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What is the best way to determine a safe placement of a nasal tube and its complications

Nasogastric feeding tubes must be placed in a secure manner to avoid injury or even death. There are numerous ways to minimize the risk of the risk of complications. Learn more.

Preventing the Issues of Nasoenteric Tubes
Secure placement of a nasal or Nasoenteric tube requires the knowledge of a qualified medical professional with high precision. Nasogastric and nasoenteric tubes (NGT/NET) are tubes that are flexible and pass through the nose and distally into the small bowel or stomach (respectively) and allow the proper nutrition and medical care for critically ill or surgical patients. These tubes can cause complications that are not able to be prevented. A Brazilian study has shown .


The timely deployment of NGT/NET will lower the risk of infection maintain the integrity of the mucosa in the gut and increase gastrointestinal mobility.


NGT/NET can also improve the patient's outcomes, aid in wound healing, lessen complications and severity, shorten the length of stay in the ICU and even reduce the mortality rate. Lung collapse feeding tube They can be useful for seniors at death.

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NG/NE feeding tubes can be placed using a variety of 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.

There are two major complications associated with feeding tube malposition that are similar to some of the other complications with tubes:


Aspiration pneumonia: A patient who is dependent on small bowel feedings or has a malposition of the NGT/NET in their stomach is significantly increased risk of contracting pneumonia due to aspiration. Today, 28% tube malpositions lead to pneumonia.
Inadvertently placed lungs 2-5 percent of NGT/NET are accidentally placed in the lung. Lung collapse feeding tube This can lead to the possibility that the lung can collapse (pneumothorax). Sometimes, misplacement may cause the death of a patient.
Healthcare providers should therefore be aware of the risk and employ high-quality and safe care methods.

This article will explain the signs of feeding tube leaks, dangers, and location confirmation methods. It will also present the ENvue technology that aids medical personnel in navigating an empty tube to avoid complications.

What are the signs and Symptoms of a Missing NGT/NET?
A myriad of symptoms, such as an increase in blood pressure or respiratory rate, asthma, coughs, heart rate elevations and decreased oxygen saturation could all be signs that a feeding tube has been wrongly located.

Healthcare professionals must be able to identify hazards and develop safety procedures.



The placement of the feeding tube in blind is the highest risk of incorrect placement. Tube verification is required to ensure the safety of patients.

To prevent further complications Practitioners must stop immediately feeding through the tube when they suspect that the tube is not in the correct place. https://il.linkedin.com/company/envizionmedical The correct positioning of the tube can be determined using many techniques. Each technique's effectiveness must be evaluated in relation to the specific patient's situation.

How do I confirm safe tube placement in an enteral feed
A method based on evidence must be used to confirm that the correct positioning of NGT/NET tubes has been verified before EN can be initiated. There are a variety of verifiable methods of verification available such as radiography, pH reading as well as capnography (ultrasound), and fluoroscopy.

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


Per the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) The use of x-rays and pH aspirates was identified in 90.8 percent of reports. 9.2% of the reports reported the use of non-recommended verification methods, such as insertion of an air bolus/auscultation. These verifications can only be completed after the tube has been placed.


Innovative technologies are now available that aid clinicians in placing the feeding tube. Advanced navigation methods are used to quickly place feeding tubes and securely. Certain devices are equipped with sensors and body mapping. They can provide better assistance medical personnel during the procedure.

post pyloric feeding tube place New technology for NGT/NET navigation by ENvizion Medical
The ENvue (r) NGT/NET placement system has been in the market for a while. The system allows clinicians to securely place a feeding tube into the small intestinal tract.

The ENvue navigation system comprises an electromagnetic (EM) field generator that emits EM waves that penetrate the thorax and stomach of the patient's tract. The EM field generator together with other EM sensors create a specific body map of the patient's body and provide precise images even when a patient moves.

A sensor in the distal tip of the tube feeding is activated when it comes into contact with the electromagnetic field.


The ENvue system follows the tube sensor through the digestive tract and displays the relative tip position and placement pathway during placement.


According to ENvue's data the procedure begins with a simple registration using anatomical landmarks to align the patient to the navigation system. This ensures precise navigation.

The intuitive screen of ENvue offers multiple views simultaneously (Frontal Axial as well as Lateral). The screen displays the shape of a patient , as well as the direction and orientation of the tube sensor in real time, with no slowing down. Furthermore the ENvue system warns patients when the feeding tube is not correctly directed to the airways. post pyloric feeding tube place This can prompt them to withdraw and reinsert the tube.

ENvue provides a unique method to evaluate the precise position of NGT/NET. There are many tools available. NG tube positioning This revolutionary technology blends the body map and built-in sensors, and continuously guiding the user. These capabilities have revolutionized the way we work.


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