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How can you assess a secure placement of a Nasogastric/Naoenteric tubing and its complications

To protect yourself The nasogastric tube has to be placed in a safe manner to avoid injury or even death. The use of different techniques and modern technology might reduce complications.Read more to understand what could be the reason for this case.

https://twitter.com/envizionmed Reducing the risks associated with nasoenteric tubes
A qualified medical professional is required to ensure the safe placement of the nasogastric or nasoenteric tube. Also, they must be specific. Nasogastric and nasoenteric tubes (NGT/NET) are tubes that are flexible and pass through the nose distally into the small bowel or stomach (respectively) which allows the proper nutrition and medical management of seriously ill or surgically treated patients. They can also cause complications, a Brazilian study illustrates.


The early placement of NGT/NET is associated with reduced complications from infection, as well as the protection and strength of the mucosa in the gut, enhanced gastrointestinal motility, and increased immune reactions.


NGT/NET may also improve the outcomes of patients, wound healing, diseases severity and complications in addition to reducing the ICU stay and decreasing the mortality rate. They are useful for seniors at dying.

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

NG tube positioning Two major problems are associated with feeding tube malposition. They are similar to the other problems with tubes.


Aspiration pneumonia: The misposition of NGT/NET in the esophagus or in the stomach of a patient who requires small bowel feedings greatly increases the chance of having aspiration pneumonia. Today 28 percent of tube malpositions result in pneumonia.
Inadvertently, the lungs are misplaced 2-5 percent of NGT/NET are placed accidentally in the lungs. small bowel feeding tube This can result in the risk of a collapsed lung (pneumothorax). In rare cases, an incorrect placement of NGT/NET could result in the death of a patient.
Healthcare providers must evaluate risks and ensure that patients are safe and receiving high-quality medical care.

This article will outline the dangers and signs of misplaced or misplaced feed tubes. NG tube positioning It also provides a method to determine the its location. It will also present the ENvue technology that assists medical professionals in properly navigating the feeding tube in order to avoid any complications.

What Are the Signs and Symptoms of a Missing NGT/NET?
A feeding tube misplacement can be detected through a variety of symptoms, including coughing and blood pressure that is high, the heart beating and respiratory rate and lower oxygen saturation and an increase in blood pressure.

Healthcare workers need to be able to identify hazards and establish security procedures.



The biggest risk of misposition results from inexperienced feeding tube placement. This is why tube verification is crucial for optimal safety and the best possible comfort.

If doctors suspect the tube has been misplaced the doctor should stop feeding it. There are many ways to determine the correct placement of the tube. However, each technique's efficacy should be considered in relation to the particular patient's circumstance.

How to verify the safety of tube placement for feed through the stomach
A evidence-based method is necessary to verify the correct installation of NGT/NET tubes before EN is able to begin. There are many verifiable methods of verification available that can be used, such as radiography, pH reading or capnography (ultrasound), and fluoroscopy.

small bowel feeding tube An abdominal radiograph is considered to be the "gold gold" to verify the location of a nasal and nasoenteric feeding tube. This is where the tube's complete journey through the digestive tract is visible.


Based on the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), 90.8% of reports identified the use of pH aspirates and x-rays. 9.2 percent of the reports stated that they were using non-recommended methods of verification (e.g. the injection of an auscultation or the air bolus). These verifications can only be carried out after the tube is been inserted.


Today, there are innovative systems available to aid clinicians when placing feeding tubes. Innovative navigation techniques are utilized to quickly place feeding tubes and safe. Certain devices include sensors as well as body mapping. These devices offer more support to medical professionals.

ENvizion Medical introduces new technology for NGT/NET Navigation
A promising NGT/NET device, ENvue(r),, was introduced to the market in the past few years. The system assists the clinicians in placing a feeding tube in a safe and secure way in the small intestinal tract.

The ENvue navigation device is equipped with an electromagnetic (EM-) field generator that emits EM waves that cover the thorax area 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 precise illustrations, even when the patient is moving.

The distal edge of a feeding tube is an embedded sensor that is activated the moment electromagnetic waves hit it.


The ENvue tracking system follows the tube sensor throughout the digestive tract and shows relative tip position and route of placement throughout the placement.


Based on ENvue's reports Each procedure starts by registering the patient using anatomical landmarks that aligns the patient with the navigation system and ensures accurate navigation.

ENvue's intuitive screen offers multiple simultaneous views (Frontal Axial, Frontal, and Lateral). The screen shows the contours of the patient as well as the direction and orientation of the tube sensor in real time and without slowing down. The ENvue system also alerts users when the feeding tubes aren't properly directed to the lungs. The result could be to remove the tube and then insert it back in.

There are many tools available for assessing the precise placement of NGT/NET, ENvue is different. It is a revolutionary tool that combines an accurate body map sensors and continuous visual guidance. These features have come to transform the way we work.


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