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How to determine a secure placement for a Nasogastric tube or Nasoenteric Tube, and its Complications

Nasogastric feeding tubes need to be placed in a secure manner to avoid injuries or death. There are many ways to reduce complications. Find out more.

The prevention of problems associated with Nasoenteric Tubes
A safe and secure placement of a Nasogastric or Nasoenteric tube requires the knowledge of a qualified medical professional and high accuracy. The nasal gastric (NGT/NET) or nasal gastric tubes, are flexible tubes that traverse the nose, and into the stomach or small intestinal (respectively). This permits for adequate nutrition as being a medical intervention for patients suffering from severe illness or who have had surgery. They can also cause complications that cannot be avoided. A study from Brazil has demonstrated this .


Early placement of NGT/NET is associated with lower incidences of infectious complications, preservation of gut mucosa integrity as well as improved intestinal motility and immune response.


NGT/NET could also positively impact the patient's outcomes, wound healing, complications and severity, and may also help in reducing the ICU stay as well as reducing the mortality rate. They are particularly beneficial for patients at the end of life.

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NG/NE feeding tubes are available in a myriad of ways such as blind insertion, guidance positioning devices, fluoroscopy, and endoscopy. They can be used for gastrointestinal decompression and medication administration.

Two major problems are associated with the malposition of feeding tubes. They are similar to the other problems with tubes.


Aspiration pneumonia: The risk of developing aspiration pneumonia is elevated by the presence NGT/NET in the stomach or in the esophagus of patients that require small bowel feedings. In the current time 28% of tube malpositions result in pneumonia.
Inadvertent lung misplacement. 2-5% of NGT/NET can be placed into the lungs accidentally that can cause a 30% chance for a collapsed lung (pneumothorax). The misplacement of the lungs may, in rare instances, lead to death.
Healthcare professionals must therefore evaluate the risks and use the highest quality of care and safety methods.

This article will examine the signs of feeding tube leaks, as well in the ways to confirm and avoid it. The ENvue system is a new technology that lets medical professionals to navigate a tube in a safe manner and avoid any complications.

What are the warning signs and signs of a missing NGT/NET
A malfunctioning feeding tube could be spotted by a range of symptoms, including coughing and blood pressure that is high, higher heartbeat and respiratory rate as well as decreased oxygen saturation and elevated blood pressure.

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



Blind feeding tube placement poses the most significant risk of misplacement. For optimal patient safety and convenience, tube verification is vital.

To prevent further complications to avoid any further complications, physicians must stop feeding through the tube when they suspect the tube has been misplaced. A variety of techniques can help determine the right tube placement. Each technique's efficiency should be assessed in light of the specific patient's circumstance.

https://www.pcb.its.dot.gov/PageRedirect.aspx?redirectedurl=https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/ How to Ensure Safe Enteral Feeding Tube Positioning
An evidence-based approach must be used to confirm that the correct placement of NGT/NET tubes has been verified prior to when EN can be initiated. You can employ a range of proven methods to verify the placement of your tube, which include x-ray(radiography) as well as pH capnography , and ultrasound.

An abdominal radiograph is considered to be the "gold standard" to confirm the location of a nasogastric as well as a nas feeding tube. In this case, the tube's entire journey through the digestive tract can be observed.


https://list.ly/strangejain060 Based on the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) Utilization of acid aspirates and xrays was identified in 90.8 percent of the reports. 9.2% of reports also indicated that they used non-recommended methods of verification (e.g. injection or auscultation of the air bolus). This verification is only done once the tube is placed.


Modern systems are in use that aid clinicians in placing the feeding tubes. Innovative navigation techniques are utilized to quickly place feeding tubes and securely. Certain devices incorporate sensors and body mapping. These devices are more helpful to medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation.
In the past few years, a promising NGT/NET positioning system called ENvue(r) was made available for sale. safe nasogastric tube placement The system permits doctors to safely place a feeding tube in the small intestine.

The ENvue navigation device is outfitted with an electromagnetic (EM-) field generator, which produces EM waves that cover the thorax of the patient as well as their gastrointestinal tract. https://www.inventables.com/users/teaguekronborg4700 The EM field generator, in combination with other EM sensors, generates the bodymap of the specific patient and provides accurate illustrations even in the event of a person's movement.

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


The ENvue system monitors the tube sensor throughout the gastrointestinal tract and displays the tip's direction and location during the placement.


ENvue reports show that each procedure starts with the anatomical landmarks' registration. This aligns the patient with the navigation systems and guarantees accurate navigation.

The user-friendly screen of Envue can provide multiple simultaneous views (Frontal and Axial), The screen displays the shape of a patient , as well as the direction and orientation of the tube sensor in real time, with no delay. The ENvue system warns users in the event that the feeding tube is positioned incorrectly within the airways. This can prompt users to take the tube off and then re-install it.

While there are a variety of instruments available to assess NGT/NET placement accurately, ENvue is different. With innovative technology, it is able to combine a highly precise body map, sensors built-in as well as continuous visual guidance. These features are set to alter the process.

safe nasogastric tube placement
Website: https://www.inventables.com/users/teaguekronborg4700