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What is the best way to determine a safe placement of a Nasogastric/Naoenteric tube , and its complications

To ensure that there is no risk of injury or death, naogastric tubes should be properly placed. There are many ways to prevent complications. Learn more.

The prevention of problems that are that are caused by nasoenteric tubes
A professional medical practitioner is required to ensure the safe placement of the nasogastric or nasoenteric tube. It is also essential to be exact. Nasogastric tubes or nasoenteric tube (NGT/NET) are tubes that are flexible and pass through the nose distally into the small bowel or stomach (respectively) and allow an adequate diet and medical treatment of patients who are critically ill or undergoing surgery. These tubes can lead to problems, a Brazilian study proves.


The prompt placement of NGT/NET can reduce the chance of contracting an infection and preserve the integrity of the gut mucosa and improve the gastrointestinal motility.


NGT/NET may also positively impact the outcomes of patients, enhance wound healing, reduce the severity of illness and complications reduce the duration of hospitalization in the ICU and could even decrease the mortality rate. They can be useful for patients who are towards the end.

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The feeding tubes for NG/NE can be inserted with different techniques that include blind insertion, endoscopy, guidance devices and fluoroscopy. They can be used to treat decompression of the gastrointestinal tract, administration of medications and enteral nutrition (EN), and occasionally to facilitate gastric lavage.

There are two major complications that are associated with malpositioning of the feeding tube that are similar to some of the other problems with tubes:


Aspiration pneumonia: the risk of developing aspiration pneumonia is increased when there is NGT/NET within the stomach or in the esophagus for patients who require feedings for small bowels. In the present pneumonia is caused by 28 percent of malpositions of tubes.
Inadvertent misplacement of the lung 2.5% of NGT/NET get placed within the lungs, which results in a 30% chance of an infected lung (pneumothorax). Sometimes, misplacement may cause death.
Healthcare providers must therefore assess the risk and employ patient safety and quality care methods.

This article will explain the indicators of feeding tube leaks, dangers, and techniques for location verification. small bowel feeding tube The ENvue system is an innovative technology that allows medical personnel to navigate the feeding tube in a safe manner and avoid any complications.

What are the signs and Symptoms of a Missplaced NGT/NET
Different signs, like coughs, elevated blood pressure as well as an increase in heart rate and respiratory rate, or reduced oxygen saturation could be a sign of a feeding tube misplacement. [1]

Healthcare workers must regularly analyze risks and put in place safety-related protocols.



The most significant risk of improper feeding results from blind tube placement. Tube verification is essential to ensure safety for patients.

If they suspect that the tube is not in the correct place, doctors should immediately stop feeding it. Many techniques can determine the right tube placement. However, the effectiveness of each method must be evaluated in relation to the specific patient's needs.

How can you confirm the safety of tube placement for the feeding of the enteral tube
Prior to initiating EN The correct NGT/NET tube placement must be proven with 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 most effective way to confirm the position of the feeding tube. The tube's entire route through the digestive tract can be visible here.


post pyloric feeding tube place According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports reported the use of pH aspirates and xrays. In addition, 9.2 percent of the reports indicated they had used methods of verification that were not recommended (e.g. the insertion of an air bolus or auscultation). It is important to mention that these verifications take place only after the tube has been already placed.


Nowadays, there are new devices that aid clinicians in the placement of feeding tubes. The devices for placement employ sophisticated methods of navigation, some include sensors as well as body mapping to ensure safe and fast placement of the tube. These devices are beneficial to medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation
A promising NGT/NET placement device, ENvue(r),, was introduced to the market in recent years. It allows clinicians to successfully introduce a feeding tube into the small intestine.

The ENvue navigation device is outfitted with an electromagnetic (EM-) field generator that emits EM waves that cover the thorax of the patient as well as their gastrointestinal tract. The EM field generator, conjunction with various EM sensors, creates an exact bodymap for the patient and offers accurate drawings even in the event of a person's movement.

There is a second sensor embedded in the tube's distal tip that activates once it is in the vicinity of electromagnetic waves.


The ENvue tracking system follows the tube's sensor throughout the gastrointestinal tract, and displays relative tip position and pathways for placement during the procedure.


ENvue records show that each procedure begins with the anatomical landmarks' registration. This helps align the patient with the navigation systems and guarantees exact navigation.

The intuitive screen of ENvue allows for multiple views simultaneously (Frontal Axial and Lateral). In real-time, the screen displays the contours of the patient as well as the orientation of the tube sensor. post pyloric feeding tube place Lung collapse feeding tube There is no lag. The ENvue system alerts users when the tube feeding device is placed wrongly in the airways. It could trigger them to remove the tube and then re-install it.

https://www.sciencetimes.com/articles/42390/20230214/feeding-tube-insertion-and-the-risk-of-lung-collapse.htm Although there are several applications available to determine the exact location of NGT/NET, ENvue is different. Utilizing cutting-edge technology, it offers a very precise body map, sensors built-in as well as continuous visual guidance. These tools have made the process more efficient.


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