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How to Evaluate a Safe location for a Nasogastric Tube or Nasoenteric Tube, and its Complications

For reasons of safety, the nasogastric feeding tube should be correctly placed to avoid injury or even death. There are a variety of ways to minimize the risk of the risk of complications. Find out more.

The prevention of problems associated with Nasoenteric Tubes
A qualified medical professional must be able to safely insert the nasogastric/nasoenteric tub. They must also be specific. The nasogastric (NGT/NET), or nasal gastric tubes, are flexible devices that can pass through the nose and into the stomach or the small intestinal (respectively). This allows the proper nutrition as well the medical treatment of patients who are critically ill or have had surgery. There are a few issues caused by these tubes which can be avoided, as a study from Brazil illustrates.


Early placement of NGT/NET is associated with a decrease in infections, protection and strength of the mucosa of the gut increased gastrointestinal motility and increased immune responses.


NGT/NET can also have a positive impact on the outcome of patients and wound healing, as well as complications and severity, and may also help in reducing the ICU stay as well as reducing the mortality rate. They can be valuable for patients nearing the death.

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NG/NE feeding tube can be introduced using a variety methods, such as blind insertion and guidance placement devices.

Two major complications are associated with tube feeding malposition. They are similar to the other issues with tubes.


Aspiration pneumonia: A person who relies on small bowel feeds or suffers from NGT/NET malposition within their stomach greatly increases the risk of contracting pneumonia due to aspiration. post pyloric feeding tube place Today, pneumonia is caused by 28 percent of tube malpositions.
Inadvertent lung placement: 2-5% of NGT/NET are accidentally placed in the lungs. This could lead to a 30% risk that the lung could collapse (pneumothorax). The misplacement in the lungs can at times lead to death.
Healthcare professionals must assess risks and make sure that patients are secure and receive the best care.

This article will outline the symptoms and the dangers of misplaced feeding tubes. It also provides a method to determine the that the tube is in its proper location. Additionally, it will introduce a revolutionary technology, called the ENvue system, that aids medical professionals in navigating a feeding tube correctly in order to avoid problems.

What are the signs and symptoms of a lost NGT/NET
Different signs, like coughs, higher blood pressure, increased heart rate and respiratory rate, or reduced oxygen saturation, may indicate the existence of a feeding tube that is not properly placed. [1]

Healthcare workers must regularly analyze hazards and implement patient safety-related procedures.



The biggest risk of malposition results from inexperienced feeding tube placement. To ensure patient safety and ease of use, tube verification is essential.

To avoid complications later on To avoid further complications, doctors must immediately stop feeding the tube if they suspect that the tube is not in the correct place. There are many methods to determine the proper placement of your tube. NG tube positioning However, each technique's efficacy is to be assessed in relation to the specific patient's needs.

How to Verify Safe Enteral Feeding Tub Positioning
An evidence-based method is required to confirm correct placement of NGT/NET tubes before EN can begin. There are several valid methods for verification, including x-ray(radiography), Capnography, pH reading ultrasound, and fluoroscopy.

An abdominal radiograph is used to verify the location of a nasogastric tube. This allows you to observe all the way the tube throughout the digestive system.


As per the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020) Utilization of an x-ray machine and pH aspirates were discovered in 90.8 percent of the reports. 9.2% of reports also mentioned that they utilized unapproved methods of verification (e.g. Auscultation/injection of the air bolus). These verifications should only be completed after the tube has been inserted.


post pyloric feeding tube place Today, there are a variety of innovative technologies that aid clinicians with placing feeding tubes. Modern navigation techniques are employed to ensure that feeding tubes are placed quickly and safely. Certain devices are equipped with sensors and body mapping. They provide more assistance to medical professionals in the process.

ENvizion Medical has a new technology for NGT/NET navigation.
The ENvue (r) NGT/NET placement system has been available on the market for a while. It assists clinicians in placing a tube for feeding securely in the small intestinal tract.

The ENvue navigation system is comprised of an electromagnetic (EM) field generator that emits EM waves that penetrate the patient's thorax and gastrointestinal tract. The EM field generator, in conjunction with several EM sensors, creates the bodymap of the specific patient and provides accurate illustrations even when the person is moving.

There is an additional embedded sensor inside the tube's distal tip which is activated upon entering the electromagnetic waves.


The ENvue system follows the tube's sensor through the gastrointestinal tract and will display the precise position of the tip and placement pathway during placement.


ENvue documents indicate that each procedure begins with anatomical markers to register the patient. This permits precise navigation and also aligns them with the system of navigation.

The user-friendly screen of Envue can provide multiple views simultaneously (Frontal and Axial), In real-time, it displays the patient's contours and the orientation of the tube sensor. There's no lagging. In addition the ENvue system warns patients when the tube's feeding is misdirected into the airways. https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/ This can trigger them to take it off and then reinstall the tube.

ENvue offers a unique way to precisely assess the NGT/NET position. There are a variety of applications available. With innovative technology, it is able to combine a highly precise body map, sensors built-in and continuous visual guidance. Lung collapse feeding tube These capabilities have made the process more efficient.


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