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How do you assess a safe Placement of a Nasogastric or Nasoenteric Tube and the Complications it brings

To avoid harm or deaths, naogastric feeding tubes should be safely placed. There are numerous ways to minimize the risk of the risk of complications. Learn more.

The prevention of problems associated with Nasoenteric Tubes
The safe placement of a Nasogastric or Nasoenteric tube requires the experience of a medical professional and high-quality accuracy. Flexible devices called nasogastric and the nasoenteric (NGT/NET) which are inserted through the nose into the stomach (or small bowel) provide a healthy diet and medical treatment of seriously ill patients, or those who are undergoing surgery. Unfortunately, there are complications associated with these tubes that could be prevented, as a study by Brazil points out.


Placement of NGT/NET early is associated with reduced complications from infection, as well as the protection and integrity of the mucosa in the gut increased gastrointestinal motility and an increase in immune responses.


NGT/NET could also have a positive impact on outcomes for patients. It can aid in the healing process, decrease complications and severity, reduce ICU stay lengths, and could even lower mortality rate. NG tube positioning They can be helpful for older patients who are at nearing the end of their lives..

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NG/NE feeding tube can be placed using a variety of methods, including blind insertion, and guidance devices.

There are two main complications that are associated with malpositioning of the feeding tube that are similar to other complications that tube problems can cause:


Aspiration pneumonia: A patient who relies on small bowel feeds or who has malposition of NGT/NET in their stomach greatly increases the risk of contracting pneumonia due to aspiration. In the present it is the result of 28 percent of malpositions of tubes.
Inadvertent misplacement of the lung: 2-5% of NGT/NET are placed accidentally in the lungs. This can result in an increase of 30% risk of an infected lung (pneumothorax). Rarely, misplacement can cause the death of a patient.
Healthcare professionals must be aware of risks and ensure that patients are safe and receiving high-quality medical care.

This article will discuss the symptoms of feeding tube misplacement, as well as risks and confirmation methods. The article will also discuss the ENvue technology that aids medical teams to navigate a feeding tube to prevent complications.

What are the signs and symptoms of an incorrect NGT/NET
A variety of signs, including increased breathing rate or blood pressure, coughs, asthma heart rate increases and a decrease in oxygen saturation may all indicate the feeding tube may be misplaced.

Healthcare workers must regularly analyze hazards and implement patient safety-related protocols.



The biggest risk of malposition stems from a blind tube placement. To ensure patient safety and convenience, tube verification is essential.

Practitioners must stop feeding through the tube as soon as possible if they suspect it is not properly placed. https://www.medscape.com/viewarticle/891200 This will avoid other problems. There are numerous ways to determine the correct placement of your tube. However, each technique's efficacy should be considered in relation to a patient's situation.

How do I confirm safe tube placement for the feeding of the enteral tube
An evidence-based approach must be utilized to confirm that the correct positioning of NGT/NET tubes is verified prior to when EN can begin. There are a number of reliable verification methods, including x-ray(radiography) as well as pH capnography , as well as ultrasound.

An abdominal radiograph is considered to be the "gold standard" to confirm the location of a nasogastric and nasoenteric feeding tube. This lets you see the entire route of the tube in the digestive system.


According to the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), 90.8% of reports reported the use of pH aspirates and xrays. 9.2 percent of the reports mentioned that they utilized non-approved methods for verification (e.g., auscultation/injection of air bolus). This verification can only be performed after the tube has been inserted.


There are many innovative technologies that can be employed to assist doctors with the placement of feeding tubes. These placement devices employ advanced methods of navigation, some include sensors as well as body mapping for secure and rapid feeding tube placement. These devices are beneficial for medical personnel.

New technology for NGT/NET navigation by ENvizion Medical
In the last couple of years, a highly effective NGT/NET system, known as ENvue(r) was made available for sale. The system assists clinicians in securely insert a feeding tube into the small intestinal.

The ENvue Navigation System is made up of an electromagnetic field generator. It emits EM waves that cover the patient's thoraxand gastrointestinal tract and lung. The EM field generator as well as a variety of EM sensors work together to produce an image of the body of the patient. They also provide exact visualizations, even when a patient is moving.

There is a second sensor embedded in the tube's distal tip that activates once entering the electromagnetic waves.


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


https://www.envizionmed.com/envue-system/ According to ENvue's records Each procedure starts with a basic registration using anatomical landmarks to align the patient with the navigation system, and allows for exact navigation.

Envue's intuitive screen provides multiple simultaneously-views (Frontal Axial Lateral). The screen displays the person's body contour along with the direction and orientation of the sensor in real-time with no lagging. post pyloric feeding tube place The ENvue system also warns patients when the tubes feeding them aren't properly directed to the lung. The result could be to take the tube out and re-insert it.

small bowel feeding tube Although there are numerous instruments available for assessing the precise placement of NGT/NET, ENvue is different. It is a cutting-edge tool that incorporates a precise body map, built-in sensors as well as continuous visual guidance. These functions have been able to revolutionize the procedure.


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