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

Nasogastric tubes have to be placed in a secure manner to avoid injuries or death. New techniques and methods might help in reducing complications.Read more to understand what could be the reason for this scenario.

Eliminating the issues that are caused by nasoenteric tubes
Safe placement of a Nasogastric or Nasoenteric tube demands the expertise of a medical professional and high-quality accuracy. The nasal gastric (NGT/NET) or nasal gastric tubes are flexible tubes that be used to pass through the nose into the stomach or small intestine (respectively). This permits for adequate nutrition as in medical care for patients suffering from severe illness or have had surgery. They can also cause complications that cannot be avoided. A study from Brazil has proven this .


The early 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 response.


NGT/NET could also positively impact the outcomes of patients, wound healing, diseases severity and complications and may also help in reducing the ICU stay as well as reducing the mortality rate. post pyloric feeding tube place They are especially beneficial for those at the end of life.

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

Feeding tube malposition can cause two major problems, similar to those that are common with other tubes. .


Aspiration pneumonia: The risk of developing aspiration pneumonia is increased when there is NGT/NET within the stomach or in the esophagus for patients who require small bowel feedings. At present, 28 percent of malpositions in the tube result in pneumonia.
Inadvertent lung misplacement 2 to 5% of NGT/NET are placed accidentally in the lungs, which results in a 30% chance of an edema of the lung (pneumothorax). In some rare cases, the misplacement of NGT/NET can lead to death.
Healthcare providers have to assess risks and apply security measures and high-quality healthcare methods.

This article will examine the signs of feeding tube displacement, as in the ways to confirm and avoid it. The ENvue system is an innovative technology that lets medical professionals to navigate through a tube with safety and prevents any problems.

NG tube positioning What are the signs and symptoms of an incorrect NGT/NET
A variety of signs, including increased blood pressure or respiratory rate, asthma, coughs heart rate increases and decreased oxygen saturation could all be signs that a feeding tube has been not properly placed.

Healthcare workers need to regularly examine the dangers and establish safety procedures for patients.



small bowel feeding tube The greatest risk of malposition is due to blind feeding tube placement. NG tube positioning Therefore, tube inspection is vital to ensure patient safety and the best possible comfort.

If doctors suspect the tube was not placed correctly the doctor should stop feeding it. The correct position of the tube may be identified using a variety of methods. The effectiveness of each technique must be assessed in relation to the patient's individual needs.

How do you ensure safe Enteral Feeding Tube Use
Before launching EN the correct NGT/NET tube positioning must be verified by using an evidence-based method. There are numerous verifiable methods of verification available which include radiography, pH readings or capnography (ultrasound), and fluoroscopy.

An abdominal radiograph is considered to be the "gold gold" for verifying the location of a nasogastric and nasoenteric feeding tube. The entire tube's route through the digestive tract is observed in this image.


According to the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), the use of the x-ray and pH aspirates was discovered in 90.8 percent of the reports. 9.2 percent of the reports mentioned that they used nonrecommended methods for verification, like placing an air bolus/auscultation. The verifications are only performed after the tube has been placed.


There are many new technology options to assist doctors in placing feeding tubes. The devices for placement employ sophisticated methods of navigation, a few of which integrate sensors and body mapping to ensure safe and swift placement of the feeding tube. They can provide better assistance to medical staff in the process.

New Technology for NGT/NET Navigation developed by ENvizion Medical
In recent years, a highly effective NGT/NET positioning system called ENvue(r) was made available for sale. The system assists the clinicians in putting a feeding tube securely into the small intestine.

The ENvue navigation system is comprised of an electromagnetic (EM) field generator that emits EM waves that penetrate the patient's thorax as well as the digestive tract. The EM field generator in combination with various EM sensors produce a precise body map of the patient and provides accurate illustrations even when a patient moves.

A sensor in the distal end of the tube feeding is activated when it enters the electromagnetic field.


The ENvue system follows the tube's sensors through the gastrointestinal tract . It it displays the location of the tip and placement route during the process of placement.


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

Envue's intuitive screen can display multiple views simultaneously (Frontal and Axial), The screen shows the outline of the patient as well as the direction and orientation of the tube sensor in real-time with no slowing down. In addition the ENvue system alerts users when the feeding tube is misdirected into the airways, which may prompt them to withdraw and re-insert the tube.

post pyloric feeding tube place ENvue offers a unique way to determine the exact position of NGT/NET. There are numerous tools out there. It is a revolutionary tool that combines an accurate body map sensors and continuous guidance. These capabilities have helped transform the way we work.


Website: https://www.facebook.com/ENvizionMed/