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How to determine a secure place to put an Nasogastric Tube or Nasoenteric Tube, and its Complications

Nasogastric feeding tubes should be installed in a safe manner to avoid injuries or death. There are numerous ways to reduce the risk of complications. Find out more.

Reducing the risks that are caused by nasoenteric tubes
Secure placement of a nasal or Nasoenteric tube requires the experience of a medical professional and high accuracy. Flexible devices, nasogastric and Nasoenteric (NGT/NET) which are inserted through the nose and into the stomach (or small bowel) permit proper nutrition, medical management of severely sick patients, and patients undergoing surgery. The tubes can lead to complications that are not able to be prevented. A study from Brazil has shown .


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


NGT/NET also can positively affect the outcomes of patients, enhance healing of wounds, decrease complications and severity, shorten the length of stay in the ICU and could even decrease the mortality rate. They are especially beneficial for elderly patients in the final stages of their lives..

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The feeding tubes NG/NE are available in a variety of techniques such as blind insertion, guidance positioning devices, fluoroscopy, and endoscopy. They can be utilized to relieve gastrointestinal discomfort and for medication administration.

There are two main complications caused by malpositioning of the tube for feeding, which are similar to other complications with tubes:


Aspiration pneumonia: Malposition of NGT/NET in the esophagus or the stomach of a patient who requires small bowel meals greatly increases the risk of aspiration pneumonia. As of today 28% of tube malpositions lead to pneumonia.
Inadvertent lung placement 2.5% of NGT/NET get stuck in the lungs. This could lead to the possibility that the lung will collapse (pneumothorax). Sometimes, misplacement may cause death.
So, healthcare professionals have to be aware of risks and employ patient safety and quality care methods.

This article will discuss the signs of feeding tube displacement, as the risks and methods for confirmation. This article will also explain the ENvue technology that assists medical teams to navigate the tube for feeding in order to avoid problems.

What are the signs and symptoms of a misplaced NGT/NET?
A problem with the feeding tube may be detected by a range of signs, such as coughing, high blood pressure, increased heart beat and respiratory rate and lower oxygen saturation and an increase in blood pressure.

Healthcare professionals must be able identify potential dangers and develop safety procedures.



The most significant risk of misposition stems from a blind tube placement. To ensure the safety of patients and comfort, tube verification is vital.

If they suspect that the tube is misplaced The doctor should stop feeding it. The correct position of the tube can be assessed using various methods. Every technique's efficacy must be assessed in the light of the particular patient.

How do you ensure safe Enteral Feeding Tubes Placement
Prior to initiating EN The correct NGT/NET tube position must be proven using an evidence-based process. There are a number of proven verification methods such as x-ray(radiography) as well as pH capnography , and ultrasound.

An abdominal radiograph can be used to verify the location of a nasogastric or nasal tube. The entire tube's route through the digestive tract is observed in this image.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports cited the use of pH aspirates and x-rays. 9.2 percent of the reports indicated that they used not-approved methods of verification (e.g. injection or auscultation of the air bolus). small bowel feeding tube It is worth mentioning that these verifications are carried out after the tube is already in position.


There are many innovative technologies that could be utilized to aid doctors when placing feeding tubes. These placement devices employ advanced methods of navigation. Some that incorporate sensors and body mapping for safe and swift placement of the feeding tube. These devices are especially useful to medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation
A promising NGT/NET placement device, ENvue(r), is a new device that was launched on the market in recent years. It allows doctors to securely place a feeding tube inside the small intestine.

The ENvue navigation system comprises an electromagnetic (EM) field generator that emits EM waves that cover the patient's thorax as well as the digestive tract. The EM field generator in combination with several EM sensors generate a body map of the patient's body and provide exact illustrations even when a patient is moving.

An additional sensor embedded in the distal end of the feeding tube is activated when it enters the electromagnetic field.


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


ENvue reports show that each procedure begins with the registration of anatomical landmarks. This aligns the patient with the navigation systems and assures accurate navigation.

Envue's intuitive screen can display multiple views simultaneously (Frontal and Axial), The screen displays the shape of a patient , as well as the direction and orientation of the tube sensor in real-time without delays. Lung collapse feeding tube The ENvue system also alerts patients when the tubes feeding them are not properly directed into the lung. small bowel feeding tube small bowel feeding tube This can cause them to take the tube out and then re-insert it.

ENvue provides a unique method to evaluate the precise position of NGT/NET. Lung collapse feeding tube There are many applications available. Through its innovative technology, it is able to combine a highly precise body map, sensors built-in and continuous guidance from a visual perspective. These capabilities have revolutionized the method.


Homepage: https://www.envizionmed.com/envue-system/