Notes

How do you determine a safe placement of a Nasogastric/Naoenteric tube and its complications

To ensure safety For safety, the nasogastric tube should be correctly placed to prevent injury or death. Different techniques and new technology might help in reducing complications.Read more to understand reasons why this could be the situation.

Beware of the Issues that are Associated with Nasoenteric Tubes
A qualified medical professional is required to ensure the safe placement of the nasogastric or nasoenteric tube. Also, they must be precise. The nasal gastric (NGT/NET) or nasal gastric tubes, are flexible tubes that be used to pass through the nose into the stomach or small intestine (respectively). This permits for adequate nutrition as being a medical intervention for patients who are critically ill or who have undergone surgery. These tubes can cause complications that are not able to be prevented. A Brazilian study has shown .


The early placement of NGT/NET is associated with a decrease in infectious complications, preservation of gut mucosa integrity, and improved gastrointestinal motility and immune responses.


NGT/NET may also be beneficial to the outcomes of patients. It may improve wound healing, minimize complications and severity, reduce ICU durations, and may even reduce the mortality rate. They can be also helpful for seniors who are nearing the end of their lives..

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The feeding tubes NG/NE are available in a myriad of ways including blind insertion, guidance placement devices, fluoroscopy as well as endoscopy. They are suitable to treat gastrointestinal disorders and drug administration.

Two major problems are associated with tube feeding malposition. They are similar to the other problems that tube-related issues can cause..


Aspiration pneumonia: Malposition of NGT/NET in the esophagus or in the stomach of a patient that requires small bowel feedings greatly increases the risk of suffering from aspiration pneumonia. At present, 28 percent of tube malpositions end in pneumonia.
Inadvertently placed lungs: 2-5% of NGT/NET can accidentally enter the lung. It can result in a 30% chance that the lung will fall down (pneumothorax). In rare cases, misplacement could lead to death.
Therefore, healthcare providers must assess risks and apply patient safety and quality medical procedures.

This article will discuss the symptoms of feeding tube leaks, as well as risks and confirmation methods. In addition, it will introduce a new technology, the ENvue system that assists medical professionals in navigating the proper feeding tube in order to prevent complications.

What are the warning signs and symptoms of a lost NGT/NET
Many signs, including coughs, increased blood pressure or heart rate respiratory rate, or decreased oxygen saturation, could indicate a feeding tube misplacement. [1]

Healthcare workers must be able recognize potential hazards and implement safety procedures.



The biggest risk of malposition stems from a blind tube placement. Thus, tube inspection is essential for optimal safety and comfort.

If doctors suspect the tube is not in the correct place Doctors should immediately stop feeding it. NG tube positioning There are a variety of methods to determine the correct tube placement. Each technique's effectiveness is a matter of comparing it to the patient's specific circumstance.

How do I confirm safe tube placement during an enteral feed
A method based on evidence must be used to verify that the correct positioning of NGT/NET tubes has been verified before EN can be initiated. small bowel feeding tube There are numerous verifiable methods of verification available, including radiography, pH readings, capnography (ultrasound) and fluoroscopy.

A radiograph of the abdomen is the most effective way to determine the location of a feeding tube. Here, the tube's full journey through the digestive tract is visible.


As per the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) Utilization of the x-ray and pH aspirates was discovered in 90.8 percent of reports. 9.2% of reports also reported that they had used not-approved methods of verification (e.g., auscultation/injection of air bolus). It is important to mention that these verifications take place only after the tube has already placed.


There are many new technology options to aid doctors when placing feeding tubes. These devices use advanced techniques of navigation, some that incorporate sensors and body mapping to ensure safe and fast placement of the tube. These provide greater assistance to medical professionals in the process.

post pyloric feeding tube place ENvizion Medical introduces new technology for NGT/NET Navigation
In the past few years, a promising NGT/NET positioning system called ENvue(r) was made available for sale. The system aids clinicians in inserting a feeding tube securely inside the small intestine.

The ENvue navigation device is fitted with an electromagnetic (EM-) field generator, which emits EM waves that penetrate the thorax of the patient 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 accurate illustrations even when a patient is moving.

There is an additional embedded sensor in the distal tip that activates once entering the field of electromagnetic waves.


The ENvue system monitors the tube sensor throughout the gastrointestinal tract and displays the relative tip place and the path for placement throughout the process of placement.


ENvue reports indicate that every procedure begins with anatomical landmarks for the purpose of registering the patient. This permits precise navigation and aligns them to the navigation system.

The intuitive screen of ENvue gives you multiple perspectives simultaneously (Frontal Axial as well as Lateral). The screen shows the outline of the patient as well as the direction and orientation of the tube sensor in real-time, with no delays. The ENvue system warns users in the event that the tube for feeding is placed improperly in the airways. This can prompt users to take the tube off and then re-install it.

ENvue provides a unique approach to evaluate the precise position of NGT/NET. Lung collapse feeding tube There are many tools out there. post pyloric feeding tube place It combines innovative technology with precise body maps sensors and continuous guidance. These tools help make the process more efficient.


Read More: https://www.envizionmed.com/envue-system/