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How do you assess a safe placement of an Nasogastric or Nasoenteric Tube and its complications

For reasons of safety, the nasogastric feeding tube has to be placed in a safe manner to prevent injury or death. There are many ways to reduce complications. Learn more.

Avoiding the Problems of Nasoenteric Tubes
The safe placement of a nasogastric , or nasoenteric tube requires a qualified medical doctor and the highest level of precision. The nasogastric (NGT/NET), or nasal gastric tubes are flexible tubes that be inserted through the nose and into the stomach, or the small intestinal (respectively). This allows the proper nutrition as well in medical care for patients who are critically ill or have had surgery. The tubes can lead to complications that cannot be avoided. A study from Brazil has proven this .


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


NGT/NET can also improve patient outcomes, increase the healing process, reduce disease severity and complications also, reducing the length of hospitalization in the ICU and may even lower the mortality rate. They are valuable for patients nearing the end-of-life.

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The feeding tube for NG/NE can be installed using a variety methods, such as blind insertion as well as guidance devices.

Lung collapse feeding tube Two major complications are associated with feeding tube malposition. They are similar to other issues with tubes.


Aspiration pneumonia: Malposition of NGT/NET in the esophagus and in the stomach of a patient who needs small bowel meals greatly increases the chance of having aspiration pneumonia. Today it is the result of 28% of tube malpositions.
Inadvertently placed lungs: 2-5% of NGT/NET are accidentally placed in the lungs. This could lead to a 30% chance that the lung will collapse (pneumothorax). In rare instances, misplacement of NGT/NET can lead to death.
Healthcare professionals need to evaluate the risk and employ patient safety and quality care methods.

This article will examine the signs of feeding tube displacement, as being aware of the dangers and ways to confirm. The ENvue system is a new technology that lets medical professionals to navigate through a tube without risk and to avoid complications.

What are the signs and Symptoms of a Missplaced NGT/NET
Different signs, like coughs, elevated blood pressure as well as an increase in heart rate and respiratory rate, or reduced oxygen saturation, can indicate a feeding tube misplacement. [1]

Healthcare workers must periodically examine the dangers and establish safety procedures for patients.



small bowel feeding tube The biggest risk of misposition comes from blind feeding tube placement. To ensure the safety of patients and ease of use, tube verification is essential.

To prevent further complications To avoid further complications, doctors must immediately stop feeding through the tube in case they suspect misplacement. https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/ The proper placement of the tube may be verified using a variety of techniques. Each technique's effectiveness should be compared to the patient's particular circumstance.

How do I confirm safe tube placement in the feeding of the enteral tube
An evidence-based method is required to ensure the proper placement of NGT/NET tubes before EN can be initiated. There are a variety of verified methods that are reliable such as radiography, pH readings or capnography (ultrasound) and fluoroscopy.

A radiograph of the abdomen is the best method to confirm the position of feeding tube. This is where the tube's complete journey through the digestive tract is visible.


Per the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020) The use of an x-ray machine and pH aspirates were discovered in 90.8% of the reports. safe nasogastric tube placement In addition, 9.2 percent of the reports indicated they utilized non-recommended verification methods (e.g. placing an air bolus/auscultation). It is worth noting that these verifications take place only after the tube has been already in position.


There are many new technologies that can be used to aid doctors when placing feeding tubes. The placement devices utilize advanced methods of navigation, some that incorporate sensors and body mapping for safe and quick placement of feeding tubes. These provide greater assistance to medical professionals in the procedure.

ENvizion Medical introduces new technology for NGT/NET Navigation.
In the last couple of time, a new NGT/NET positioning system called ENvue(r) was introduced to the market. The system permits doctors to securely place a feeding tube into the small intestine.

The ENvue navigation device comes with an electromagnetic (EM-) field generator, which emits EM waves that cover the patient's thorax as well as their gastrointestinal tract. The EM field generator, combination with other EM sensors, generates a specific patient's bodymap and provides accurate illustrations even when the person is moving.

There is an additional sensor embedded within the feeding tube distal end that is activated when it is in the vicinity of electromagnetic waves.


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


According to ENvue's records Each procedure starts with a simple registration using anatomical landmarks that aligns the patient to the navigation system, and allows for accurate navigation.

The user-friendly screen of Envue provides three simultaneously-views (Frontal Axial, Lateral, and Lateral). In real-time, it displays the patient's anatomy and the orientation of the tube sensor. There is no lag. The ENvue system also alerts users when feeding tubes are misdirected into the lungs. This can cause them to take the tube out and insert it again.

There are numerous tools to accurately assess NGT/NET placement. ENvue, however, is distinct. It is a revolutionary technology that combines the body map and built-in sensors and continuous visual guidance. These features have come to alter the process.


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