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How to Assess a Safe placement for Nasogastric or Nasoenteric Tube? Nasogastric or Nasoenteric Tube and its Complications

For safety reasons The nasogastric tube should be placed correctly to ensure that there is no risk of injury or death. The use of different techniques and modern technology might help in reducing complications.Read more to learn reasons why this could be the situation.

The prevention of problems that are caused by nasoenteric tube
The safe placement of a nasal or nasoenteric tube requires a trained medical practitioner and an excellent level of accuracy. Flexible devices such as nasogastric, and nasoenteric (NGT/NET) that go through the nose into the stomach (or small bowel) enable proper nutrition as well as medical care for severely sick patients, and patients undergoing surgery. These tubes can cause problems that can't be prevented. A Brazilian study has proven this .


NGT/NET placement early can result in a reduction in infection-related complications, preservation of gut mucosa integrity and improved gastrointestinal motility and immune responses.


NGT/NET can also be beneficial to outcomes for patients. It may improve wound healing, minimize problems and severity, and reduce ICU stay durations, and even lower the mortality rate. They are especially beneficial for those at the end of life.

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NG/NE feeding tubes can be inserted with different techniques, including blind insertion, guidance devices for placement, endoscopy, and fluoroscopy, and are utilized for stomach decompression, medication administration and enteral nutrition (EN), and occasionally to facilitate gastric lavage.

There are two major issues that are associated with malpositioning of the feeding tube Similar to some of the other complications with tubes:


Aspiration pneumonia: Misposition of NGT/NET within the esophagus, or the stomach of a person who needs small bowel meals greatly increases the risk of aspiration pneumonia. Today 28% of malpositions of the tube can lead to pneumonia.
https://canvas.instructure.com/eportfolios/1790806/Home/What_is_the_best_way_to_determine_a_safe_placement_of_a_NasogastricNaoenteric_tubing_and_its_complications_ Inadvertently placed lungs: 2-5% of NGT/NET get stuck in the lungs. It can result in a 30% risk that the lung can collapse (pneumothorax). Very rarely, misplacement causes death.
Healthcare professionals must assess risks and ensure that patients are safe and receiving high-quality medical care.

This article will discuss the signs and risks of feeding tube misplacement. It also describes how to verify the where it is. The ENvue system is a cutting-edge technology that lets medical professionals to navigate a tube in a safe manner and avoid any complications.

What are the Signs and Symptoms of a Misplaced NGT/NET?
Many signs, including coughs, higher blood pressure and heart rate, as well as a higher respiratory rate, or a decrease in oxygen saturation, could indicate an issue with the feeding tube. [1]

Healthcare workers are required to analyze the risks to patients and follow safety protocols.



A blind feeding tube placement carries the most significant risk of improper placement. To ensure patient safety and convenience, tube verification is necessary.

NG tube positioning https://controlc.com/25f61f55 The doctor must stop feeding through the tube as soon as possible in the event that they believe it is not correctly placed. This will prevent the possibility of problems. There are numerous ways to determine the proper placement of your tube. The effectiveness of each technique should be assessed in light of the patient's specific circumstance.

How can you determine if the place is safe? Enteral Tub Feeding
A evidence-based method is necessary to ensure the proper the placement of NGT/NET tubes, before EN can be initiated. There are a variety of valid methods for verification such as radiography, pH reading, capnography (ultrasound) and fluoroscopy.

An abdominal radiograph is considered to be the "gold gold" for verifying the location of a nasogastric or nasoenteric feeding tube. The entire tube's route through the digestive tract can be observed here.


According to the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) Utilization of an x-ray machine and pH aspirates were discovered in 90.8 percent of reports. 9.2% of the reports mentioned that they had used non-recommended verification methods, such as the insertion of an air bolus or auscultation. It is important to note that these verifications are carried out only after the tube has been already in position.


Modern systems are in use that aid clinicians in placing the feeding tube. Innovative navigation techniques are utilized to ensure that feeding tubes are placed quickly and safely. https://notes.io/q2Huf Some devices integrate sensors and body mapping. These devices are more helpful for medical professionals.

ENvizion Medical has a new technology that allows for NGT/NET navigation.
In the last couple of years, a highly effective NGT/NET placement device known as ENvue(r) was made available for sale. It assists clinicians in putting a feeding tube securely into the small intestine.

The ENvue navigation system consists of an electromagnetic (EM) field generator which emits EM waves covering the thorax and stomach of the patient's tract. The EM field generator in combination with several EM sensors create a specific body map of the patient and provides accurate illustrations even when a patient is moving.

The distal edge of a feeding tube is an embedded sensor that activates when electromagnetic waves penetrate it.


The ENvue tracking system tracks the tube sensor through the gastrointestinal tract, and displays its relative position and the path of placement during the process of placement.


According to ENvue's records every procedure starts with a simple registration using anatomical landmarks that aligns the patient to the navigation system and provides exact navigation.

ENvue's intuitive screen offers multiple simultaneously-views (Frontal Axial Lateral). In real-time, it displays the patient's contours and the orientation of the tube sensor. There is no lagging. The ENvue system also alerts patients when the tubes feeding them have been redirected incorrectly into the lung. This may cause them to take the tube out and insert it again.

ENvue provides a unique method to evaluate the precise position of NGT/NET. There are numerous tools available. It brings together cutting-edge technology, precise body mapping sensors and continuous visual guidance. These features have revolutionized the method.

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