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How to determine a secure place to put an Nasogastric Tube or Nasoenteric Tube, and its complications

To avoid harm or death, the naogastric tube should be safely placed. Innovative techniques and the latest technology might help in reducing complications.Read more to find out what could be the reason for this scenario.

Avoiding the Problems of Nasoenteric Tubes
A licensed medical professional is required to safely place a nasogastric/nasoenteric tub. It is also essential to be precise. small bowel feeding tube Nasogastric tubes or nasoenteric tube (NGT/NET) are flexible devices that pass through the nose, distally, into the small bowel or stomach (respectively), allowing an adequate diet and medical care for critically ill or surgical patients. The tubes could cause complications, a Brazilian study suggests.


post pyloric feeding tube place The prompt placement of NGT/NET can decrease the chance of contracting an infection, preserve gut mucosa integrity and improve the gastrointestinal motility.


NGT/NET also has the potential to positively affect the outcomes of patients and wound healing, as well as diseases severity and complications in addition to reducing the ICU stay as well as reducing the mortality rate. They are especially beneficial for those at the end of life.

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The feeding tube NG/NE can be introduced using a variety methods, such as blind insertion as well as guidance devices.

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


Aspiration pneumonia: A person who relies on small bowel feeds or has a malposition of the NGT/NET in their stomach greatly increases the chances of contracting an aspiration pneumonia. At present 28 percent of tube malpositions result in pneumonia.
Inadvertent lung placement: 2-5% of NGT/NET accidentally get in the lungs. This could result in a 30% risk that the lung can collapse (pneumothorax). The misplacement in the lungs may, in rare instances, result in the death of a patient.
Healthcare providers should therefore be aware of the potential risks and utilize patient safety and quality care methods.

This article will discuss the indicators of feeding tube misplacement, risk, and methods for confirming the location. safe nasogastric tube placement In addition, it will introduce a revolutionary technology, called the ENvue system, which aids medical teams navigate the correct feeding tube to avoid complications.

What are the signs and Symptoms of an Incomplete NGT/NET
A variety of signs, including increased breathing rate or blood pressure, coughs, asthma, heart rate elevations and decreased oxygen saturation could all suggest that a feeding tube has been not properly placed.

Healthcare professionals must be able to recognize dangers and develop security measures.



small bowel feeding tube The biggest risk of malposition is due to blind feeding tube placement. Therefore, tube verification is crucial to ensure patient safety and ease of use.

If doctors suspect the tube was not placed correctly Doctors should immediately stop feeding through it. Lung collapse feeding tube The correct positioning of the tube may be determined using many techniques. Each technique's efficiency is a matter of comparing it to the specific patient's circumstance.

How do you ensure safe Enteral Feeding Tube Use
Prior to initiating EN, confirmation of correct NGT/NET tube placement has to be confirmed by using an evidence-based method. There are a variety of reliable verification methods available that can be used, such as radiography, pH reading, capnography (ultrasound), and fluoroscopy.

An abdominal radiograph can be used to confirm the position of a nasogastric, or nasoenteric tube. Here, the tube's full route through the digestive system is visible.


The Pennsylvania Patient Safety Reporting System (January 2017 from January 2017 to June 2020) discovered that 90.8 percent of patients reported using of the xrays and pH aspirates. 9.2 percent of the reports stated that they were using unapproved methods of verification (e.g., auscultation/injection of the air bolus). These verifications should only be done after the tube has been placed.


Nowadays, there are new systems that assist clinicians in the placement of feeding tubes. These devices use advanced techniques for navigation, like sensors as well as body mapping for an efficient and safe tube placement. These devices can provide greater assistance to medical professionals.

New Technology for NGT/NET Navigation ENvizion Medical
In recent years, a promising NGT/NET placement device known as ENvue(r) was made available for sale. The system assists the clinicians in putting a feeding tube securely into the small intestinal tract.

The ENvue navigation system consists of an electromagnetic (EM) field generator that emits EM waves that cover the patient's thorax and gastrointestinal tract. The EM field generator, in conjunction with several EM sensors produce a precise body map of the patient's body and provide precise images even when a patient is moving.

A sensor in the distal tip of the feeding tube triggers when it enters the electromagnetic field.


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


NG tube positioning Based on ENvue's reports every procedure starts with a basic registration using anatomical landmarks that aligns the patient to the navigation system and provides accurate navigation.

The intuitive display of ENvue offers three simultaneously-views (Frontal Axial, Lateral, and Lateral). The screen displays the contours of a patient's body and the direction and orientation of the tube sensor in real time and without delay. The ENvue system also informs patients when the tubes feeding them are misdirected into the lung. The result could be to pull the tube out and re-insert it.

ENvue offers a unique way to accurately evaluate NGT/NET placement. There are many tools out there. It is a revolutionary technology that combines the body map and built-in sensors, and continuously guiding the user. These features help make the process more efficient.


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