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

To prevent injury or even deaths, naogastric feeding tubes should be properly placed. There are numerous ways to reduce the risk of complications. Learn more.

Avoiding the Problems of Nasoenteric Tubes
Safe placement of a Nasogastric or Nasoenteric tubes requires the knowledge of a qualified medical professional and high-quality accuracy. Nasogastric and nasoenteric tubes (NGT/NET) are flexible devices that pass through the nose, distally, into the small bowel or stomach (respectively) which allows an adequate diet and medical treatment of seriously ill or surgically treated patients. https://www.sciencetimes.com/articles/42390/20230214/feeding-tube-insertion-and-the-risk-of-lung-collapse.htm There are a few issues caused by these tubes which can be prevented, as a study from Brazil highlights.


The timely placement of NGT/NET can reduce the risk of infection, preserve gut mucosa integrity and increase gastrointestinal mobility.


NGT/NET could also have a positive impact on patient outcomes, improve the healing process, reduce the severity of disease and complications, shorten the length of hospitalization in the ICU and could even decrease the mortality rate. They are beneficial for older patients who are nearing the end of their lives..

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NG/NE feeding tubes may be inserted with different techniques including 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 for gastric lavage.

small bowel feeding tube There are two major problems associated with feeding tube malposition Similar to some of the other complications that tube problems can cause:


Aspiration pneumonia: The possibility of developing aspiration-related pneumonia is increased by the presence of NGT/NET in the stomach or in the esophagus of patients who require feedings for small bowels. As of today 28% of tube malpositions lead to pneumonia.
Inadvertently placed lungs: 2-5% of NGT/NET can accidentally enter the lungs. This could lead to a 30% chance that the lung will collapse (pneumothorax). Sometimes, misplacement may cause death.
Healthcare professionals must assess risks and make sure patients are secure and receive the best care.

This article will discuss the symptoms of feeding tube leaks, dangers, and methods for confirming the location. It will also introduce an innovative technology, the ENvue system, which assists the medical teams in navigating a feeding tube correctly in order to avoid problems.

What are the signs and Symptoms of a Misplaced NGT/NET?
Numerous signs like increased breathing rate or blood pressure, asthma, coughs heart rate elevations, and decreased oxygen saturation could all be indicators that the tube feeding you is not properly placed.

Healthcare workers are required to analyze potential hazards and develop safety procedures.



The blindness of feeding tube placement is the greatest risk for improper placement. To ensure the safety of patients and ease of use, tube verification is necessary.

To avoid further complications to avoid any further complications, physicians must stop feeding through the tube when they suspect that there is a misplacement. There are many ways to determine the correct placement of your tube. safe nasogastric tube placement The effectiveness of each technique must be evaluated in light of the individual patient.

How to Ensure Safe Enteral Tub Feeding
A method based on evidence is needed for confirming the correct positioning of NGT/NET tubes prior to when EN can begin. NG tube positioning NG tube positioning There are a variety of reliable verification methods including: x-ray(radiography), Capnography, pH reading ultrasound, and fluoroscopy.

A abdominal radiograph may be used to confirm the location of a nasogastric or nasoenteric tube. The entire tube's route through the digestive tract can be observed in this image.


The Pennsylvania Patient Safety Reporting System (January 2017, through June 2020) discovered that 90.8% reported the use of an xray and pH aspirates. 9.2 percent of the reports mentioned that they utilized unapproved methods of verification (e.g. Lung collapse feeding tube Auscultation/injection of the air bolus). This verification can only be done after the tube has been inserted.


Today, there are innovative systems available to aid clinicians when placing feeding tubes. They use sophisticated navigation methods, such as sensors as well as body mapping, to ensure safe and quick feeding tube placement. They also provide assistance to medical professionals.

ENvizion Medical has a new technology for NGT/NET navigation
In the last couple of years, a promising NGT/NET positioning system called ENvue(r) was made available for sale. The system aids clinicians in placing a feeding tube without risk in the small intestinal tract.

The ENvue navigation system is comprised of an electromagnetic (EM) field generator that emits EM waves that cover the patient's thorax and gastrointestinal tract. The EM field generator, when used in conjunction with several EM sensors, generates an exact bodymap for the patient and offers accurate drawings even when a person moves.

The distal end of a feeding tube is an embedded sensor, which is activated when electromagnetic waves enter it.


The ENvue tracking system tracks the tube sensors through your digestive tract and displays the relative position of the tip and path of placement during the process of placement.


ENvue records show that every procedure begins with anatomical markers to identify the patient. This makes it possible to navigate precisely and aligns them to the navigation system.

Lung collapse feeding tube The user-friendly screen of ENvue provides multiple views at once (Frontal Axial and Lateral). The screen displays the shape of a patient's body and the direction and orientation of the tube sensor in real-time without lagging. The ENvue system alerts users when the feeding tube is positioned wrongly in the airways. It could trigger users to take the tube off and then re-install it.

Although there are several tools available for assessing the precise placement of NGT/NET, ENvue is different. It is a revolutionary tool that combines a precise body map, sensors and continuous visual guidance. The features have revolutionized the way people use their devices.


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