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How do you assess a safe place to put a Nasogastric tube or Nasoenteric Tube, and Its complications

To avoid harm or deaths, naogastric feeding tubes should be safely placed. The latest technology and methods may reduce the complications. Find out more.

NG tube positioning Avoiding the Problems of Nasoenteric Tubes
A licensed medical professional is required to ensure the safe placement of a nasogastric/nasoenteric tub. They must also be precise. https://bbs.pku.edu.cn/v2/jump-to.php?url=https://www.hngn.com/articles/246615/20230206/watch-bill-clinton-speak-about-the-risks-of-lung-collapse-feeding-tube-awareness-week-2023.htm Nasogastric or Nasoenteric tubes (NGT/NET) are flexible devices that pass through the nose, distally, into the stomach or small bowel (respectively) they allow the proper nutrition and medical management of critically ill or surgical patients. safe nasogastric tube placement The tubes can lead to problems that can't be prevented. A Brazilian study has proven this .


The early placement of NGT/NET is associated with lower incidences of infectious complications, protection of gut mucosa integrity, and increased gastrointestinal motility as well as immune response.


NGT/NET can also positively impact outcomes for patients. It could improve wound healing, lessen the severity and complications, decrease ICU stay lengths, and can even lower mortality rate. They can be valuable for patients nearing the dying.

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NG/NE feeding tubes are introduced using various methods including blind insertion guidance devices for placement, endoscopy, and fluoroscopy, and are utilized for gastrointestinal decompression, medication administration or enteral nutrition (EN) and, occasionally to facilitate gastric lavage.

The malposition of the feeding tube can result in two major issues, similar to the issues that are typical with other tubes. .


Aspiration pneumonia: the risk of getting aspiration pneumonia is significantly enhanced by the presence of NGT/NET in the stomach or in the esophagus of patients that require feedings for small bowels. In the current time, 28% tube malpositions lead to pneumonia.
Inadvertent misplacement of the lung 2-5 percent of NGT/NET can be accidentally placed within the lungs, which results in 30% of an infected lung (pneumothorax). The misplacement in the lungs can even occasionally cause death.
Healthcare professionals must therefore evaluate the potential risks and utilize patients' safety and high-quality care methods.

This article will highlight the indicators of feeding tube misplacement, risk, and location confirmation methods. http://www.drugoffice.gov.hk/gb/unigb/twitter.com/envizionmed The ENvue system is a new technology that lets medical personnel to navigate the feeding tube with safety and prevents any problems.

What are the warning signs and signs of a missing NGT/NET
Various signs, such as coughs, blood pressure increases as well as an increase in heart rate and respiratory rate, or decreased oxygen saturation, can indicate the possibility of a misplaced feeding tube. [1]

Healthcare professionals must be able to regularly assess hazards and implement patient safety-related procedures.



A blind feeding tube placement carries the greatest risk of misplacement. Tube verification is required to ensure patient safety.

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. There are a variety of ways to determine the proper position of the tube. Each technique's efficiency should be compared to the patient's individual circumstance.

How can you determine if the place is safe? Enteral Feeding Tub Positioning
A method based on evidence must be used to confirm that the correct placement of NGT/NET tubes is verified before EN is able to be started. https://myclc.clcillinois.edu/web/jeff_test/ttttttutoring/-/message_boards/message/48100383 There are a variety of valid methods for verification such as radiography, pH reading as well as capnography (ultrasound), and fluoroscopy.

An abdominal radiograph is the best method to verify the location of the feeding tube. Here, the tube's full course through the digestive system can be seen.


According to the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), 90.8% of reports cited the use of pH aspirates as well as x-rays. 9.2% of the reports indicated that they used nonrecommended method of verification, for instance, the use of an air bolus/auscultation. This verification only occurs after the tube is in place.


Today, there are innovative devices that aid clinicians in placing feeding tubes. The devices for placement employ sophisticated methods of navigation, a few of which incorporate sensors and body mapping for secure and fast placement of the tube. They offer greater support for medical professionals during the process.

ENvizion Medical introduces new technology for NGT/NET Navigation.
In the past few times, a promising NGT/NET positioning system called ENvue(r) was introduced to the market. NG tube positioning It allows clinicians to securely insert a feeding tube within the small intestine.

small bowel feeding tube The ENvue navigation device is fitted with an electromagnetic (EM-) field generator, which produces EM waves that cover the thorax of a patient and gastrointestinal tract. The EM field generator along with a range of EM sensors are combined to create an outline of the body of the patient. They also provide exact drawings, even when a patient is moving.

Another sensor embedded into the distal tip of the tube feeding will activate whenever it enters the electromagnetic field.


The ENvue system tracks the tube's sensors through the gastrointestinal tract , and it displays the location of the tip and placement pathway during placement.


ENvue data shows that each procedure starts with anatomical landmarks registration. This allows the patient to be aligned with the navigation systems, and allows for exact navigation.

ENvue's intuitive screen allows for multiple views at once (Frontal and Axial), In real-time, the screen shows the contours of the patient as well as the direction of the tube sensor. It is not lagging. The ENvue system warns users if the feeding tube is placed wrongly in the airways. This can prompt them to unplug the tube and then re-install it.

There are many options to accurately assess NGT/NET placement. ENvue, however, is distinctive. It combines innovative technology with an accurate body map sensors and continuous guidance. These tools have made the process much more efficient.


Homepage: https://www.fcc.gov/fcc-bin/bye?https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/