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

Nasogastric feeding tubes must be installed in a safe manner to avoid injury or even death. New technology and techniques may reduce the complications. Find out more.

The prevention of problems that are associated with nasoenteric tubes
The secure placement of a nasogastric or nasoenteric tube requires a trained medical professional and the highest level of precision. Flexible devices known as nasogastric or Nasoenteric (NGT/NET) that go through the nose and into the stomach (or small bowel) allow for proper nutrition, medical management of severely ill patients, or those who undergo surgery. post pyloric feeding tube place These tubes can cause complications, a Brazilian study suggests.


safe nasogastric tube placement The earlier placement of NGT/NET can result in a reduction in infection-related complications, preservation of the integrity of the gut mucosa, and improved gastrointestinal motility and immune responses.


NGT/NET could also have a positive impact on the outcomes of patients, enhance wound healing, lessen disease severity and complications also, reducing the length of hospitalization in the ICU and can even lower mortality rate. They can be beneficial for elderly patients at the end-of-life.

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The NG/NE feeding tube is introduced using a variety methods, such as blind insertion, and guidance devices.

A malpositioning of the tube that feeds it can cause two major issues, similar to the problems that occur with other tubes .


Aspiration pneumonia: A patient who relies on small bowel feedings or has NGT/NET malposition in their stomach greatly increases the chance of contracting aspiration pneumonia. post pyloric feeding tube place Today 28% of tube malpositions lead to pneumonia.
Inadvertently misplaced lung. Two-five percent of NGT/NET are inserted into the lungs due to accident that can cause the risk of an enlarged lung (pneumothorax). Rarely, misplacement can cause death.
Healthcare providers have to examine risks and use the safety of patients and the quality of healthcare methods.

This article will address the causes of tube misplacement, as well being aware of the dangers and ways to confirm. Furthermore, it will introduce an innovative technology, called the ENvue system, that aids medical personnel in navigating the proper feeding tube in order to avoid any complications.

What Are the Signs and Symptoms of a Misplaced NGT/NET?
A problem with the feeding tube may be spotted by a range of symptoms, including coughing or high blood pressure higher heartbeat and respiratory rate and lower oxygen saturation and increased blood pressure.

Healthcare workers must be able identify potential dangers and put in place safety procedures.



Blind feeding tube placement poses the greatest risk of incorrect placement. This is why tube inspection is essential for optimal patient safety and comfort.

To avoid complications later on To avoid further complications, doctors must immediately stop feeding through the tube if they suspect that the tube is not in the correct place. The correct placement of the tube is assessed using various methods. Each technique's effectiveness should be compared to the patient's individual situation.

How to verify safe tube placement for feed through the stomach
A evidence-based method is necessary to verify the correct positioning of NGT/NET tubes prior to when EN is able to begin. There are numerous reliable verification methods including: x-ray(radiography) pH reading, capnography, ultrasound and fluoroscopy.

A radiograph of the abdomen is the most effective way to confirm the position of a feeding tube. The entire tube's path through the digestive tract can be observed in this image.


The Pennsylvania Patient Safety Reporting System (January 2017 through June 2020) found that 90.8 percent reported the use of xrays and pH aspirates. However, 9.2% of the reports revealed that they had used methods of verification that were not recommended (e.g., insertion of air auscultation or bolus). It is important to note that these verifications are performed after the tube is already inserted.


Innovative systems are available today to aid clinicians in placing feeding tube. Advanced navigation methods are used to help place feeding tubes swiftly and safely. Certain devices include sensors as well as body mapping. These devices are particularly useful for medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation
The ENvue (r) NGT/NET placement system has been on the market for some time. This system aids clinicians to securely insert a feeding tube within the small intestine.

The ENvue navigation device is equipped with an electromagnetic (EM-) field generator, which emits EM waves that cover the thorax of the patient as well as their gastrointestinal tract. The EM field generator and several EM sensors are combined to create a patient's body map. They also provide accurate visualizations, even when a patient moves.

There is an additional sensor embedded in the distal end that is activated when it enters the electromagnetic waves.


The ENvue tracking system follows the tube's sensor throughout your gastrointestinal tract and displays relative tip position and pathways for placement during the procedure.


ENvue records show that every procedure begins with anatomical markers to identify the patient. This allows for precise navigation and also aligns them with the navigation system.

ENvue's intuitive screen allows for multiple views simultaneously (Frontal and Axial), The screen shows a body contour of the patient, and also the direction and direction of the sensor in real-time and without lagging. safe nasogastric tube placement https://www.hngn.com/articles/246615/20230206/watch-bill-clinton-speak-about-the-risks-of-lung-collapse-feeding-tube-awareness-week-2023.htm The ENvue system also informs users when the feeding tubes have been redirected incorrectly into the lung. This can cause them to remove the tube and then insert it back in.

ENvue is a revolutionary method to determine the exact position of NGT/NET. There are a variety of applications available. This revolutionary technology blends the body map and built-in sensors, and continuously guiding the user. The features have revolutionized the process.


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