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How to Evaluate a Safe placement for Nasogastric Tube or Nasoenteric Tube? Nasogastric tube or Nasoenteric Tube, and Its Complications

For reasons of safety For safety, the nasogastric tube should be correctly placed to ensure that there is no risk of injury or death. The latest technology and methods may reduce the complications. Find out more.

Beware of the Issues that are Associated with Nasoenteric Tubes
A medical professional with experience is required to properly place the nasogastric or nasoenteric tube. They must also be exact. Nasogastric and nasoenteric tubes (NGT/NET) are flexible devices that go through the nose distally into the stomach or small bowel (respectively) and allow an adequate diet and medical treatment of critically ill patients or surgical patients. The tubes can lead to complications that are not able to be prevented. A study from Brazil has shown .


Placement of NGT/NET early is associated with reduced infectious complications, preservation and strength of the gut mucosa as well as improved intestinal motility and increased immune responses.


Lung collapse feeding tube NGT/NET also has the potential to positively affect patient outcomes and wound healing, as well as diseases severity and complications and also reduce the duration of an ICU stay and reducing the mortality rate. They can be valuable for patients nearing the nearing the end of their lives..

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NG/NE feeding tube can be inserted using a variety of methods, including blind insertion as well as guidance devices.

Feeding tube malposition can cause two major issues that are similar to the problems that occur with other tubes. .


Aspiration pneumonia: The chance of developing aspiration pneumonia is increased by the presence of NGT/NET in the stomach or in the esophagus in patients who require feedings for small bowels. Presently pneumonia is caused by 28 percent of tube malpositions.
Inadvertent lung misplacement. 2 to 5 percent of NGT/NET are placed in the lungs by accident and can result in a 30% chance for a collapsed lung (pneumothorax). Sometimes, misplacement may cause death.
Therefore, healthcare providers must examine risks and use the safety of patients and the quality of care methods.

This article will discuss the symptoms of feeding tube misplacement, as well the risks and methods for confirmation. In addition, it will introduce an innovative technology, the ENvue system, which assists medical professionals in navigating a feeding tube correctly to avoid any complications.

What are the Signs and Symptoms of an Incorrect NGT/NET?
A variety of signs, like coughs, blood pressure increases and heart rate, as well as a higher respiratory rate, or reduced oxygen saturation, can indicate a feeding tube misplacement. [1]

Healthcare workers need to be able identify potential dangers and put in place safety protocols.



The biggest risk for misplaced feeding is due to blind tube placement. Tube verification is required in order to guarantee the safety of patients.

To avoid complications later on To avoid further complications, doctors must immediately stop feeding the tube if they suspect that there is a misplacement. Different methods can be used to determine right tube placement. The effectiveness of each technique must be assessed in the light of the specific patient.

How do I confirm the safety of tube placement for the feeding of the enteral tube
A method based on evidence is needed for confirming the correct installation of NGT/NET tubes before EN can commence. There are a variety of trustworthy methods to verify this, including x-ray(radiography) Capnography, pH reading, ultrasound and fluoroscopy.

A abdominal radiograph may be used to verify the location of a nasogastric or nasoenteric tube. This allows you to see the entire route of the tube through the digestive system.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports cited the use of pH aspirates and xrays. 9.2 percent of the reports reported that they used nonrecommended verification methods, such as insertion of an air bolus/auscultation. This verification can only be carried out after the tube is been placed.


Today, there are innovative systems available to aid clinicians in placing feeding tubes. Advanced navigation methods are used to quickly place feeding tubes and safely. Certain devices are equipped with sensors and body mapping. These devices are more helpful for medical staff.

post pyloric feeding tube place New Technology for NGT/NET Navigation developed by ENvizion Medical
The ENvue (r) NGT/NET placement system has been on the market for a while. The system allows clinicians to safely place a feeding tube inside the small intestine.

The ENvue navigation device is fitted with an electromagnetic (EM-) field generator, which produces EM waves that cover the thorax of a patient as well as their digestive tract. The EM field generator, in conjunction with several EM sensors produce a precise body map of the patient and provides exact illustrations even when a patient moves.

A second sensor that is embedded in the distal tip of the tube feeding triggers when it comes into contact with the electromagnetic field.


The ENvue system tracks the tube sensor through the gastrointestinal tract . It displays the relative tip position and the path to placement during placement.


ENvue records indicate that every procedure begins with anatomical landmarks to record the patient. This makes it possible to navigate precisely and also aligns them with the system of navigation.

https://en.wikipedia.org/wiki/Feeding_tube ENvue's intuitive screen allows for multiple views at once (Frontal and Axial), The screen shows a body contour of the patient, and also the direction and direction of the sensor in real-time with no lagging. The ENvue system alerts users when the tube for feeding is placed incorrectly in the airways. https://www.envizionmed.com/envue-system/ safe nasogastric tube placement This may prompt them to unplug the tube and reinstall it.

There are many options to help you determine the exact location of NGT/NET. ENvue, however, is distinct. It is a revolutionary tool that combines precise body mapping sensors and continuous guidance. These functions have been able to change the method of navigation.


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