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How do you assess a safe place to put the Nasogastric Tube or Nasoenteric Tube, and Its Complications

For safety reasons, the nasogastric feeding tube should be placed correctly to avoid injury or even death. safe nasogastric tube placement There are a variety of ways to reduce the risk of complications. Learn more.

Reducing the risks caused by nasoenteric tube
The proper placement of a nasogastric , or nasoenteric tube requires a professional medical doctor and an excellent level of accuracy. Nasogastric and nasoenteric tubes (NGT/NET) are flexible devices that pass through the nose and distally into the stomach or small bowel (respectively) which allows the proper nutrition and medical management of critically ill patients or surgical patients. The tubes could cause problems, a Brazilian study suggests.


The early placement of NGT/NET is associated with a decrease in infections, protection and strength of the mucosa in the gut increased gastrointestinal motility and increased immune reactions.


NGT/NET also has the potential to positively affect the outcomes of patients in terms of wound healing, disease severity and complications, in addition to reducing the ICU duration and reducing mortality rate. They can be especially beneficial for elderly patients towards the end.

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NG/NE feeding tubes are available in a myriad of ways including blind insertions, guidance placing devices, fluoroscopy as well as endoscopy. They are used for gastrointestinal decompression and medication administration.

Feeding tube malposition can cause two major issues that are similar to those that are common with other tubes. .


Aspiration pneumonia: The misposition 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% malposition of tubes can cause pneumonia.
Inadvertent lung placement: 2-5% of NGT/NET are accidentally placed in the lung. This could lead to an increase of 30% that the lung can collapse (pneumothorax). Rarely, misplacement can cause the death of a patient.
Thus, healthcare professionals must evaluate risks and implement the safety of patients and the quality of healthcare methods.

This article will discuss the symptoms of feeding tube misplacement, risk, and techniques for location verification. Furthermore, it will present a novel technology, called the ENvue system, which aids medical teams navigate the proper feeding tube in order to avoid any complications.

What are the Signs and Symptoms for a Missplaced NGT/NET
A problem with the feeding tube may be spotted by a range of signs, such as coughing, high blood pressure, an increase in heartbeat and respiratory rate, decreased oxygen saturation, and increased blood pressure.

Healthcare workers must regularly analyze potential hazards and develop safety protocols.



The blindness of feeding tube placement is the greatest risk for incorrect placement. Tube verification is required in order to guarantee the safety of patients.

To avoid further complications Practitioners must stop immediately feeding through the tube in case they suspect that there is a misplacement. Many techniques can determine the right tube placement. The effectiveness of each technique must be evaluated in light of the specific patient.

How to Ensure Safe Enteral Feeding Tube Positioning
An evidence-based method is required for confirming the correct positioning of NGT/NET tubes prior to when EN can begin. There are many valid methods for verification that can be used, such as radiography, pH reading and capnography (ultrasound) and fluoroscopy.

A radiograph of the abdomen is the best method to verify the location of feeding tube. The tube's entire route through the digestive tract can be observed in this image.


As per the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020), the use of x-rays and pH aspirates was identified in 90.8 percent of reports. 9.2% of reports also mentioned that they utilized not-approved methods of verification (e.g., auscultation/injection of the air bolus). These verifications should only be completed after the tube has been placed.


Innovative systems are available today to assist clinicians with placing a feeding tube. Advanced navigation methods are used to ensure that feeding tubes are placed quickly and safely. Certain devices incorporate sensors as well as body mapping. They also provide assistance for medical personnel.

ENvizion Medical has a new technology to enable NGT/NET navigation.
The ENvue (r) NGT/NET placement system has been in the market for a while. post pyloric feeding tube place It permits clinicians to safely place a feeding tube inside the small intestine.

The ENvue navigation device is outfitted with an electromagnetic (EM-) field generator that emits EM waves that penetrate the patient's thorax as well as their gastrointestinal tract. The EM field generator, conjunction with several EM sensors, generates the bodymap of a particular patient and offers accurate drawings even in the event of a person's movement.

The distal tip of a feeding tube contains an embedded sensor, which is activated the moment electromagnetic waves hit it.


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


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

The user-friendly screen of ENvue allows for multiple views simultaneously (Frontal Axial and Lateral). The screen displays the contours of a patient's body and the orientation and direction of the tube sensor in real time and without delay. The ENvue system also informs users when feeding tubes are misdirected into the lung. This may cause them to pull the tube out and then insert it back in.

ENvue provides a unique method to precisely assess the NGT/NET position. https://en.wikipedia.org/wiki/Feeding_tube There are numerous tools out there. It incorporates cutting-edge technology with precise body mapping sensors and continuous visual guidance. These capabilities have helped revolutionize the procedure.

small bowel feeding tube post pyloric feeding tube place
Read More: https://www.medscape.com/viewarticle/891200