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How do you determine if it is a safe Placement for a Nasogastric tube or Nasoenteric Tube, and its complications

For reasons of safety for safety reasons, the nasogastric feeding tube should be correctly placed to avoid injury or even death. Different techniques and new technology could help reduce complications.Read more to find out why that may be the scenario.

Reducing the Risks of Nasoenteric Tubes
The safe placement of a nasal or nasoenteric tube requires a qualified medical practitioner and an excellent level of accuracy. The Nasogastric (NGT/NET) or nasal gastric tubes are flexible devices 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 who are critically ill or have undergone surgery. These tubes can cause complications, a Brazilian study proves.


The early placement of NGT/NET is associated with reductions in infections, the preservation of gut mucosa integrity, and increased gastrointestinal motility as well as immune responses.


NGT/NET could also positively impact the patient's outcomes, wound healing, complications and severity, and may also help in reducing the ICU duration and reducing mortality rate. They can be useful for seniors at death.

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The feeding tubes for NG/NE can be inserted with different techniques that include blind insertion, endoscopy, guidance devices and fluoroscopy. They can be used to treat gastric decompression, medication administration as well as enteral nutrition (EN) and sometimes for gastric lavage.

There are two major complications caused by malpositioning of the tube for feeding and are similar to some of the other complications that tube problems can cause:


Aspiration pneumonia: A misposition of NGT/NET in the esophagus or the stomach of a person who needs small bowel feeds significantly increases the chance of developing aspiration pneumonia. Today, pneumonia is caused by 28 percent of malpositions in the tube.
Accidental lung misplacement. 2 to 5 percent of NGT/NET are placed in the lungs due to accident and can result in the risk of an enlarged lung (pneumothorax). The misplacement in the lungs may at times lead to death.
Healthcare providers must evaluate risks and make sure that patients are secure and receive the best care.

This article will highlight the signs of feeding tube loss, the risks and techniques for location verification. The ENvue system is an innovative technology that lets medical professionals to navigate the feeding tube in a safe manner and avoid any complications.

What are the Signs and Symptoms of a Missing NGT/NET?
A misplaced feeding tube can be indicated by a variety of signs, such as coughing and high blood pressure, increased heart beat and respiratory rate, decreased oxygen saturation, and a rise in blood pressure.

Healthcare professionals need to periodically review the safety risks and adopt security-related protocols for patients.



The most significant risk of incorrect feeding comes from blind tube placement. Tube verification is needed to ensure safety for patients.

The doctor must stop feeding through the tube immediately if they suspect it is not correctly placed. This can prevent any the possibility of problems. There are many ways to determine the correct placement of the tube. The effectiveness of each technique must be assessed in relation to the particular patient.

How do you ensure safe Enteral Feeding Tube Placement
An evidence-based method is required for confirming the correct installation of NGT/NET tubes before EN can begin. There are many reliable verification methods available which include radiography, pH readings or capnography (ultrasound), and fluoroscopy.

An abdominal radiograph is considered to be the "gold standard" to confirm the location of a nasogastric as well as a nas feeding tube. https://pastelink.net/8kitck43 https://gold-coconut-dz0qs4.mystrikingly.com/blog/add-a-blog-post-title-b39baf88-f2cf-4bd9-855b-466b4a5b2bef The entire route of the tube through the digestive tract is visible here.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports reported the use of pH aspirates or x-rays. 9.2 percent of the reports indicated that they had used non-recommended method of verification, for instance, placing an air bolus/auscultation. It is important to mention that these verifications are carried out only after the tube has already inserted.


Today, there are innovative technologies that aid clinicians with placing feeding tubes. Innovative navigation techniques are utilized to place feeding tubes quickly and securely. Certain devices incorporate sensors and body mapping. These provide greater assistance for medical professionals during the process.

New technology for NGT/NET navigation by ENvizion Medical
In recent time, a new NGT/NET system, known as ENvue(r) was made available for sale. The system allows clinicians to safely place a feeding tube into the small intestine.

The ENvue Navigation System is comprised of an electromagnetic field generator. https://controlc.com/918b5ac7 It emits EM waves that cover the patient's thorax, gastrointestinal tract, and the lung. The EM field generator, in conjunction with various EM sensors, generates the bodymap of a particular patient and offers accurate drawings even when the person is moving.

An additional sensor embedded in the distal end of the feeding tube triggers when it enters the electromagnetic field.


The ENvue system tracks the tube sensor throughout the gastrointestinal tract , and displays the relative tip position and placement route during the process of placement.


ENvue records indicate that every procedure starts with anatomical landmarks to identify the patient. This ensures precise navigation and aligns them to the navigation system.

The intuitive screen of ENvue offers multiple views simultaneously (Frontal Axial and Lateral). The screen shows a body contour of the patient, along with the direction and orientation of the tube sensor, in real-time with no lagging. Furthermore, the ENvue system alerts users when the feeding tube is not directed correctly into the airways, which may prompt them to withdraw and then reinstall the tube.

ENvue provides a unique method to determine the exact position of NGT/NET. There are a variety of tools out there. Lung collapse feeding tube It combines innovative technology with a precise body map sensors and continuous visual guidance. These innovations have transformed the process.

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