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

Nasogastric feeding tubes need to be placed in a secure manner to avoid damage or death. There are numerous ways to prevent complications. Find out more.

Avoiding the Problems of Nasoenteric Tubes
A licensed medical professional is required to ensure the safe placement of a nasogastric/nasoenteric tub. It is also essential to be exact. Flexible devices such as nasogastric, and the nasoenteric (NGT/NET) which are inserted through the nose into the stomach (or small bowel) enable proper nutrition medical treatment for seriously sick patients, and those who undergo surgery. There are many issues in these tubes that can be prevented, as a study of Brazil highlights.


The earlier deployment of NGT/NET will reduce the risk of infection as well as preserve the integrity of gut mucosa and increase gastrointestinal mobility.


NGT/NET could also positively impact patient outcomes in terms of wound healing, diseases severity and complications and also reduce the duration of an ICU stay and decreasing the mortality rate. They are especially beneficial for those who are nearing the end of their lives..

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The feeding tube for NG/NE can be installed using a variety methods, including blind insertion and guidance placement devices.

There are two major issues related to malposition of feeding tubes that are similar to some of the other complications that tube problems can cause:


Aspiration pneumonia: Misposition of NGT/NET within the esophagus, or the stomach of a person who needs small bowel feeding greatly increases the chance of developing aspiration pneumonia. As of today 28% of malposition of tubes can cause pneumonia.
Accidental lung misplacement. Lung collapse feeding tube Two-five percent of NGT/NET get placed in the lungs through accident that can cause the risk of a collapsed lung (pneumothorax). In rare cases, misplacement could lead to death.
Therefore, healthcare providers must evaluate risks and implement patient safety and quality care methods.

This article will present the symptoms of feeding tube loss, the risks and the methods to confirm location. The ENvue system is a revolutionary technology that allows medical personnel to navigate the feeding tube safely and avoids complications.

What Are the Signs and symptoms of a misplaced NGT/NET?
Many signs such as increased breathing rate or blood pressure, coughs, asthma, heart rate elevations and decreased oxygen saturation could all be indicators that the tube feeding you is not properly placed.

Healthcare workers should regularly review risks and put in place safety-related procedures.



The most significant risk of misposition is due to blind feeding tube placement. Tube verification is essential in order to guarantee the safety of patients.

If doctors suspect the tube is not in the correct place the doctor should stop feeding through it. The correct placement of the tube can be identified using a variety of methods. Each technique's effectiveness should be compared to the patient's individual circumstance.

How do you ensure safe tube placement during an enteral feed
A evidence-based method must be used to confirm that the correct positioning of NGT/NET tubes is confirmed before EN can be initiated. You can use a variety of reliable verification methods, including x-ray(radiography) and pH capnography and ultrasound.

A radiograph of the abdomen is the best way to determine the location of the feeding tube. In this case, the tube's entire path through the digestive system can be observed.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports mentioned the use of pH aspirates and x-rays. 9.2 percent of reports mentioned that they utilized not-approved methods of verification (e.g. Auscultation/injection of the air bolus). small bowel feeding tube https://worldfinancialreview.com/how-small-bowel-feeding-tube-devices-benefit-hospitals/ Lung collapse feeding tube It is important to note that these tests are conducted after the tube is already inserted.


Innovative technologies are now available that aid clinicians in placing the feeding tube. Innovative navigation techniques are utilized to quickly place feeding tubes and safely. Certain devices are equipped with sensors as well as body mapping. They can provide better assistance to medical staff in the process.

New technology for NGT/NET navigation by ENvizion Medical
A promising NGT/NET placement device, ENvue(r), is a new device that was launched on the market in recent years. It assists clinicians in putting a feeding tube in a safe and secure way inside the small intestine.

The ENvue navigation system consists of an electromagnetic (EM) field generator that emits EM waves that cover the thorax and stomach of the patient's tract. The EM field generator, combination with a variety of EM sensors, generates the bodymap of a particular patient and produces accurate and detailed illustrations in the event of a person's movement.

Another sensor embedded into the distal tip of the feeding tube triggers whenever it enters the electromagnetic field.


The ENvue tracking system tracks the tube sensor through your gastrointestinal tract and displays its relative position and the route of placement throughout the placement.


small bowel feeding tube According to ENvue's records, each procedure starts with a basic registration using anatomical landmarks that aligns the patient to the navigation system, and allows for accurate navigation.

The intuitive display of ENvue allows for multiple simultaneous views (Frontal and Axial), The screen shows the outline of a patient and the direction and orientation of the tube sensor in real time with no lagging. Moreover, the ENvue system warns patients when the tube's feeding is not correctly directed to the airways, which may lead them to remove and reinsert the tube.

ENvue offers a unique way to determine the exact position of NGT/NET. There are a variety of tools available. It incorporates cutting-edge technology with an accurate body map sensors, continuous visual guidance. These capabilities have revolutionized the process.


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