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How do you determine if it is safe? placement of a Nasogastric or Nasoenteric Tube and its Complications

To avoid injury or death, naogastric feeding tubes should be secured. There are many ways to reduce complications. Learn more.

The prevention of problems associated with Nasoenteric Tubes
A medical professional with experience is required to properly place a nasogastric/nasoenteric tub. They must also be specific. Nasogastric or Nasoenteric tubes (NGT/NET) are tubes that are flexible and pass through the nose and distally into the stomach or small bowel (respectively) they allow the proper nutrition and medical management of critically ill patients or surgical patients. There are many issues associated with these tubes that could be avoided, as a study of Brazil points out.


The earlier placement of NGT/NET can reduce the chance of getting infections and preserve the integrity of the gut mucosa and improve gastrointestinal motility.


NGT/NET also can positively impact the outcomes of patients. It can aid in the healing process, decrease the number of complications and their severity, cut down on ICU stay durations, and may even reduce the mortality rate. They can be beneficial for elderly patients at the dying.

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NG/NE feeding tubes can be placed using a variety of methods, including blind insertion, endoscopy, guidance devices and fluoroscopy. They are used for decompression of the gastrointestinal tract, administration of medications and enteral nutrition (EN), and occasionally for gastric lavage.

There are two major problems caused by malpositioning of the tube for feeding Similar to some of the other issues with tubes:


Aspiration pneumonia: A person who is dependent on small bowel feeds or has NGT/NET malposition in their stomach is significantly increased possibility of contracting aspiration pneumonia. In the current time 28 percent of tube malpositions end in pneumonia.
Inadvertent lung misplacement. 2-5% of NGT/NET are inserted into the lungs through accident which can lead to a 30% chance for an enlarged lung (pneumothorax). In rare cases, improper placement of NGT/NET may result in the death of a patient.
Healthcare professionals must therefore evaluate the potential risks and utilize patient safety and quality care methods.

This article will explain the symptoms of feeding tube leaks, dangers, and location confirmation methods. Furthermore, it will present a novel technology, called the ENvue system that assists the medical teams in navigating a feeding tube correctly in order to avoid problems.

What are the warning signs and symptoms of a lost NGT/NET
A problem with the feeding tube may be indicated by a variety of symptoms, including coughing or high blood pressure increased heart beat and respiratory rate, decreased oxygen saturation, and increased blood pressure.

Healthcare workers must periodically examine the dangers and establish the appropriate safety measures for patients.



The blindness of feeding tube placement is the highest risk of malposition. Therefore, tube inspection is vital for optimal safety and satisfaction.

If they suspect that the tube was not placed correctly the doctor should stop feeding it. There are a variety of ways to determine the correct placement of your tube. But, the efficacy of each technique should be evaluated according to the patient's condition.

How to Ensure Safe Enteral Feeding Tub Location
A proof-based approach should be used to confirm that the correct placement of NGT/NET tubes has been verified before EN is able to be started. https://peatix.com/user/16378375 You can use a variety of methods for verification that are reliable, which include x-ray(radiography) or pH capnography , as well as ultrasound.

An abdominal radiograph can be used to confirm the position of a nasogastric or nasoenteric tube. The entire route of the tube through the digestive tract can be visible in this image.


As per the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), the use of an x-ray machine and pH aspirates were found in 90.8 percent of reports. The same report also revealed that 9.2 percent of the reports stated that the use of non-recommended verification techniques (e.g. the insertion of an air Auscultation/bolus). This verification can only be performed after the tube is in place.


https://devpost.com/skovgaardhigh091 Nowadays, there are new technologies that aid clinicians with the placement of feeding tubes. Lung collapse feeding tube These devices employ advanced navigation techniques, which include sensors as well as body mapping for secure and swift tube placement. These devices are especially useful for medical personnel.

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 recently. It allows clinicians to properly insert a feeding tube within the small intestine.

The ENvue navigation system comprises an electromagnetic (EM) field generator that emits EM waves that cover the patient's thorax and gastrointestinal tract. The EM field generator, working in conjunction with various EM sensors, generates a specific patient's bodymap and gives accurate images even when the patient moves.

An additional sensor embedded in the distal portion of the feeding tube will activate when it is in the electromagnetic field.


The ENvue system tracks the tube sensor throughout the gastrointestinal tract . It will display the precise position of the tip and placement pathway during placement.


According to the ENvue's documentation the procedure begins with a basic registration using anatomical landmarks that connect the patient with the navigation system and provides accurate navigation.

The user-friendly screen of ENvue gives you multiple perspectives simultaneously (Frontal Axial as well as Lateral). The screen shows a patient's body contour, as well as the direction and orientation of the tube sensor, in real-time with no lagging. The ENvue system alerts patients if the feeding tube is placed incorrectly in the airways. It could trigger them to unplug the tube and replace it.

post pyloric feeding tube place There are many tools available to precisely assess the NGT/NET position. ENvue, however, is exclusive. This revolutionary technology blends the body map and built-in sensors, and continuously guiding the user. These capabilities have helped alter the process.


Website: https://www.transtats.bts.gov/exit.asp?url=https://www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm