is where the tube's complete route through the digestive system can be observed.


small bowel feeding tube Based on the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020) The use of x-rays and pH aspirates was found in 90.8 percent of the reports. 9.2 percent of the reports mentioned that they utilized non-recommended methods of verification (e.g. injection or auscultation of air bolus). Lung collapse feeding tube It is worth noting that these verifications take place only after the tube is already placed.


Today, there are a variety of innovative devices that aid clinicians in the placement of feeding tubes. The placement devices utilize advanced methods of navigation, some of which integrate sensors and body mapping for safe and quick placement of feeding tubes. They provide more assistance to medical staff in the procedure.

ENvizion Medical introduces new technology for NGT/NET Navigation
In the last few times, a promising NGT/NET placement device known as ENvue(r) was made available for sale. The system assists clinicians in safely insert a feeding tube within the small intestine.

The ENvue Navigation System is comprised of an electromagnetic field generator. safe nasogastric tube placement It creates EM wave that covers the patient's thorax, gastrointestinal tract, and the lung. The EM field generator along with a range of EM sensors combine to create an image of the body of the patient. They also offer precise drawings, even when a patient is moving.

An additional sensor embedded in the distal part of the feeding tube activates when it comes into contact with the electromagnetic field.


The ENvue system follows the tube's sensors through the digestive tract and shows the position of the tip and placement route during the process of placement.


ENvue documents indicate that each procedure starts with anatomical landmarks to register the patient. This ensures precise navigation and aligns them to the navigation system.

Envue's intuitive screen can display multiple views simultaneously (Frontal and Axial), The screen displays the shape of a patient's body and the orientation and direction of the tube sensor in real time without lagging. The ENvue system warns users in the event that the feeding tube is placed wrongly in the airways. This could prompt them to remove the tube and reinstall it.

ENvue provides a unique approach to determine the exact position of NGT/NET. There are many tools out there. Utilizing cutting-edge technology, it incorporates a precise body map, sensors built-in and continuous guidance from a visual perspective. post pyloric feeding tube place These features have revolutionized the way people use their devices.


Homepage: https://www.natureworldnews.com/articles/55740/20230307/the-importance-of-safe-post-pyloric-feeding-tube-placement.htm