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How to determine a secure location for an Nasogastric Tube or Nasoenteric Tube, and Its complications

For safety reasons, the nasogastric feeding tube must be properly placed to avoid injury or even death. The use of different techniques and modern technology may help to reduce complications.Read more to learn reasons why this could be the case.

The prevention of problems associated with Nasoenteric Tubes
Safe placement of a Nasogastric or Nasoenteric tubes requires the expertise of a medical professional and high-quality accuracy. https://myclc.clcillinois.edu/web/jeff_test/ttttttutoring/-/message_boards/message/46325653 Nasogastric or nasoenteric tubes (NGT/NET) are flexible devices that pass through the nose distally to the stomach or small bowel (respectively) which allows adequate nutrition as well as medical care for patients who are critically ill or undergoing surgery. They can also cause problems, a Brazilian study suggests.


The timely introduction of NGT/NET may lower the chance of getting infections and preserve the integrity of the gut mucosa and enhance gastrointestinal motility.


https://musescore.com/user/59533003 NGT/NET could also positively impact the patient's outcomes as well as wound healing, diseases severity and complications and may also help in reducing the ICU stay and decreasing the mortality rate. They are especially beneficial for those with a terminal illness..

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NG/NE feeding tubes can be found with a variety of options including blind insertion, guidance placing devices, fluoroscopy and even endoscopy. They are suitable for gastrointestinal decompression and medication administration.

There are two major problems related to malposition of feeding tubes that are similar to other problems with tubes:


Aspiration pneumonia: A misposition of NGT/NET in the esophagus or the stomach of a patient who requires small bowel feeds significantly increases the risk of suffering from aspiration pneumonia. Today the cause of pneumonia is 28 percent of tube malpositions.
https://www.transtats.bts.gov/exit.asp?url=https://www.medscape.com/viewarticle/891200 Inadvertent misplacement of the lung 2 to 5% of NGT/NET are placed accidentally within the lungs, which can result in the risk of an edema of the lung (pneumothorax). In rare cases, misplacement could lead to the death of a patient.
Healthcare providers must evaluate risks and make sure that patients are secure and receive the best care.

This article will present the symptoms of feeding tube misplacement, risk, and techniques for location verification. It will also present the ENvue technology that aids medical teams to navigate an empty tube to prevent complications.

What are the Signs and Symptoms of an Incomplete NGT/NET
A problem with the feeding tube may be detected by a range of symptoms, including coughing and high blood pressure, the heart beating and respiratory rate and lower oxygen saturation and elevated blood pressure.

NG tube positioning Healthcare workers must regularly analyze potential hazards and develop safety protocols.



The biggest risk of malposition is due to blind feeding tube placement. Therefore, tube verification is necessary to ensure patient safety and comfort.

NG tube positioning If they suspect that the tube is not in the correct place Doctors should immediately stop feeding it. There are a variety of methods to determine the appropriate tube position. Each method's effectiveness should be assessed in relation to the patient's individual needs.

How can you verify the safety of Enteral Feeding Tube Placement
An evidence-based method is required to confirm correct positioning of NGT/NET tubes prior to when EN can be initiated. https://bbs.pku.edu.cn/v2/jump-to.php?url=https://www.envizionmed.com/envue-system/ There are numerous verifiable methods of verification available that can be used, such as radiography, pH readings, capnography (ultrasound), and fluoroscopy.

An abdominal radiograph is the best method to confirm the position of a feeding tube. In this case, the tube's entire path through the digestive system can be seen.


The Pennsylvania Patient Safety Reporting System (January 2017, - June 2020) revealed that 90.8% reported the use of in-office xrays as well as pH aspirates. 9.2% of reports also stated that they were using not-approved methods of verification (e.g. the injection of an auscultation or the air bolus). This verification can only be performed after the tube has been inserted.


NG tube positioning There are a variety of innovative technologies that could be utilized to assist doctors in placing feeding tubes. The placement devices utilize advanced techniques of navigation, some of which integrate sensors and body mapping to ensure safe and fast placement of the tube. They can provide better assistance to medical staff in the process.

New Technology for NGT/NET Navigation by ENvizion Medical
In the last few years, a promising NGT/NET system, known as ENvue(r) was launched on the market. This system helps clinicians successfully insert a feeding tube within the small intestine.

The ENvue navigation device is equipped with an electromagnetic (EM-) field generator, which emits EM waves that cover the thorax of the patient as well as their digestive tract. The EM field generator along with various EM sensors create a specific patient's body map and provide precise illustrations, even when the patient is moving.

The distal end of a feeding tube contains an embedded sensor, which is activated when electromagnetic waves enter it.


The ENvue tracking system tracks the tube's sensor throughout the gastrointestinal tract, and displays the relative position of the tip and placement pathway during the placement.


According to ENvue's data Each procedure starts with a basic registration using anatomical landmarks that aligns the patient to the navigation system and ensures accurate navigation.

The intuitive display of ENvue allows for multiple views at once (Frontal and Axial), In real-time, it displays the contours of the patient as well as the direction of the tube sensor. It is not lagging. Furthermore the ENvue system warns patients when the feeding tube is not properly directed into the airways, which could prompt them to withdraw and re-insert the tube.

There are a variety of tools for assessing the precise position of NGT/NET. ENvue, however, is exclusive. This cutting-edge technology integrates body maps with built-in sensors and continuous visual guidance. The features have revolutionized the way people use their devices.


Homepage: http://sc.sie.gov.hk/TuniS/www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/