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

For safety reasons For safety, the nasogastric tube must be properly placed to avoid injury or even death. The latest technology and methods may help reduce the risks. Find out more.

The prevention of problems associated with Nasoenteric Tubes
The safe placement of a Nasogastric or Nasoenteric tube demands the knowledge of a qualified medical professional with high precision. The nasogastric (NGT/NET), or nasal gastric tubes, are flexible devices that be used to pass through the nose into the stomach, or the small intestinal (respectively). It allows for adequate nutrition as the medical treatment of patients with serious illness or who have undergone surgery. They can also cause complications, a Brazilian study shows.


The earlier placement of NGT/NET can reduce the chance of getting infections, preserve gut mucosa integrity and improve the gastrointestinal motility.


NGT/NET also can positively affect patient outcomes, increase healing of wounds, decrease disease severity and complications also, reducing the length of stay in the ICU and may even lower the mortality rate. post pyloric feeding tube place They are beneficial for elderly patients at the dying.

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The feeding tubes for NG/NE can be installed using different methods, including blind insertion, guide placement devices, endoscopy and fluoroscopy. They they are used for gastrointestinal decompression, medication administration or enteral nutrition (EN) and sometimes to facilitate gastric lavage.

Two major complications are associated with feeding tube malposition. They are similar to other issues with tubes.


Aspiration pneumonia: the risk of developing aspiration-related pneumonia is enhanced by the presence of NGT/NET inside the stomach or in the esophagus for patients who require small bowel feedings. As of today 28% of tube malpositions lead to pneumonia.
Inadvertent lung placement: 2-5% of NGT/NET are accidentally placed in the lungs. This could lead to a 30% risk that the lung could collapse (pneumothorax). Rarely, misplacement can cause the death of a patient.
Therefore, healthcare providers must evaluate risks and implement patient safety and quality of treatment methods.

This article will discuss the indicators of feeding tube leaks, dangers, and techniques for location verification. In addition, it will introduce a revolutionary technology, the ENvue system, that aids medical teams navigate the proper feeding tube in order in order to avoid problems.

What are the signs and Symptoms of a Missing NGT/NET?
small bowel feeding tube A malfunctioning feeding tube could be spotted by a range of signs, such as coughing, high blood pressure, increased heart beat and respiratory rate and lower oxygen saturation and a rise in blood pressure.

Healthcare workers must periodically assess hazards and implement security-related protocols for patients.



The biggest risk of misposition is due to blind feeding tube placement. Tube verification is necessary to ensure the safety of patients.

Practitioners must stop feeding through the tube immediately if they suspect it is not correctly placed. This will prevent the possibility of issues. Many techniques can determine the proper tube placement. However, the effectiveness of every technique should be considered in relation to the specific patient's needs.

How to Ensure Safe Enteral Feeding Tube Placement
A evidence-based method must be utilized to confirm that the correct placement of NGT/NET tubes is verified prior to EN is able to be started. NG tube positioning There are a number of proven methods to verify the placement of your tube, for example, x-ray(radiography), pH, capnography and ultrasound.

Lung collapse feeding tube A radiograph of the abdomen is the "gold standard" to confirm the location of a nasogastric or nasoenteric feeding tube. In this case, the tube's entire journey through the digestive tract can be seen.


The Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) revealed that 90.8 percent reported the use of an xray and pH aspirates. At the same time, 9.2% of the reports indicated the use of non-recommended verification techniques (e.g. placing an air bolus/auscultation). This verification can only be performed once the tube is placed.


There are now innovative systems that assist clinicians in the placement of feeding tubes. Modern navigation techniques are employed to place feeding tubes quickly and safe. Certain devices incorporate sensors and body mapping. They can provide better assistance for medical professionals during the process.

ENvizion Medical introduces new technology for NGT/NET Navigation.
A promising NGT/NET placement device, ENvue(r), has been introduced to the market in the past few years. The system permits doctors to securely place a feeding tube into the small intestine.

The ENvue navigation system comprises an electromagnetic (EM) field generator that emits EM waves that cover the thorax of the patient and the gastrointestinal tract. The EM field generator, combination with a variety of EM sensors, creates the bodymap of the specific patient and offers accurate drawings even when the person is moving.

There is an additional sensor in the tube's distal tip , which activates when it is in the vicinity of electromagnetic waves.


The ENvue tracking system follows the tube sensors through your gastrointestinal tract and displays the position of the tip relative to the pathways for placement during the procedure.


According to the ENvue's documentation the procedure begins with a simple registration using anatomical landmarks to align the patient with the navigation system and provides exact navigation.

The user-friendly screen of ENvue allows for multiple views simultaneously (Frontal Axial and Lateral). In real-time, the screen displays patients' contours as well as how the tube is positioned on the sensor. There is no lag. Additionally the ENvue system alerts users when the feeding tube is not properly directed into the airways, which may prompt them to withdraw and then reinsert the tube.

ENvue provides a unique approach to accurately evaluate NGT/NET placement. There are numerous tools available. It is a revolutionary tool that combines precise body mapping sensors and continuous visual guidance. The features have revolutionized the way we work.


Website: https://www.scienceworldreport.com/articles/62033/20230321/ng-tube-positioning-and-confirmation-for-safe-ng-feeding-tube-placement.htm