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How to determine a secure Placement of the Nasogastric or Nasoenteric Tube and its complications

Nasogastric tubes have to be installed in a safe manner to avoid injuries or death. The use of different techniques and modern technology could help reduce complications.Read more to discover why that may be the scenario.

Reducing the risks that are caused by nasoenteric tubes
Secure placement of a nasal or Nasoenteric tube requires the skills of a medical professional, and high precision. Nasogastric or nasoenteric tubes (NGT/NET) are flexible devices that can pass through the nose distally to the small bowel or stomach (respectively), allowing the proper nutrition and medical care for critically ill or surgical patients. There are many issues with these tubes that can be prevented, as a study by Brazil points out.


The timely application of NGT/NET could minimize the chance of getting infections, preserve gut mucosa integrity and increase gastrointestinal mobility.


https://peatix.com/user/16386744 NGT/NET also has the potential to positively affect the outcomes of patients and wound healing, as well as disease severity and complications, as well as shortening the ICU stay and decreasing the mortality rate. They are useful for patients who are who are nearing the end of their lives..

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The feeding tubes for NG/NE can be installed using different methods, including blind insertion, endoscopy, guidance devices and fluoroscopy. They are utilized for stomach decompression, medication administration and enteral nutrition (EN), and occasionally for gastric lavage.

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


Aspiration pneumonia: A person who is dependent on small bowel feeds or who has malposition of NGT/NET in their stomach significantly increases the chances of contracting an aspiration pneumonia. Presently the cause of pneumonia is 28 percent of malpositions in the tube.
Inadvertently, the lungs are misplaced: 2-5% of NGT/NET are placed accidentally in the lungs. This results in 30% of an infected lung (pneumothorax). https://escatter11.fullerton.edu/nfs/show_user.php?userid=3565748 The misplacement in the lungs can even occasionally result in the death of a patient.
Healthcare providers must therefore assess the risk and employ the highest quality of care and safety methods.

post pyloric feeding tube place This article will discuss the signs of feeding tube displacement, as being aware of the dangers and ways to confirm. The ENvue system is a new technology that lets medical professionals to navigate a tube safely and avoids complications.

What are the Signs and Symptoms of an Incorrect NGT/NET?
Many signs such as increased breathing rate or blood pressure, asthma, coughs as well as heart rate rises and a decrease in oxygen saturation may all indicate that a feeding tube is wrongly located.

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



The blindness of feeding tube placement is the greatest risk for malposition. Thus, tube inspection is crucial for optimal safety and satisfaction.

To avoid complications later on To avoid further complications, doctors must immediately stop feeding through the tube in case they suspect the tube has been misplaced. There are a variety of methods to determine the appropriate tube position. Lung collapse feeding tube Each method's effectiveness should be assessed in relation to the individual patient.

How can you verify the safety of Enteral Feeding Tube Use
A proof-based approach should be employed to ensure that the correct positioning of NGT/NET tubes is verified prior to EN can begin. There are a number of proven methods to verify the placement of your tube, which include x-ray(radiography), pH, capnography and ultrasound.

A abdominal radiograph is the "gold gold" to verify the location of a nasal and nasoenteric feeding tube. The entire tube's route through the digestive tract can be visible here.


Based on the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports identified the use of pH aspirates or x-rays. 9.2 percent of the reports reported that they had used not-approved methods of verification (e.g., auscultation/injection of air bolus). The verifications are only carried out after the tube is been inserted.


Today, there are a variety of innovative systems that assist clinicians in the placement of feeding tubes. Advanced navigation methods are used to help place feeding tubes swiftly and safe. Certain devices incorporate sensors as well as body mapping. These devices are particularly useful for medical personnel.

New Technology for NGT/NET Navigation developed by ENvizion Medical
A promising NGT/NET placement device, ENvue(r), has been introduced to the market over the last few years. The system allows clinicians to securely place a feeding tube within the small intestine.

The ENvue Navigation System is made up of an electromagnetic field generator. It creates EM wave that covers the patient's thoraxand gastrointestinal tract, and lung. The EM field generator, combination with a variety of EM sensors, creates the bodymap of a particular patient and provides accurate illustrations even when the person is moving.

There is a second sensor embedded inside the tube's distal tip that activates once it enters the electromagnetic waves.


The ENvue system follows the tube sensor through the gastrointestinal tract . It it displays the location of the tip and the path to placement during placement.


ENvue documents indicate that each procedure begins with anatomical landmarks for the purpose of registering the patient. This makes it possible to navigate precisely and aligns them to the navigation system.

Envue's intuitive screen provides multiple simultaneously-views (Frontal Axial, Lateral, and Lateral). The screen shows a patient's body contour as well as the direction and orientation of the sensor all in real time and with no lagging. The ENvue system also warns users when the feeding tubes have been redirected incorrectly into the lung. This can cause them to take the tube out and then insert it back in.

https://myclc.clcillinois.edu/web/jeff_test/ttttttutoring/-/message_boards/message/48100711 There are many tools on the market for assessing the precise placement of NGT/NET, ENvue is different. It incorporates cutting-edge technology with precise body mapping sensors and continuous visual guidance. These tools make the process more efficient.


Read More: https://independent.academia.edu/PontoppidanMcIntyre1