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How do you determine if it is a safe placement for the Nasogastric Tube or Nasoenteric Tube, and Its Complications

Nasogastric tubes have to be used with care to prevent harm or death. Innovative technology and techniques could reduce the complications. Read more.

Avoiding the Problems Associated with Nasoenteric Tubes
A professional medical practitioner is required to safely place the nasogastric/nasoenteric tub. They must also be precise. Flexible devices such as nasogastric, and Nasoenteric (NGT/NET), which pass through the nose into the stomach (or small bowel) enable proper nutrition as well as medical care for severely ill patients, or those who are undergoing surgery. These tubes can cause complications that can't be avoided. safe nasogastric tube placement A study from Brazil has shown .


NGT/NET placement early is associated with lower incidences of infectious complications, preservation in the integrity of the mucosa of the gut, as well as improved intestinal motility and immune responses.


NGT/NET could also be beneficial to patient outcomes. It may improve wound healing, reduce complications and severity, reduce ICU stay lengths, and even lower the mortality rate. They are useful for seniors at nearing the end of their lives..

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The feeding tube for NG/NE can be placed using a variety of methods, such as blind insertion as well as 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: Misposition of NGT/NET in the esophagus or in the stomach of a patient who needs small bowel meals greatly increases the chance of developing aspiration pneumonia. Lung collapse feeding tube In the current time, 28 percent of malpositions in the tube result in pneumonia.
Inadvertently placed lungs 2.5% of NGT/NET accidentally get in the lungs. It can result in a 30% risk that the lung could collapse (pneumothorax). Lung collapse feeding tube In rare cases, inadvertently placing NGT/NET into the wrong place can lead to death.
Healthcare professionals must therefore evaluate the potential risks and utilize high-quality and safe care methods.

This article will cover the causes of tube displacement, as being aware of the dangers and ways to confirm. The ENvue system is an innovative technology that allows medical professionals to navigate through a tube with safety and prevents any problems.

What are the signs and Symptoms of a Missing NGT/NET?
A myriad of symptoms, such as an increase in breathing rate or blood pressure, asthma, coughs, heart rate elevations and lower oxygen saturation could all indicate that the tube feeding you is misplaced.

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



The most serious risk of incorrect feeding comes from blind tube placement. Thus, tube verification is necessary for optimal safety and the best possible comfort.

To prevent further complications Practitioners must stop immediately feeding through the tube when they suspect misplacement. The proper placement of the tube may be identified using a variety of methods. Each technique's efficiency should be compared to the patient's particular situation.

How to verify safe tube placement in an enteral feed
Before initiating EN the correct NGT/NET tube placement has to be established using an evidence-based process. There are a variety of verifiable methods of verification available such as radiography, pH reading as well as capnography (ultrasound), and fluoroscopy.

A radiograph of the abdomen is the "gold gold" to confirm the location of a nasogastric as well as a nas feeding tube. In this case, the tube's entire route through the digestive system can be seen.


Based on the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports reported the use of pH aspirates or x-rays. In addition, 9.2 percent of the reports revealed that they utilized non-recommended verification methods (e.g. inserting of air bolus/auscultation). These verifications should only be done after the tube has been inserted.


Today, there are innovative devices that aid clinicians in the placement of feeding tubes. These devices employ advanced navigation techniques, which include sensors and body mapping, to ensure secure and swift tube placement. They offer greater support for medical professionals during the procedure.

New Technology for NGT/NET Navigation by ENvizion Medical
A promising NGT/NET placement device, ENvue(r), was launched to the market in recent years. It allows clinicians to properly insert a feeding tube within the small intestine.

The ENvue Navigation System is comprised of an electromagnetic field generator. post pyloric feeding tube place It produces EM waves that cover the thorax of the patient, the gastrointestinal tract, and lung. The EM field generator and several EM sensors come together to form an outline of the body of the patient. They also provide exact images, even when the patient moves.

safe nasogastric tube placement Another sensor embedded into the distal portion of the feeding tube will activate when it comes into contact with the electromagnetic field.


The ENvue tracking system follows the tube's sensor throughout the gastrointestinal tract, and displays the position of the tip relative to the placement pathway during the placement.


ENvue documents show that every procedure starts with the anatomical landmarks' registration. This helps align the patient with the navigation systems, and allows for exact navigation.

The intuitive display of ENvue offers three simultaneously-views (Frontal Axial Lateral). In real-time, the screen shows the patient's anatomy and how the tube is positioned on the sensor. There is no lag. The ENvue system also warns patients when the tubes feeding them are not properly directed into the lung. This can cause them to take the tube out and then re-insert it.

There are a variety of tools to help you determine the exact location of NGT/NET. ENvue, however, is distinct. https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/ It is a revolutionary tool that combines precise body maps sensors and continuous visual guidance. These features are set to revolutionize the procedure.


Read More: https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/