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How to Assess a Safe Placement of a Nasogastric or Nasoenteric Tube and Its Complications

For reasons of safety For safety, the nasogastric tube should be correctly placed to avoid injury or even death. The latest technology and methods may lessen the risk of complications. Read more.

Reducing the Risks of Nasoenteric Tubes
A safe and secure placement of a Nasogastric or Nasoenteric tube requires knowledge of a qualified medical professional and high accuracy. Nasogastric or Nasoenteric tubes (NGT/NET) are tubes that are flexible and pass through the nose distally into the small bowel or stomach (respectively), allowing for adequate nutrition and medical care for critically ill patients or surgical patients. Unfortunately, there are complications in these tubes that can be avoided, as a study by Brazil points out.


The early placement of NGT/NET is associated with decreased infections, protection and integrity of the gut mucosa and improved gastrointestinal motility and an increase in immune responses.


NGT/NET can also have a positive impact on patient outcomes as well as wound healing, complications and severity, and may also help in reducing the ICU stay and decreasing the mortality rate. They are helpful for older patients who are at dying.

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NG/NE feeding tubes may be introduced using various methods, including blind insertion, guidance devices for placement, endoscopy, and fluoroscopy, and they are used for gastrointestinal decompression, medication administration or enteral nutrition (EN), and occasionally for gastric lavage.

NG tube positioning Two major problems are associated with the malposition of feeding tubes. They are similar to other problems with tubes.


Aspiration pneumonia: The misposition of NGT/NET in the esophagus or in the stomach of a patient who needs small bowel feeding greatly increases the risk of suffering from aspiration pneumonia. In the current time, 28% tube malpositions lead to pneumonia.
Inadvertently misplaced lung: 2-5% of NGT/NET are accidentally placed within the lungs, which leads to 30% of an infected lung (pneumothorax). The misplacement of the lungs can even at times result in death.
Healthcare professionals need to evaluate the potential risks and utilize the highest quality of care and safety methods.

This article will examine the symptoms of feeding tube loss, as well as risks and confirmation methods. This article will also explain the ENvue technology, which assists medical teams in correctly navigating an empty tube to avoid complications.

What are the warning signs and symptoms of a lost NGT/NET
A feeding tube misplacement can be detected through a variety of symptoms, including coughing and high blood pressure, the heart beating and respiratory rate, decreased oxygen saturation, and increased blood pressure.

Healthcare workers are required to analyze hazards and implement patient safety-related protocols.



The most serious risk of malposition is from blind feeding tube placement. To ensure the safety of patients and convenience, tube verification is vital.

If doctors suspect the tube is misplaced the doctor should stop feeding it. There are a variety of ways to determine the proper position of your tube. However, the effectiveness of each method is to be assessed in relation to a patient's situation.

How can you confirm safe tube placement in feed through the stomach
A evidence-based method must be employed to ensure that the proper placement of NGT/NET tubes is confirmed before EN is able to be started. There are a variety of verifiable methods of verification available, including radiography, pH reading as well as capnography (ultrasound), and fluoroscopy.

An abdominal radiograph is the most effective way to confirm the position of the feeding tube. The tube's entire route through the digestive tract is visible in this image.


small bowel feeding tube The Pennsylvania Patient Safety Reporting System (January 2017, from January 2017 to June 2020) found that 90.8 percent of patients reported using of the xrays and pH aspirates. 9.2% of the reports mentioned the use of non-recommended methods for verification, like insertion of an air bolus/auscultation. The verification can only be done after the tube has been inserted.


Today, there are innovative technologies that aid clinicians with the placement of feeding tubes. These devices utilize advanced navigation methods, such as sensors and body mapping to guarantee an efficient and safe tube placement. NG tube positioning NG tube positioning They can provide better assistance to medical staff in the procedure.

https://www.metooo.io/u/63d226e26778e3393ef3e0b5 New Technology for NGT/NET Navigation by ENvizion Medical
In recent time, a new NGT/NET placement device known as ENvue(r) was launched on the market. It assists clinicians in putting a feeding tube securely into the small intestine.

The ENvue navigation device is fitted with an electromagnetic (EM-) field generator that emits EM waves that cover the thorax of the patient as well as their digestive tract. The EM field generator and a number of EM sensors work together to produce an outline of the body of the patient. They also provide accurate images, even when the patient moves.

There is a second sensor embedded in the tube's distal end that is activated when it is in the vicinity of electromagnetic waves.


The ENvue system monitors the tube sensor throughout the digestive tract and displays the relative tip direction and location during placement.


ENvue data shows that each procedure begins by registering anatomical landmarks. This aligns the patient to the navigation systems and ensures exact navigation.

ENvue's intuitive screen offers multiple simultaneously-views (Frontal Axial Lateral). The screen displays the shape of the patient as well as the orientation and direction of the tube sensor in real time with no delays. In addition the ENvue system alerts users when the feeding tube is misdirected into the airways, which could cause them to pull it back and reinsert the tube.

safe nasogastric tube placement There are a variety of tools to accurately assess NGT/NET placement. ENvue, however, is exclusive. It is a cutting-edge tool that incorporates a precise body map, sensors built-in, and continuous visual guidance. These features have revolutionized the way we work.


Homepage: https://www.inventables.com/users/devineoneill0424