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How to determine a secure place to put Nasogastric Tube or Nasoenteric Tube? Nasogastric tube or Nasoenteric Tube, and Its complications

To avoid injury or death, naogastric tubes should be secured. The use of different techniques and modern technology may help to reduce complications.Read more to understand what could be the reason for this situation.

post pyloric feeding tube place Preventing the Issues of Nasoenteric Tubes
A qualified medical professional is required to ensure the safe placement of the nasogastric/nasoenteric tub. They must also be exact. The nasal gastric (NGT/NET) also known as nasal gastric tubes are flexible devices that be inserted through the nose and into the stomach or small intestine (respectively). It permits an adequate diet as well being a medical intervention for patients who are seriously ill or who have had surgery. There are many issues with these tubes that can be prevented, as a study from Brazil highlights.


The earlier placement of NGT/NET is associated with reductions in infectious complications, protection of gut mucosa integrity, and enhanced gastrointestinal motility and immune response.


safe nasogastric tube placement NGT/NET may also improve the outcome of patients as well as wound healing, diseases severity and complications and may also help in reducing the ICU stay and reducing the mortality rate. They are beneficial for older patients at the end.

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NG/NE feeding tubes are available with a variety of options such as blind insertion, guidance placement devices, fluoroscopy and even endoscopy. They can be used to relieve gastrointestinal discomfort and for medication administration.

There are two main complications related to malposition of feeding tubes, which are similar to some of the other complications with tubes:


Aspiration pneumonia: The chance of developing aspiration pneumonia is enhanced by the presence of NGT/NET within the stomach or in the esophagus in patients who require feedings for small bowels. Presently pneumonia is caused by 28% of tube malpositions.
Inadvertently, the lungs are misplaced. Two-five percent of NGT/NET are placed in the lungs due to accident, leading to a 30% chance for a collapsed lung (pneumothorax). In rare cases, misplacement could lead to death.
So, healthcare professionals have to evaluate risks and implement security measures and high-quality care methods.

This article will examine the signs of feeding tube misplacement, as well as risks and confirmation methods. This article will also explain the ENvue technology, which assists medical teams in correctly navigating the tube for feeding to avoid any complications.

What are the signs and Symptoms of a Lost NGT/NET
A variety of signs, like coughs, elevated blood pressure as well as an increase in heart rate and respiratory rate, or a decrease in oxygen saturation, could indicate the possibility of a misplaced feeding tube. [1]

Healthcare workers need to regularly assess hazards and implement safety procedures for patients.



The biggest risk for malposition is from blind feeding tube placement. Thus, tube verification is essential for optimal patient safety and satisfaction.

The doctor must stop feeding through the tube immediately in the event that they believe it is not properly placed. This will avoid further issues. The proper placement of the tube is identified using a variety of methods. The effectiveness of each technique is a matter of comparing it to the specific patient's circumstance.

How to Verify Safe Enteral Feeding Tube Positioning
A evidence-based approach is required to ensure the proper installation of NGT/NET tubes before EN can be initiated. There are a variety of valid methods for verification which include radiography, pH reading and capnography (ultrasound) and fluoroscopy.

NG tube positioning An abdominal radiograph is the "gold standard" to confirm the location of a nasogastric as well as a nas feeding tube. The entire route of the tube through the digestive tract is visible here.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports reported the use of pH aspirates and x-rays. 9.2% of reports also stated that they were using not-approved methods of verification (e.g. injection or auscultation of the air bolus). It is important to note that these verifications take place only after the tube has been already placed.


small bowel feeding tube Today, there are a variety of innovative technologies that aid clinicians with placing feeding tubes. The placement devices utilize advanced methods of navigation, a few of which integrate sensors and body mapping to ensure safe and rapid feeding tube placement. These provide greater assistance to medical professionals in the process.

ENvizion Medical introduces new technology for NGT/NET Navigation.
In the last couple of time, a new NGT/NET positioning system called ENvue(r) was launched on the market. The system permits doctors to safely place a feeding tube into 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 several EM sensors come together to form an image of the body of the patient. They also provide accurate images, even when the patient is moving.

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


The ENvue system tracks the tube's sensor through the digestive tract and displays the relative tip position and placement route during the process of placement.


ENvue records show 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.

Envue's intuitive screen provides multiple simultaneous views (Frontal, Axial, and Lateral). The screen shows a person's body contour as well as the direction and direction of the sensor in real-time and without lagging. The ENvue system also alerts users when feeding tubes aren't properly directed to the lungs. This may cause them to remove the tube and then insert it back in.

Although there are numerous instruments available for assessing the precise placement of NGT/NET, ENvue is different. This revolutionary technology blends the body map and built-in sensors and continuous visual guidance. These innovations have transformed the process.


My Website: https://en.wikipedia.org/wiki/Feeding_tube