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How can you assess a secure placement of a Nasogastric/Naoenteric tubing and its complications

Nasogastric feeding tubes should be placed safely to avoid harm or death. There are many ways to prevent complications. Find out more.

https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/ Reducing the Risks of Nasoenteric Tubes
The safe placement of a nasogastric or nasal tube requires a trained medical practitioner with a high level of accuracy. Flexible devices such as nasogastric, and nasoenteric (NGT/NET), which pass through the nose and into the stomach (or small bowel) permit proper nutrition, medical management of severely sick patients, and those undergoing surgery. They can also cause complications that cannot be avoided. A study from Brazil has demonstrated this .


The timely application of NGT/NET could reduce the chance of contracting an infection maintain the integrity of the mucosa in the gut and enhance gastrointestinal motility.


https://en.wikipedia.org/wiki/Feeding_tube NGT/NET could also improve outcomes for patients. It can improve the healing process, decrease the number of complications and their severity, cut down on ICU time-outs and could even lower mortality rate. They are useful for patients who are towards the end.

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The feeding tube NG/NE can be installed using a variety methods, such as blind insertion as well as guidance devices.

There are two major complications that are associated with malpositioning of the feeding tube Similar to some of the other problems with tubes:


Aspiration pneumonia: the risk of developing aspiration pneumonia is enhanced by the presence of NGT/NET inside the stomach or in the esophagus in patients who require feedings for small bowels. Nowadays it is the result of 28 percent of malpositions in the tube.
Inadvertent misplacement of the lung: 2-5% of NGT/NET get placed in the lungs, which causes a 30% chance of collapsed lung (pneumothorax). In some rare cases, the misplacement of NGT/NET can cause the death of a patient.
Therefore, healthcare providers must examine risks and use patient safety and quality medical procedures.

This article will explain the signs and risks of misplaced or misplaced feed tubes. It also describes how to verify the where it is. It will also introduce the ENvue technology, which assists medical personnel in navigating the tube for feeding to avoid any complications.

What are the warning signs and signs of a missing NGT/NET
Different signs, like coughs, increased blood pressure as well as an increase in heart rate and breathing rate, or lower oxygen saturation, may indicate the existence of a feeding tube that is not properly placed. [1]

Healthcare professionals need to periodically examine the dangers and establish security-related protocols for patients.



The most significant risk of misposition stems from a blind tube placement. For the best patient safety and convenience, tube verification is necessary.

To avoid complications later on To avoid further complications, doctors must immediately stop feeding the tube if they suspect the tube has been misplaced. There are a variety of ways to determine the proper position of your tube. However, the effectiveness of each method must be evaluated in relation to the specific patient's needs.

How can you determine if the place is safe? Enteral Feeding Tub Positioning
Before beginning EN the correct NGT/NET tube position must be proven using an evidence-based process. There are a variety of valid methods for verification such as radiography, pH reading, capnography (ultrasound) and fluoroscopy.

A abdominal radiograph may be used to confirm the location of a nasogastric or nasoenteric tube. The tube's entire route through the digestive tract is observed here.


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. The same report also revealed that 9.2% of the reports suggested that they used non-recommended verification methods (e.g. inserting of air bolus/auscultation). It is important to mention that these verifications take place after the tube is already in place.


Nowadays, there are new systems that assist clinicians in the placement of feeding tubes. small bowel feeding tube Advanced navigation techniques are employed to help place feeding tubes swiftly and safely. Certain devices incorporate sensors and body mapping. They can provide better assistance medical personnel during the process.

ENvizion Medical introduces new technology for NGT/NET Navigation
In the last few times, a promising NGT/NET placement device known as ENvue(r) was released on the market. small bowel feeding tube It permits clinicians 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 thorax of the patient and the gastrointestinal tract. The EM field generator and a number of EM sensors come together to form an image of the body of the patient. They also provide accurate drawings, even when a patient moves.

There is an additional embedded sensor in the distal tip that activates once entering the field of electromagnetic waves.


https://www.healthcarebusinesstoday.com/ng-tube-positioning-best-medical-devices-2022/ The ENvue system monitors the tube sensor throughout the gastrointestinal tract, and displays the exact tip place and the path for placement throughout the process of placement.


ENvue records show that each procedure begins with the anatomical landmarks' registration. This allows the patient to be aligned to the navigation systems and assures accurate navigation.

ENvue's intuitive screen offers multiple simultaneously-views (Frontal Axial Lateral). In real-time, the screen displays the patient's contours and how the tube is positioned on the sensor. There's no lagging. Moreover the ENvue system alerts users when the tube's feeding is not directed correctly into the airways, which may cause them to pull it back and reinsert the tube.

ENvue offers a unique way to accurately evaluate NGT/NET placement. There are a variety of applications available. Through its innovative technology, it combines a highly accurate body map, sensors built-in as well as continuous visual guidance. These options help make the process more efficient.


Homepage: https://www.medscape.com/viewarticle/891200