Notes

How to Assess a Safe placement of a Nasogastric or Nasoenteric Tube and Its Complications

For safety reasons The nasogastric tube should be placed correctly to prevent injury or death. The latest technology and methods may help reduce the risks. Learn more.

safe nasogastric tube placement Beware of the Issues of Nasoenteric Tubes
A safe and secure placement of a Nasogastric or Nasoenteric tube demands the skills of a medical professional and high-quality accuracy. Flexible devices known as nasogastric or nasoenteric (NGT/NET) that pass through the nose and into the stomach (or small bowel) provide a healthy diet and medical treatment of seriously sick patients, or those who undergo surgery. These tubes can lead to problems, a Brazilian study proves.


Early treatment of NGT/NET is associated with decreased complications from infection, as well as the protection and strength of the mucosa of the gut, enhanced gastrointestinal motility, and an increase in immune responses.


NGT/NET also has the potential to positively affect the outcome of patients, wound healing, the severity of illness and complications, as well as shortening the ICU stay and decreasing the mortality rate. They can be helpful for older patients who are at nearing the end of their lives..

Beware of These 3 Mistakes Which Could reduce your Immune System
A Health Retreat Might Be the Most Effective Treatment
Benefits of Buying Health Insurance For Your Adults
A Healthy Lifestyle
Does Your Family Be Financially Stable if You Die?
NG/NE feeding tubes can be inserted with different techniques such as blind insertion guidance placement devices, endoscopy and fluoroscopy. They can be used to treat stomach decompression, medication administration, enteral nutrition (EN), and occasionally for gastric lavage.

Lung collapse feeding tube There are two major complications caused by malpositioning of the tube for feeding that are similar to some of the other issues with 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 small bowel feedings. In the current time 28 percent of tube malpositions result in pneumonia.
Inadvertent lung placement 2.5% of NGT/NET get stuck in the lung. This could lead to a 30% risk that the lung can collapse (pneumothorax). The misplacement in the lungs could occasionally cause death.
Healthcare professionals need to evaluate the risks and implement high-quality and safe care methods.

This article will present the indicators of feeding tube loss, the risks and methods for confirming the location. The article will also discuss the ENvue technology that assists medical professionals in properly navigating the tube for feeding to avoid any complications.

Lung collapse feeding tube What are the warning signs and symptoms of a lost NGT/NET
A variety of signs, like coughs, increased blood pressure, increased heart rate and respiratory rate, or reduced oxygen saturation could be a sign of the possibility of a misplaced feeding tube. [1]

Healthcare professionals must be able to regularly assess risks and put in place safety-related protocols.



A blind feeding tube placement carries the highest risk of improper placement. Tube verification is required to ensure the safety of patients.

To avoid complications later on, practitioners must immediately cease feeding through the tube if they suspect the tube has been misplaced. The correct placement of the tube can be assessed using various methods. Each technique's effectiveness must be evaluated in relation to the specific patient's situation.

How to Ensure Safe Enteral Feeding Tube Placement
A evidence-based method must be used to confirm that the correct placement of NGT/NET tubes is verified prior to EN can be initiated. There are a variety of valid methods for verification which include radiography, pH readings and capnography (ultrasound) and fluoroscopy.

A abdominal radiograph is the "gold gold" to confirm the location of a nasogastric as well as a nas feeding tube. This lets you see all the way the tube through the digestive system.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports mentioned the use of pH aspirates as well as x-rays. 9.2 percent of reports indicated that they used non-recommended methods of verification (e.g., auscultation/injection of the air bolus). It is worth noting that these verifications are performed only after the tube is already in position.


Nowadays, there are new technologies that aid clinicians with placing feeding tubes. The placement devices utilize advanced methods of navigation, some of which incorporate sensors and body mapping for safe and swift placement of the feeding tube. They provide more assistance to medical staff in the process.

ENvizion Medical has a new technology to enable NGT/NET navigation.
A promising NGT/NET placement device, ENvue(r), was launched to the market recently. This system aids clinicians to properly insert a feeding tube into the small intestinal.

The ENvue navigation device is outfitted with an electromagnetic (EM-) field generator that produces EM waves that penetrate the thorax of a patient and gastrointestinal tract. The EM field generator and a number of EM sensors work together to produce an outline of the body of the patient. They also provide precise drawings, even when a patient is moving.

A second sensor that is embedded in the distal part of the tube feeding activates when it enters the electromagnetic field.


The ENvue system follows the tube sensor throughout the gastrointestinal tract , and it displays the location of the tip and placement route during the process of placement.


ENvue records show that every procedure starts with anatomical landmarks for the purpose of registering the patient. This ensures precise navigation and aligns them to the navigation system.

The user-friendly screen of Envue provides three simultaneous views (Frontal, Axial, and Lateral). The screen displays the shape of a patient and the orientation and direction of the tube sensor in real time, with no slowing down. NG tube positioning The ENvue system warns users in the event that the tube for feeding is placed improperly in the airways. This can prompt users to take the tube off and then re-install it.

There are many options for assessing the precise position of NGT/NET. ENvue, however, is exclusive. NG tube positioning It incorporates cutting-edge technology with a precise body map sensors and continuous visual guidance. These innovations have transformed the process.


Website: https://www.facebook.com/ENvizionMed/