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How to Evaluate a Safe Placement for the Nasogastric tube or Nasoenteric Tube, and Its Complications

For safety reasons, the nasogastric feeding tube should be correctly placed to avoid injury or even death. Innovative technology and techniques could help reduce the risks. Learn more.

Reducing the Risks of Nasoenteric Tubes
The safe placement of a nasogastric or nasal tube requires a trained medical professional and the highest level of precision. Nasogastric tubes or nasoenteric tube (NGT/NET) are flexible devices that pass through the nose and distally into the small bowel or stomach (respectively) and allow the proper nutrition and medical management of critically ill or surgical patients. post pyloric feeding tube place Nasogastric tubes can result in problems that can't be prevented. A Brazilian study has proven this .


The timely deployment of NGT/NET will lower the chance of getting infections, preserve gut mucosa integrity and improve the gastrointestinal motility.


NGT/NET could also improve outcomes for patients. It could improve the healing process, decrease the number of complications and their severity, cut down on ICU durations, and can even lower mortality rate. They are also helpful for seniors in the final stages of their lives..

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NG/NE feeding tubes can be installed using different methods such as blind insertion guidance devices for placement, endoscopy, and fluoroscopy, and can be used to treat gastrointestinal decompression, medication administration and enteral nutrition (EN), and occasionally to facilitate gastric lavage.

A malpositioning of the tube that feeds it can cause two major problems, similar to the problems that occur with other tubes .


Aspiration pneumonia: A patient who relies on small bowel feeds or has NGT/NET malposition in their stomach greatly increases the risk of contracting pneumonia due to aspiration. Today the cause of pneumonia is 28 percent of malpositions of tubes.
Inadvertently, the lungs are misplaced 2-5 percent of NGT/NET get placed in the lungs, which causes an increase of 30% risk of an infected lung (pneumothorax). In rare cases, misplacement could lead to death.
Healthcare providers must therefore assess the risk and employ patient safety and quality care methods.

This article will cover the signs of feeding tube displacement, as as risks and confirmation methods. post pyloric feeding tube place The ENvue system is a new technology that lets medical professionals to navigate the feeding tube safely and avoids complications.

What are the signs and symptoms of a misplaced NGT/NET?
Numerous signs like increased breathing rate or blood pressure, asthma, coughs heart rate elevations, and lower oxygen saturation could all be indicators that a feeding tube is incorrectly placed.

Healthcare workers must periodically assess hazards and implement security-related protocols for patients.



A blind feeding tube placement carries the highest risk of incorrect placement. For optimal patient safety and comfort, tube verification is necessary.

If they suspect that the tube was not placed correctly the doctor should stop feeding it. safe nasogastric tube placement The correct positioning of the tube may be determined using many techniques. Every technique's efficacy must be assessed in the light of the particular patient.

How do you ensure safe tube placement for enteral feeding
A evidence-based method must be used to verify that the correct positioning of NGT/NET tubes is confirmed before EN can begin. There are a variety of verifiable methods of verification that can be used, such as x-ray(radiography), pH reading, capnography, ultrasound and fluoroscopy.

An abdominal radiograph is the most effective way to verify the location of feeding tube. The entire route of the tube through the digestive tract can be visible in this image.


The Pennsylvania Patient Safety Reporting System (January 2017 through June 2020) found that 90.8 percent reported the use of in-office xrays as well as pH aspirates. 9.2% of the reports mentioned that they utilized non-approved methods for verification, like insertion of an air bolus/auscultation. This verification can only be performed after the tube has been inserted.


NG tube positioning There are numerous innovative technology options to aid doctors when placing feeding tubes. Advanced navigation methods are used to ensure that feeding tubes are placed quickly and safe. Certain devices are equipped with sensors and body mapping. They also provide assistance to medical professionals.

ENvizion Medical has a new technology to enable NGT/NET navigation.
The ENvue (r) NGT/NET placement system has been in the market for some time. It allows doctors to place a safe feeding tube in the small intestinal tract.

The ENvue navigation device comes with an electromagnetic (EM-) field generator that produces EM waves that cover the thorax area of the patient and also their gastrointestinal tract. https://www.pcb.its.dot.gov/PageRedirect.aspx?redirectedurl=https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/ The EM field generator in combination with a variety of EM sensors produce a precise body map of the patient and provides precise illustrations, even when the patient is moving.

There is an additional embedded sensor in the tube's distal end that is activated when it enters the electromagnetic waves.


The ENvue system monitors the tube sensor throughout the digestive tract and displays the precise tip location and placement path during placement.


ENvue reports indicate that every procedure starts with anatomical landmarks to register the patient. This permits precise navigation and also aligns them with the navigation system.

The intuitive display of ENvue offers three simultaneously-views (Frontal Axial Lateral). The screen shows the contours of a patient , as well as the direction and orientation of the tube sensor in real time and without slowing down. The ENvue system warns users in the event that the tube feeding device is placed incorrectly in the airways. It could trigger them to remove the tube and reinstall it.

There are many options to accurately assess NGT/NET placement. ENvue, however, is distinctive. It is a revolutionary technology that combines the body map and built-in sensors and continuous guidance. These features have come to change the method of navigation.


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