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How to assess a safe placement of a Nasogastric/Naoenteric tube , and its complications

Nasogastric feeding tubes need to be placed in a secure manner to avoid injuries or death. small bowel feeding tube Innovative technology and techniques could decrease the dangers. Learn more.

small bowel feeding tube post pyloric feeding tube place Beware of the Issues of Nasoenteric Tubes
A medical professional with experience is required to properly place the nasogastric/nasoenteric tub. It is also essential to be specific. Flexible devices, nasogastric and nasoenteric (NGT/NET), which pass through the nose into the stomach (or small bowel) allow for proper nutrition medical treatment for seriously ill patients, or those undergoing surgery. The tubes can lead to complications that are not able to be prevented. NG tube positioning A study from Brazil has proven this .


https://www.healthcarebusinesstoday.com/ng-tube-positioning-best-medical-devices-2022/ Early placement of NGT/NET is associated with a decrease in infections, the preservation in the integrity of the mucosa of the gut, and enhanced gastrointestinal motility and immune response.


NGT/NET also has the potential to positively affect the outcome of patients and wound healing, as well as complications and severity, as well as shortening the ICU duration and reducing mortality rate. They are beneficial for older patients who are nearing the end of their lives..

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NG/NE feeding tubes are introduced using various methods that include blind insertion, guide placement devices, endoscopy, and fluoroscopy, and can be used to treat gastric decompression, medication administration as well as enteral nutrition (EN), and occasionally to facilitate gastric lavage.

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


Aspiration pneumonia: The possibility of developing aspiration pneumonia is greatly 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 percent of malpositions in the tube result in pneumonia.
Inadvertent lung misplacement. Two-five percent of NGT/NET are inserted into the lungs due to accident and can result in a 30% chance for an enlarged lung (pneumothorax). Rarely, misplacement can cause death.
Healthcare professionals need to evaluate the risk and employ the highest quality of care and safety methods.

This article will highlight the signs of feeding tube misplacement, risks, and location confirmation methods. The ENvue system is a revolutionary technology that lets medical professionals to navigate a tube safely and avoids complications.

What are the Signs and symptoms of a misplaced NGT/NET?
A myriad of symptoms, such as an increase in blood pressure or respiratory rate, asthma, coughs as well as heart rate rises and a decrease in oxygen saturation may all indicate the feeding tube may be wrongly located.

Healthcare professionals must be able identify potential dangers and put in place security procedures.



NG tube positioning small bowel feeding tube The biggest risk of misposition stems from a blind tube placement. Thus, tube verification is crucial for optimal patient safety and satisfaction.

If they suspect that the tube was not placed correctly The doctor should stop feeding it. The correct position of the tube may be verified using a variety of techniques. However, the effectiveness of every technique must be evaluated in relation to the patient's condition.

How to Ensure Safe Enteral Feeding Tube Placement
A method based on evidence must be used to verify that the correct positioning of NGT/NET tubes is verified prior to EN is able to be started. There are many valid methods for verification, including x-ray(radiography) Capnography, pH reading, ultrasound, and fluoroscopy.

An abdominal radiograph is the most effective way to verify the location of the feeding tube. The entire route of the tube through the digestive tract is visible in this image.


Based on the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports reported the use of pH aspirates as well as x-rays. 9.2% of the reports mentioned that they had used non-recommended verification methods, for example, the insertion of an air bolus or auscultation. The verifications are only performed after the tube has been inserted.


There are a variety of innovative technologies that can be employed to assist doctors with the placement of feeding tubes. They use sophisticated navigation methods, such as sensors as well as body mapping to guarantee the safety and speed of tube placement. They can provide better assistance for medical professionals during the process.

ENvizion Medical has a new technology for NGT/NET navigation
The ENvue (r) NGT/NET placement system has been on market for a while. The system aids clinicians in putting a feeding tube without risk in the small intestinal tract.

The ENvue navigation device is outfitted with an electromagnetic (EM-) field generator, which emits EM waves that penetrate the thorax of the patient as well as their digestive tract. The EM field generator, in conjunction with other EM sensors create a specific patient's body map and provide exact illustrations even when a patient moves.

safe nasogastric tube placement There is an additional embedded sensor in the distal tip , which activates when entering the field of electromagnetic waves.


The ENvue tracking system tracks the tube's sensor throughout the gastrointestinal tract, and displays the position of the tip relative to the path of placement during the process of placement.


ENvue reports indicate that every procedure begins with anatomical markers to record the patient. This allows for precise navigation and aligns them to the navigation system.

The intuitive display of ENvue offers three simultaneous views (Frontal Axial Lateral). The screen shows a person's body contour along with the direction and orientation of the tube sensor, in real-time , with no lags. The ENvue system warns users in the event that the tube for feeding is placed incorrectly in the airways. This could prompt users to take the tube off and then re-install it.

There are many options to precisely assess the NGT/NET position. ENvue, however, is distinct. It brings together cutting-edge technology, an accurate body map sensors and continuous visual guidance. These features have made the process much more efficient.


Homepage: https://www.hngn.com/articles/246615/20230206/watch-bill-clinton-speak-about-the-risks-of-lung-collapse-feeding-tube-awareness-week-2023.htm