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How to determine a secure placement for the Nasogastric or Nasoenteric Tube and the Complications it brings

For reasons of safety, the nasogastric feeding tube must be properly placed to prevent injury or death. Innovative techniques and the latest technology might help in reducing complications.Read more to understand reasons why this could be the scenario.

Reducing the Risks of Nasoenteric Tubes
The safe placement of a nasogastric or nasoenteric tube requires a trained medical practitioner with the highest level of precision. Nasogastric or nasoenteric tubes (NGT/NET) are flexible devices that go through the nose distally to the small bowel or stomach (respectively), allowing for adequate nutrition and medical care for patients who are critically ill or undergoing surgery. These tubes can cause complications that can't be avoided. safe nasogastric tube placement A study from Brazil has proven this .


Early placement of NGT/NET is associated with less infections, protection and integrity of the gut mucosa as well as improved intestinal motility and increased immune reactions.


Lung collapse feeding tube NGT/NET may also improve patient outcomes and wound healing, as well as disease severity and complications, in addition to reducing the ICU stay as well as reducing the mortality rate. They are particularly beneficial for patients in their final years.

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NG/NE feeding tubes are available in a range of methods such as blind insertions, guidance placing devices, fluoroscopy, and endoscopy. small bowel feeding tube They are used for gastrointestinal decompression and medication administration.

Two major complications are associated with feeding tube malposition. They are comparable to other problems that tube-related issues can cause..


Aspiration pneumonia: The misposition of NGT/NET within the esophagus, or the stomach of a person who needs small bowel feedings greatly increases the chance of developing aspiration pneumonia. Today the cause of pneumonia is 28 percent of malpositions of tubes.
Inadvertently, the lungs are misplaced 2-5 percent of NGT/NET are accidentally placed in the lungs. Lung collapse feeding tube This causes an increase of 30% risk of an edema of the lung (pneumothorax). In rare instances, improper placement of NGT/NET may cause death.
Healthcare providers should therefore be aware of the risks and use high-quality and safe care methods.

This article will present the signs of feeding tube leaks, dangers, and location confirmation methods. The ENvue system is a cutting-edge technology that allows medical professionals to navigate a feeding tube without risk and to avoid complications.

What are the Signs and Symptoms of an Incomplete NGT/NET
Different signs, like coughs, increased blood pressure as well as an increase in heart rate and respiratory rate, or decreased oxygen saturation, could indicate a feeding tube misplacement. [1]

Healthcare workers need to regularly examine the dangers and establish safety-related procedures for patients.



The blindness of feeding tube placement is the most significant risk of incorrect placement. Tube verification is necessary in order to guarantee the safety of patients.

Practitioners should stop feeding through the tube immediately in the event that they believe it is not properly placed. This will prevent other complications. A variety of techniques can help determine the appropriate tube position. However, the effectiveness of every technique should be evaluated according to the specific patient's needs.

How do I confirm the safety of tube placement for an enteral feed
A evidence-based method must be utilized to confirm that the correct placement of NGT/NET tubes is confirmed before EN can be initiated. There are a variety of verifiable methods of verification that can be used, such as x-ray(radiography), pH reading, capnography, ultrasound, and fluoroscopy.

An abdominal radiograph is used to confirm the location of a nasogastric or nasal tube. This is where the tube's complete path through the digestive system can be seen.


According to the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), 90.8% of reports cited the use of pH aspirates and xrays. 9.2 percent of the reports mentioned the use of non-recommended method of verification, for instance, the insertion of an air bolus or auscultation. It is important to note that these tests are conducted only after the tube has already placed.


There are numerous innovative technologies that could be utilized to aid doctors in the placement of feeding tubes. post pyloric feeding tube place These devices employ advanced navigation techniques, which include sensors and body mapping, to ensure an efficient and safe tube placement. These devices provide more assistance to medical professionals.

ENvizion Medical introduces new technology for NGT/NET Navigation.
A promising NGT/NET device, ENvue(r), is a new device that was launched on the market over the last few years. The system aids clinicians in inserting a feeding tube securely into the small intestine.

The ENvue navigation system is comprised of an electromagnetic (EM) field generator that emits EM waves that cover the thorax and stomach of the patient's tract. The EM field generator, working in conjunction with several EM sensors, generates a specific patient's bodymap and provides accurate illustrations even when the patient moves.

The distal end of a feeding tube contains an embedded sensor that activates when electromagnetic waves penetrate it.


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


According to ENvue's data, each procedure starts with a simple registration utilizing anatomical landmarks that connect the patient to the navigation system and provides accurate navigation.

The intuitive display of ENvue allows for multiple simultaneous views (Frontal and Axial), The screen displays a person's body contour and also the direction and orientation of the sensor, in real-time with no lagging. The ENvue system alerts users when the feeding tube is positioned improperly in the airways. This can prompt them to unplug the tube and replace it.

There are many options to precisely assess the NGT/NET position. ENvue, however, is distinct. It is a revolutionary technology that combines a body map with built-in sensors and continuous visual guidance. These features make the process more efficient.


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