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

For safety reasons for safety reasons, the nasogastric feeding tube has to be placed in a safe manner in order to avoid injuries or death. Innovative techniques and the latest technology might help in reducing complications.Read more to understand how this might be the situation.

Reducing the Risks of Nasoenteric Tubes
A medical professional with experience is required to ensure the safe placement of the nasogastric/nasoenteric tub. small bowel feeding tube They also need to be specific. The nasal gastric (NGT/NET) or nasal gastric tubes are flexible tubes that can pass through the nose and into the stomach or the small intestinal (respectively). It permits for adequate nutrition as as medical management of patients who are critically ill or have had surgery. They can also cause complications that are not able to be prevented. A study from Brazil has proved this .


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


NGT/NET can also have a positive impact on the outcomes of patients and wound healing, as well as disease severity and complications, and also reduce the duration of an ICU stay and decreasing the mortality rate. They can be useful for seniors at end-of-life.

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

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


Aspiration pneumonia: the risk of developing aspiration pneumonia is increased by the presence of NGT/NET inside the stomach or in the esophagus for patients who require feedings for small bowels. Today, 28 percent of tube malpositions result in pneumonia.
Inadvertently, the lungs are misplaced. 2 to 5 percent of NGT/NET can be placed into the lungs by accident and can result in a 30% chance for an enlarged lung (pneumothorax). In rare cases, an incorrect placement of NGT/NET could cause death.
Therefore, healthcare providers must evaluate risks and implement patient safety and quality treatment methods.

This article will discuss the indicators of feeding tube leaks, dangers, and techniques for location verification. The article will also discuss the ENvue technology that aids medical teams to navigate the tube for feeding in order to avoid problems.

What Are the Signs and symptoms of a misplaced NGT/NET?
NG tube positioning Many signs such as increased breathing rate or blood pressure, asthma, coughs heart rate increases and a decrease in oxygen saturation may all be signs that the tube feeding you is misplaced.

Healthcare professionals must be able to regularly assess risks and put in place safety-related protocols.



The biggest risk of malposition results from inexperienced feeding tube placement. NG tube positioning Therefore, tube inspection is crucial for optimal safety and satisfaction.

To avoid any further complications, practitioners must immediately cease feeding through the tube if they suspect the tube has been misplaced. Different methods can be used to determine right tube placement. Each method's effectiveness should be assessed in relation to the specific patient.

How to Ensure Safe Enteral Feeding Tube Use
Before launching EN the correct NGT/NET tube placement has to be confirmed using an evidence-based approach. There are many verifiable methods of verification that can be used, such as x-ray(radiography), pH reading, capnography ultrasound, and fluoroscopy.

post pyloric feeding tube place A radiograph of the abdomen is the best method to confirm the position of a feeding tube. This lets you see the entire course of the tube as it travels through your digestive system.


According to the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020), the use of x-rays and pH aspirates was discovered in 90.8 percent of reports. 9.2% of reports also indicated that they used not-approved methods of verification (e.g. Auscultation/injection of the air bolus). It is important to note that these verifications are performed only after the tube has already in place.


There are now innovative technologies that aid clinicians with placing feeding tubes. These devices utilize advanced navigation techniques, including sensors and body mapping for the safety and speed of tube placement. These devices are especially useful for medical professionals.

New Technology for NGT/NET Navigation by ENvizion Medical
In recent years, a promising NGT/NET system, known as ENvue(r) was launched on the market. The system permits doctors to safely place a feeding tube within the small intestine.

The ENvue navigation system is an electromagnetic (EM) field generator which emits EM waves that cover the patient's thorax and gastrointestinal tract. The EM field generator, combination with other EM sensors, creates the bodymap of a particular patient and gives accurate images even when the patient moves.

The distal portion of a feeding tube has an embedded sensor which activates when electromagnetic waves penetrate it.


The ENvue system monitors the tube sensor throughout the gastrointestinal tract, and displays the tip's position and path of placement during placement.


According to the ENvue's documentation every procedure starts with a simple registration using anatomical landmarks that aligns the patient with the navigation system, and allows for precise navigation.

The intuitive display of ENvue offers three simultaneous views (Frontal Axial, Frontal, and Lateral). The screen displays the contours of a patient and the direction and orientation of the tube sensor in real time and without delay. Additionally the ENvue system warns patients when the tube's feeding is not properly directed into the airways, which may prompt them to withdraw and re-insert the tube.

ENvue offers a unique way to accurately evaluate NGT/NET placement. There are numerous tools available. It is a revolutionary tool that combines an accurate body map sensors, continuous visual guidance. These tools help make the process more efficient.


Website: https://www.healthcarebusinesstoday.com/ng-tube-positioning-best-medical-devices-2022/