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How to assess a safe placement of a Nasogastric/Naoenteric tubing and its complications

To prevent injury or even death, naogastric tubes must be placed in a safe manner. New techniques and methods might help in reducing complications.Read more to discover what could be the reason for this scenario.

Preventing the Issues of Nasoenteric Tubes
The proper placement of a nasogastric , or nasoenteric tube is dependent on a medical practitioner with the highest level of precision. The nasal gastric (NGT/NET) also known as nasal gastric tubes are flexible tubes that can pass through the nose and into the stomach or the small intestinal (respectively). It permits for adequate nutrition as in medical care for patients with serious illness or who have undergone surgery. They can also cause problems, a Brazilian study shows.


Lung collapse feeding tube Early treatment of NGT/NET is associated with reduced complications from infection, as well as the protection and strength of the gut mucosa and improved gastrointestinal motility and an increase in immune responses.


NGT/NET could also improve the outcomes of patients. It can improve wound healing, lessen the number of complications and their severity, cut down on ICU stay lengths, and could even lower mortality rate. They are beneficial for older patients at the end.

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NG/NE feeding tubes are placed using a variety of methods, including blind insertion, guide placement devices, endoscopy, and fluoroscopy, and they are used for decompression of the gastrointestinal tract, administration of medications as well as enteral nutrition (EN) and sometimes to facilitate gastric lavage.

Malposition of the tube feeding can lead to two major problems, similar to the problems that occur with other tubes .


Aspiration pneumonia: A misposition of NGT/NET within the esophagus, or the stomach of a patient that requires small bowel feeds significantly increases the risk of aspiration pneumonia. At present, 28 percent of malpositions in the tube result in pneumonia.
Inadvertently, the lungs are misplaced. 2 to 5 percent of NGT/NET get placed in the lungs through accident which can lead to a 30% risk of an enlarged lung (pneumothorax). The misplacement of the lungs may at times result in death.
So, healthcare professionals have to evaluate risks and implement patient safety and quality care methods.

https://www.pcb.its.dot.gov/PageRedirect.aspx?redirectedurl=https://canvas.instructure.com/eportfolios/1942044/Home/From_NG_Tube_Positioning_System_to_Nasal_Spray_the_Top_Medical_Devices_for_2022_ This article will highlight the symptoms of feeding tube loss, the risks and the methods to confirm location. It will also present the ENvue technology that aids medical teams to navigate a feeding tube in order to avoid problems.

What are the warning signs and symptoms of an incorrect NGT/NET
Various signs, such as coughs, blood pressure increases and heart rate, as well as a higher respiratory rate, or reduced oxygen saturation, may indicate the existence of a feeding tube that is not properly placed. [1]

Healthcare workers are required to analyze the risks to patients and follow safety procedures.



The greatest risk of incorrect feeding comes from blind tube placement. This is why tube inspection is essential to ensure patient safety and comfort.

The doctor must stop feeding through the tube as soon as possible if they suspect it is not placed correctly. This will avoid the possibility of problems. There are many methods to determine the correct placement of your tube. Each method's effectiveness should be assessed in the light of the patient's individual needs.

How can you confirm safe tube placement during an enteral feed
An evidence-based approach must be used to verify that the correct placement of NGT/NET tubes is verified prior to EN is able to be started. There are numerous verifiable methods of verification that can be used, such as x-ray(radiography) pH reading, capnography ultrasound and fluoroscopy.

A radiograph of the abdomen can be used to confirm the position of a nasogastric tube. safe nasogastric tube placement The tube's complete route through the digestive system is visible.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports identified the use of pH aspirates and xrays. 9.2 percent of the reports reported that they utilized non-approved verification methods, such as placing an air bolus/auscultation. This verification only occurs after the tube has been inserted.


Today, there are innovative systems available to assist clinicians with placing a feeding tube. They use sophisticated techniques for navigation, like sensors and body mapping to ensure the safety and speed of tube placement. small bowel feeding tube These provide greater assistance medical personnel during the process.

New Technology for NGT/NET Navigation by ENvizion Medical
The ENvue (r) NGT/NET placement system has been on the market for some time. The system allows clinicians to safely place a feeding tube inside the small intestinal tract.

The ENvue Navigation System is made up of an electromagnetic field generator. It emits EM wave that covers the patient's thoraxand gastrointestinal tract, and lung. The EM field generator in combination with several EM sensors create a specific body map of the patient's body and provide precise illustrations, even when the patient moves.

A second sensor that is embedded in the distal end of the tube feeding will activate when it is in the electromagnetic field.


https://www.transtats.bts.gov/exit.asp?url=https://notes.io/q7uXM The ENvue tracking system follows the tube's sensor throughout the digestive tract and shows the position of the tip relative to the route of placement throughout the placement.


According to ENvue's data the procedure begins with a basic registration using anatomical landmarks that connect the patient with the navigation system, and allows for exact navigation.

The user-friendly screen of Envue provides three simultaneous views (Frontal Axial, Lateral, and Lateral). The screen displays the shape of a patient and the direction and orientation of the tube sensor in real time, with no lagging. The ENvue system also informs users when the feeding tubes are not properly directed into the lungs. This could cause them to pull the tube out and re-insert it.

There are many tools on the market for assessing the precise placement of NGT/NET, ENvue is different. This revolutionary technology blends a body map with built-in sensors, and continuously guiding the user. These features have come to alter the process.


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