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What is the best way to determine a safe placement of a nasal tube and its complications

Nasogastric feeding tubes should be placed safely to avoid harm or death. Different techniques and new technology might help in reducing complications.Read more to discover why that may be the scenario.

The prevention of problems that are that are caused by nasoenteric tubes
The safe placement of a nasogastric or nasal tube requires a professional medical practitioner and a high level of accuracy. Nasogastric tubes or nasoenteric tube (NGT/NET) are tubes that are flexible and pass through the nose distally to the small bowel or stomach (respectively) and allow the proper nutrition and medical treatment of critically ill patients or surgical patients. The tubes could cause complications, a Brazilian study proves.


Early placement of NGT/NET is associated with decreased infectious complications, preservation and strength of the gut mucosa as well as improved intestinal motility and increased immune reactions.


NG tube positioning NGT/NET could also be beneficial to patient outcomes. It may improve wound healing, lessen the severity and complications, decrease ICU durations, and even lower the mortality rate. small bowel feeding tube They are beneficial for elderly patients at the dying.

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The feeding tube NG/NE can be installed using a variety techniques, including blind insertion and guidance placement devices.

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


Aspiration pneumonia: The chance of developing aspiration-related pneumonia is enhanced by the presence of NGT/NET in the stomach or in the esophagus in patients who require feedings for small bowels. NG tube positioning At present, 28% of tube malpositions result in pneumonia.
Accidental lung misplacement. 2 to 5 percent of NGT/NET can be placed into the lungs accidentally which can lead to the risk of a collapsed lung (pneumothorax). http://www.drugoffice.gov.hk/gb/unigb/www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm Rarely, misplacement can cause death.
Healthcare professionals must be aware of risks and ensure that patients are safe and receive the best care.

This article will discuss the dangers and signs of misplaced or misplaced feed tubes. It also provides a method to confirm that the tube is in its proper location. It will also present a novel technology, called the ENvue system, which assists medical personnel in navigating the correct feeding tube to avoid any complications.

What are the signs and symptoms of a misplaced NGT/NET?
Many signs such as increased blood pressure or respiratory rate, asthma, coughs as well as heart rate rises and decreased oxygen saturation can all indicate the feeding tube may be not properly placed.

Healthcare professionals must be able to regularly assess the risks to patients and follow safety protocols.



The biggest risk of malposition is due to blind feeding tube placement. For optimal patient safety and comfort, tube verification is essential.

If doctors suspect the tube is not in the correct place the doctor should stop feeding it. The correct placement of the tube can be identified using a variety of methods. Each technique's efficiency is a matter of comparing it to the patient's particular situation.

How to Ensure Safe Enteral Feeding Tub Location
Before initiating EN The correct NGT/NET tube position must be established using an evidence-based process. There are many valid methods for verification such as radiography, pH readings as well as capnography (ultrasound) and fluoroscopy.

A abdominal radiograph is the "gold standard" to confirm the location of a nasogastric as well as a nas feeding tube. https://musescore.com/user/63684586 This allows you to observe all the way the tube throughout your digestive system.


The Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) identified that 90.8 percent of patients reported using of the xrays and pH aspirates. 9.2 percent of reports indicated that they used not-approved methods of verification (e.g. injection or auscultation of the air bolus). The verifications are only done after the tube has been placed.


There are now innovative technologies that aid clinicians with the placement of feeding tubes. The placement devices utilize advanced methods of navigation. Some of which incorporate sensors and body mapping to ensure safe and swift placement of the feeding tube. These devices are especially useful to medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation.
The ENvue (r) NGT/NET placement system has been available on the market for some time. The system allows clinicians to safely place a feeding tube into the small intestinal tract.

The ENvue navigation device is outfitted 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, in conjunction with several EM sensors produce a precise body map for the patient, and also provide precise illustrations, even when the patient moves.

The distal tip of a feeding tube has an embedded sensor that activates the moment electromagnetic waves hit it.


The ENvue system monitors the tube sensor throughout the gastrointestinal tract and displays the tip's location and placement path during the placement.


ENvue documents show that every procedure starts with the anatomical landmarks' registration. This aligns the patient with the navigation systems and assures precise navigation.

Envue's intuitive screen can display multiple views simultaneously (Frontal and Axial), The screen shows the outline of a patient , as well as the direction and orientation of the tube sensor in real-time, with no lagging. The ENvue system alerts patients if the tube feeding device is placed wrongly in the airways. It could trigger them to unplug the tube and then re-install it.

There are many options to help you determine the exact location of NGT/NET. ENvue, however, is distinctive. It combines innovative technology with a precise body map, sensors and continuous visual guidance. These options help make the process more efficient.


Website: http://www.drugoffice.gov.hk/gb/unigb/www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm