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How to determine a secure Placement of Nasogastric or Nasoenteric Tube? Nasogastric or Nasoenteric Tube and Its Complications

Nasogastric tubes have to be used with care to prevent injuries or death. Different techniques and new technology could help reduce complications.Read more to discover why that may be the situation.

Reducing the Risks of Nasoenteric Tubes
A licensed medical professional is required to safely place an nasogastric/nasoenteric nas. Also, they must be specific. Flexible devices such as nasogastric, and Nasoenteric (NGT/NET) that go through the nose and into the stomach (or small bowel) enable proper nutrition medical treatment for seriously ill patients, or those undergoing surgery. The tubes could cause problems, a Brazilian study suggests.


The timely application of NGT/NET could lower the chance of getting infections and preserve the integrity of the gut mucosa and increase gastrointestinal mobility.


NGT/NET can also improve patient outcomes, improve healing of wounds, decrease disease severity and complications also, reducing the length of stay in the ICU and could even decrease the mortality rate. They are helpful for older patients who are at nearing the end of their lives..

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safe nasogastric tube placement NG/NE feeding tubes may be introduced using various methods including blind insertion guidance placement devices, endoscopy and fluoroscopy. They can be used to treat decompression of the gastrointestinal tract, administration of medications and enteral nutrition (EN) and, occasionally to facilitate gastric lavage.

Feeding tube malposition can cause two major issues that are similar to the problems that occur with other tubes .


Aspiration pneumonia: The risk of developing aspiration-related pneumonia is increased by the presence of NGT/NET inside the stomach or in the esophagus of patients who require feedings for small bowels. At present 28% of tube malpositions lead to pneumonia.
Inadvertently placed lungs 2-5 percent of NGT/NET are accidentally placed in the lungs. This can lead to the possibility that the lung will collapse (pneumothorax). In some rare cases, the an incorrect placement of NGT/NET could lead to death.
Healthcare providers have to assess risks and apply patient safety and quality of care methods.

This article will outline the warning signs and dangers of feeding tube misplacement. It also describes how to identify the exact its location. The ENvue system is an innovative technology that lets medical professionals to navigate a tube in a safe manner and avoid any complications.

What are the Signs and Symptoms for a Missplaced NGT/NET
A variety of signs, including increased breathing rate or blood pressure, asthma, coughs heart rate increases and a decrease in oxygen saturation may all be indicators that the tube feeding you is not properly placed.

Healthcare workers must regularly analyze potential hazards and develop safety procedures.



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

The doctor must stop feeding through the tube as soon as possible should they suspect that it's not placed correctly. This will avoid the possibility of complications. There are numerous ways to determine the appropriate placement of the tube. Each technique's efficiency is a matter of comparing it to the patient's individual circumstance.

How to verify safe tube placement for feed through the stomach
A method based on evidence must be used to verify that the proper placement of NGT/NET tubes is verified prior to when EN can be initiated. There are a variety of trustworthy methods to verify this, including x-ray(radiography), pH reading, capnography, ultrasound, and fluoroscopy.

A radiograph of the abdomen is the most effective way to locate the location of feeding tube. The tube's complete journey through the digestive tract can be observed.


According to the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), the use of acid aspirates and xrays was discovered in 90.8 percent of the reports. 9.2 percent of reports indicated that they used not-approved methods of verification (e.g., auscultation/injection of the air bolus). small bowel feeding tube It is important to mention that these verifications are carried out only after the tube is already in position.


There are now innovative devices that aid clinicians in the placement of feeding tubes. Advanced navigation methods are used to place feeding tubes quickly and securely. Certain devices incorporate sensors and body mapping. These devices are especially useful for medical professionals.

New Technology for NGT/NET Navigation by ENvizion Medical
In the past few times, a promising NGT/NET positioning system called ENvue(r) was launched on the market. The system aids clinicians in inserting a feeding tube safely in the small intestinal tract.

The ENvue navigation device comes with an electromagnetic (EM-) field generator that produces EM waves that penetrate the thorax of a patient and gastrointestinal tract. The EM field generator as well as a variety of EM sensors are combined to create an outline of the body of the patient. They also provide accurate visualizations, even when a patient moves.

A sensor in the distal end of the feeding tube is activated when it enters the electromagnetic field.


The ENvue tracking system tracks the tube sensors through the digestive tract and shows the position of the tip relative to the path of placement during the process of placement.


According to the ENvue's documentation the procedure begins by registering the patient using anatomical landmarks to align the patient to the navigation system and ensures accurate navigation.

ENvue's intuitive screen offers multiple simultaneous views (Frontal Axial Lateral). The screen shows the outline of the patient as well as the orientation and direction of the tube sensor in real-time with no delays. safe nasogastric tube placement The ENvue system warns users in the event that the tube for feeding is placed incorrectly in the airways. This may prompt them to remove the tube and replace it.

NG tube positioning There are many options for assessing the precise position of NGT/NET. post pyloric feeding tube place ENvue, however, is exclusive. It brings together cutting-edge technology, precise body maps sensors and continuous visual guidance. The features have revolutionized the process.


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