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

Nasogastric tubes have to be used with care to prevent injury or even death. Innovative techniques and the latest technology might reduce complications.Read more to discover why that may be the situation.

Reducing the Risks of Nasoenteric Tubes
Secure placement of a nasal or Nasoenteric tube requires the experience of a medical professional, and high precision. The nasogastric (NGT/NET), or nasal gastric tubes, are flexible tubes that can be inserted through the nose and into the stomach, or the small intestinal (respectively). It permits an adequate diet as well the medical treatment of patients suffering from severe illness or have undergone surgery. The tubes can lead to problems that can't be prevented. A Brazilian study has proved this .


The early introduction of NGT/NET may decrease the chance of contracting an infection, preserve gut mucosa integrity and improve the gastrointestinal motility.


NGT/NET can also have a positive impact on the outcome of patients, wound healing, the severity of illness and complications, as well as shortening the ICU stay as well as reducing the mortality rate. They can be 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, and guidance devices.

The malposition of the feeding tube can result in two major issues that are similar to the issues that are typical with other 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. Today 28% of tube malpositions can cause pneumonia.
post pyloric feeding tube place Inadvertent misplacement of the lung 2-5 percent of NGT/NET can be accidentally placed in the lungs. This results in a 30% chance of an edema of the lung (pneumothorax). The misplacement in the lungs may in rare cases, result in the death of a patient.
Healthcare providers must evaluate risks and make sure patients are secure and receive top-quality healthcare.

This article will outline the symptoms and the dangers of misplaced feeding tubes. small bowel feeding tube It also provides a method to confirm location. It will also introduce the ENvue technology, which assists medical personnel in navigating the tube for feeding to avoid any complications.

What are the signs and symptoms of an incorrect NGT/NET
Various signs, such as coughs, blood pressure increases, increased heart rate and respiratory rate, or a decrease in oxygen saturation, may indicate a feeding tube misplacement. [1]

Healthcare workers should regularly review the risks to patients and follow safety procedures.



The most significant risk of misposition results from inexperienced feeding tube placement. For optimal patient safety and satisfaction, tube verification is essential.

Practitioners must stop feeding through the tube immediately in the event that they believe it is not correctly placed. This will avoid more issues. The correct position of the tube is determined using many techniques. Each technique's effectiveness is a matter of comparing it to the patient's individual circumstance.

small bowel feeding tube How to Ensure Safe Enteral Feeding Tubes Placement
An evidence-based method is required to ensure the proper positioning of NGT/NET tubes prior to when EN can be initiated. There are numerous trustworthy methods to verify this, including x-ray(radiography) pH reading, capnography, ultrasound and fluoroscopy.

post pyloric feeding tube place An abdominal radiograph is the "gold gold" to verify the location of a nasogastric as well as a nas feeding tube. This is where the tube's complete path through the digestive system is visible.


The Pennsylvania Patient Safety Reporting System (January 2017, through June 2020) revealed that 90.8 percent of the patients had reported the use of xrays and pH aspirates. 9.2% of reports also mentioned that they utilized non-approved methods for verification (e.g. injection or auscultation of air bolus). This verification can only be performed after the tube has been inserted.


There are many innovative technologies that could be utilized to assist doctors in placing feeding tubes. These devices use advanced techniques for navigation, like sensors and body mapping to guarantee secure and swift tube placement. These devices can provide greater assistance to medical professionals.

New Technology for NGT/NET Navigation ENvizion Medical
The ENvue (r) NGT/NET placement system has been on the market for a while. It aids the doctor in placing a tube for feeding securely in the small intestine.

The ENvue navigation system is an electromagnetic (EM) field generator which emits EM waves that cover the patient's thorax as well as the digestive tract. The EM field generator together with other EM sensors create a specific body map of the patient and provides accurate illustrations even when a patient is moving.

There is an additional sensor embedded inside the tube's distal end that is activated when it is in the vicinity of electromagnetic waves.


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


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

The intuitive display of ENvue offers three simultaneous views (Frontal, Axial, and Lateral). In real-time, the screen shows patients' contours as well as the direction of the tube sensor. There's no lagging. The ENvue system warns users if the tube for feeding is placed wrongly in the airways. This could prompt users to take the tube off and reinstall it.

While there are a variety of tools available for assessing the precise placement of NGT/NET, ENvue is different. It combines innovative technology with precise body maps sensors and continuous guidance. These features have made the process much more efficient.

small bowel feeding tube
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