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How to Evaluate a Safe placement for a Nasogastric tube or Nasoenteric Tube, and its complications

To prevent injury or even deaths, naogastric feeding tubes should be safely placed. There are many methods to reduce complications. Find out more.

Avoiding the Problems of Nasoenteric Tubes
The secure use of a nasogastric , or nasoenteric tube requires a professional medical professional and the highest level of precision. The Nasogastric (NGT/NET), or nasal gastric tubes, are flexible devices that be used to pass through the nose into the stomach or small intestinal (respectively). post pyloric feeding tube place It permits an adequate diet as well the medical treatment of patients with serious illness or who have had surgery. They can also cause complications, a Brazilian study suggests.


post pyloric feeding tube place The early placement of NGT/NET is associated with a decrease in complications from infection, as well as the protection and integrity of the mucosa of your gut as well as improved intestinal motility and increased immune response.


NGT/NET also has the potential to positively affect the outcome of patients and wound healing, as well as disease severity and complications, and also reduce the duration of an ICU stay as well as reducing the mortality rate. They are helpful for older patients who are at dying.

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The feeding tubes for NG/NE can be inserted with different techniques such as blind insertion guidance devices for placement, endoscopy, and fluoroscopy, and can be used to treat stomach decompression, medication administration as well as enteral nutrition (EN) and sometimes to facilitate gastric lavage.

There are two major issues that are associated with malpositioning of the feeding tube, which are similar to other problems with tubes:


Aspiration pneumonia: A patient who relies on small bowel feedings or has a malposition of the NGT/NET in their stomachs greatly increases the possibility of contracting aspiration pneumonia. As of today 28% of malpositions of the tube can lead to pneumonia.
Lung collapse feeding tube Inadvertent lung misplacement. 2-5% of NGT/NET are inserted into the lungs due to accident that can cause a 30% risk of a collapsed lung (pneumothorax). In some rare cases, the inadvertently placing NGT/NET into the wrong place can lead to death.
post pyloric feeding tube place Thus, healthcare professionals must assess risks and apply security measures and high-quality treatment methods.

This article will cover the symptoms of feeding tube misplacement, as well being aware of the dangers and ways to confirm. The ENvue system is a revolutionary technology that allows medical personnel to navigate through a tube with safety and prevents any problems.

What Are the Signs and Symptoms of a Misplaced NGT/NET?
small bowel feeding tube Different signs, like coughs, increased blood pressure, increased heart rate and respiratory rate, or reduced oxygen saturation, can indicate the possibility of a misplaced feeding tube. [1]

Healthcare workers need to regularly examine the dangers and establish security-related protocols for patients.



A blind feeding tube placement carries the most significant risk of misplacement. To ensure the safety of patients and convenience, tube verification is essential.

If they suspect that the tube has been misplaced Doctors should immediately stop feeding through it. A variety of techniques can help determine the proper tube placement. Each technique's effectiveness is a matter of comparing it to the specific patient's situation.

How to Verify Safe Enteral Feeding Tub Placement
A method based on evidence must be employed to ensure that the correct placement of NGT/NET tubes is verified prior to when EN can begin. There are many verifiable methods of verification available, including radiography, pH readings or capnography (ultrasound), and fluoroscopy.

A abdominal radiograph is the "gold standard" to confirm the location of a nasogastric and nasoenteric feeding tube. This allows you to see all the way the tube through your digestive system.


The Pennsylvania Patient Safety Reporting System (January 2017, to June 2020) identified that 90.8 percent of the patients had reported the use of an xray and pH aspirates. 9.2% of the reports indicated the use of non-recommended verification methods, for example, placing an air bolus/auscultation. It is worth noting that these verifications are performed after the tube is already in position.


There are now innovative methods that aid clinicians in the placement of feeding tubes. These devices use advanced navigation techniques, including sensors as well as body mapping, to ensure secure and swift tube placement. These devices can provide greater assistance to medical professionals.

New Technology for NGT/NET Navigation ENvizion Medical
A promising NGT/NET device, ENvue(r), was launched to the market in recent years. It allows doctors to safely place a feeding tube into the small intestinal tract.

The ENvue navigation device is outfitted with an electromagnetic (EM-) field generator that emits EM waves that cover the patient's thorax as well as their digestive tract. The EM field generator along with a variety of EM sensors make a body map for the patient, and also provide exact illustrations even when a patient is moving.

There is an additional sensor embedded inside the tube's distal tip which is activated upon it enters the electromagnetic waves.


The ENvue tracking system tracks the tube sensors through the digestive tract and shows the position of the tip relative to the route of placement throughout the placement.


According to ENvue's records, each procedure starts with a simple registration using anatomical landmarks which align the patient to the navigation system and ensures the most precise navigation.

The user-friendly screen of ENvue gives you multiple perspectives simultaneously (Frontal Axial and Lateral). The screen displays the contours of the patient as well as the direction and orientation of the tube sensor in real time and without delays. The ENvue system also informs patients when the tubes feeding them are misdirected into the lungs. The result could be to pull the tube out and insert it again.

Although there are several tools on the market to accurately assess the NGT/NET's position, ENvue is different. It is a revolutionary tool that combines a precise body map sensors, continuous visual guidance. The features have revolutionized the method.


Homepage: https://www.medscape.com/viewarticle/891200