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How do you determine a safe placement of a Nasogastric/Naoenteric tube , and its complications

To ensure that there is no risk of injury or death, naogastric feeding tubes should be secured. New technology and techniques may decrease the dangers. Find out more.

Reducing the risks related to nasoenteric tubing
The secure use of a nasal or nasoenteric tube requires a trained medical professional and a high level of accuracy. Flexible devices such as nasogastric, and the nasoenteric (NGT/NET), which pass through the nose and into the stomach (or small bowel) permit proper nutrition as well as medical care for severely sick patients, or patients undergoing surgery. Unfortunately, there are complications with these tubes that can be prevented, as a study from Brazil illustrates.


NGT/NET placement early is associated with lower incidences of infection-related complications, preservation of gut mucosa integrity, and enhanced gastrointestinal motility and immune response.


small bowel feeding tube NGT/NET also has the potential to positively affect patient outcomes in terms of wound healing, complications and severity, and may also help in reducing the ICU stay and decreasing the mortality rate. They are especially beneficial for elderly patients towards the end.

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The NG/NE feeding tube is inserted using a variety of methods, such as blind insertion as well as guidance devices.

There are two major issues associated with feeding tube malposition, which are similar to some of the other complications that tube problems can cause:


Aspiration pneumonia: The misposition of NGT/NET within the esophagus, or the stomach of a patient that requires small bowel feeds significantly increases the chance of having aspiration pneumonia. Today pneumonia is caused by 28 percent of tube malpositions.
Inadvertently placed lungs 2-5 percent of NGT/NET are accidentally placed in the lung. This could result in a 30% risk that the lung will fall down (pneumothorax). In some rare cases, the misplacement of NGT/NET can result in death.
So, healthcare professionals have to evaluate risks and implement patient safety and quality treatment methods.

This article will discuss the signs and risks of misplaced feeding tubes. safe nasogastric tube placement It also describes how to verify the location. The ENvue system is a cutting-edge technology that allows medical professionals to navigate a tube in a safe manner and avoid any complications.

small bowel feeding tube What are the warning signs and symptoms of a misplaced NGT/NET
Many signs such as increased breathing rate or blood pressure, asthma, coughs, heart rate elevations and decreased oxygen saturation can all be signs the feeding tube may be not properly placed.

post pyloric feeding tube place Healthcare workers should regularly review risks and put in place safety-related protocols.



The greatest risk of malposition is from blind feeding tube placement. To ensure patient safety and convenience, tube verification is vital.

To avoid any further complications Practitioners must stop immediately feeding the tube if they suspect the tube has been misplaced. The correct placement of the tube can be identified using a variety of methods. Each technique's effectiveness should be assessed in light of the specific patient's circumstance.

How to Ensure Safe Enteral Feeding Tube Positioning
Before initiating EN The correct NGT/NET tube positioning must be established using an evidence-based approach. There are a variety of trustworthy methods to verify this, including x-ray(radiography), pH reading, capnography ultrasound and fluoroscopy.

An abdominal radiograph is the "gold standard" to verify the location of a nasogastric and nasoenteric feeding tube. The entire route of the tube through the digestive tract is observed here.


According to the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) The use of an x-ray machine and pH aspirates were identified in 90.8% of the reports. 9.2% of reports also indicated that they used unapproved methods of verification (e.g. injection or auscultation of air bolus). This verification can only be performed when the tube is inserted.


Today, there are a variety of innovative methods that aid clinicians in placing feeding tubes. NG tube positioning These devices employ advanced techniques for navigation, like sensors as well as body mapping to guarantee secure and swift tube placement. These devices can provide greater assistance for medical personnel.

ENvizion Medical has a new technology that allows for NGT/NET navigation.
In recent time, a new NGT/NET placement system known as ENvue(r) was released on the market. The system allows clinicians to securely place a feeding tube within the small intestine.

The ENvue navigation device is fitted with an electromagnetic (EM-) field generator that produces EM waves that cover the thorax area of the patient and also their gastrointestinal tract. The EM field generator along with a range of EM sensors combine to create an image of the body of the patient. They also provide exact images, even when the patient is moving.

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


The ENvue tracking system follows the tube sensors through the digestive tract and shows the relative position of the tip and placement pathway during the placement.


ENvue documents indicate that each procedure begins with anatomical markers to record the patient. This allows for precise navigation and aligns them to the system of navigation.

The intuitive screen of ENvue offers multiple views simultaneously (Frontal Axial as well as Lateral). The screen displays a person's body contour along with the direction and orientation of the tube sensor, in real-time , with no lags. Furthermore the ENvue system alerts users whenever the tube's feed is not properly directed into the airways. This can lead them to remove and re-insert the tube.

There are a variety of tools to precisely assess the NGT/NET position. ENvue, however, is exclusive. It combines innovative technology with a precise body map sensors and continuous visual guidance. These options have made the process more efficient.


Homepage: https://www.sciencetimes.com/articles/42390/20230214/feeding-tube-insertion-and-the-risk-of-lung-collapse.htm