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How to Evaluate a Safe location for Nasogastric Tube or Nasoenteric Tube? Nasogastric Tube or Nasoenteric Tube, and Its complications

To protect yourself The nasogastric tube must be properly placed to prevent injury or death. NG tube positioning There are many ways to prevent the risk of complications. Lung collapse feeding tube Find out more.

Eliminating the issues that are caused by nasoenteric tubes
The secure placement of a nasal or nasoenteric tube requires a professional medical practitioner with an extremely precise level of accuracy. Nasogastric or Nasoenteric tubes (NGT/NET) are tubes that are flexible and pass through the nose and distally into the small bowel or stomach (respectively), allowing adequate nutrition as well as medical treatment of critically ill patients or surgical patients. Nasogastric tubes can result in complications that can't be avoided. A study from Brazil has demonstrated this .


The earlier placement of NGT/NET can result in a reduction in infectious complications, protection of gut mucosa integrity, and increased gastrointestinal motility as well as immune responses.


NGT/NET also can have a positive impact on the outcomes of patients. It can improve wound healing, reduce the severity and complications, decrease ICU stay durations, and could even lower mortality rate. They are beneficial for older patients who are nearing the end of their lives..

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NG/NE feeding tube can be inserted using a variety of methods, such as blind insertion as well as guidance devices.

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


Aspiration pneumonia: Malposition of NGT/NET in the esophagus or in the stomach of a person who needs small bowel feeding greatly increases the chance of having aspiration pneumonia. Presently the cause of pneumonia is 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% chance that the lung can collapse (pneumothorax). The misplacement of the lungs could occasionally cause death.
post pyloric feeding tube place Therefore, healthcare providers must be aware of risks and employ the safety of patients and the quality of care methods.

Lung collapse feeding tube This article will explain the indicators of feeding tube loss, the risks and location confirmation methods. It will also introduce the ENvue technology that aids medical personnel in navigating the feeding tube in order to avoid complications.

What are the signs and symptoms of a lost NGT/NET
A malfunctioning feeding tube could be spotted by a range of signs, such as coughing and high blood pressure, the heart beating and respiratory rate, decreased oxygen saturation, and a rise in blood pressure.

Healthcare professionals must regularly evaluate the risks and develop safety procedures for patients.



The biggest risk of misposition is due to blind feeding tube placement. Therefore, tube verification is vital for optimal patient safety and the best possible comfort.

If they suspect that the tube is misplaced, doctors should immediately stop feeding through it. There are a variety of methods to determine the correct tube placement. Each method's effectiveness should be assessed in the light of the specific patient.

How to verify the safety of tube placement for the feeding of the enteral tube
Before initiating EN to conduct EN, the accuracy of NGT/NET tube placement must be proven with an evidence-based approach. There are many valid methods for verification such as radiography, pH reading as well as capnography (ultrasound) and fluoroscopy.

A radiograph of the abdomen is the "gold standard" for verifying the location of a nasogastric or nasoenteric feeding tube. The entire route of the tube through the digestive tract can be seen here.


Per the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), the use of an x-ray machine and pH aspirates were discovered in 90.8 percent of reports. 9.2 percent of the reports mentioned the use of non-recommended verification methods, for example, the use of an air bolus/auscultation. This verification only occurs when the tube is inserted.


Today, there are innovative systems available to aid clinicians in placing feeding tubes. The placement devices utilize advanced methods of navigation, a few that incorporate sensors and body mapping to ensure safe and fast placement of the tube. They offer greater support to medical staff in the process.

New Technology for NGT/NET Navigation ENvizion Medical
The ENvue (r) NGT/NET placement system has been on market for a while. The system assists the clinicians in putting a feeding tube safely in the small intestine.

The ENvue navigation device comes with an electromagnetic (EM-) field generator, which produces EM waves that cover the patient's thorax and also their gastrointestinal tract. The EM field generator, working in combination with a variety of EM sensors, creates an exact bodymap for the patient and provides accurate illustrations even when the patient moves.

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


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


ENvue records indicate that every procedure begins with anatomical markers to record the patient. This permits precise navigation and aligns them to the system of navigation.

Envue's intuitive screen can display multiple simultaneous views (Frontal and Axial), In real-time the screen displays patients' contours as well as the position of the tube sensor. There is no lag. The ENvue system warns users in the event that the tube feeding device is placed wrongly in the airways. It could trigger them to unplug the tube and then re-install it.

ENvue offers a unique way to determine the exact position of NGT/NET. There are many applications available. It is a cutting-edge tool that incorporates a precise body map, sensors built-in and continuous guidance from a visual perspective. These functions have been able to change the method of navigation.

https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/
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