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How do you determine if it is safe? placement for Nasogastric or Nasoenteric Tube? Nasogastric or Nasoenteric Tube and the Complications it brings

To ensure that there is no risk of injury or deaths, naogastric feeding tubes must be placed in a safe manner. New techniques and methods may help to reduce complications.Read more to understand reasons why this could be the case.

The prevention of problems that are associated with nasoenteric tubes
A safe and secure placement of a Nasogastric or Nasoenteric tube demands the expertise of a medical professional and high-quality accuracy. The nasal gastric (NGT/NET), or nasal gastric tubes are flexible tubes that can be used to pass through the nose into the stomach, or the small intestinal (respectively). This permits for adequate nutrition as the medical treatment of patients who are seriously ill or who have had surgery. These tubes can lead to problems, a Brazilian study proves.


https://www.envizionmed.com/resources/articles/feeding-tube-insertion-and-the-risk-of-lung-collapse/ The early placement of NGT/NET is associated with less infectious complications, preservation and integrity of the mucosa in the gut increased gastrointestinal motility and increased immune reactions.


NGT/NET may also improve the outcomes of patients. It can aid in wound healing, minimize the number of complications and their severity, cut down on ICU durations, and could even lower mortality rate. They are particularly beneficial for patients who are nearing the end of their lives..

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NG/NE feeding tubes may be placed using a variety of methods, including blind insertion, guidance devices for placement, endoscopy and fluoroscopy. They can be used to treat gastrointestinal decompression, medication administration and enteral nutrition (EN), and occasionally to facilitate gastric lavage.

There are two major issues related to malposition of feeding tubes that are similar to some of the other problems with tubes:


Aspiration pneumonia: A person who is dependent on small bowel feedings or who has malposition of NGT/NET in their stomach is significantly increased risk of contracting pneumonia due to aspiration. https://www.envizionmed.com/resources/articles/how-to-assess-a-safe-placement-of-a-nasogastric-or-nasoenteric-tube-and-its-complications/ At present, 28% of tube malpositions result in pneumonia.
safe nasogastric tube placement Inadvertently misplaced lung 2.5% of NGT/NET get placed within the lungs, which can result in the risk of collapsed lung (pneumothorax). The misplacement of the lungs can even in rare cases, lead to death.
Healthcare providers should therefore be aware of the potential risks and utilize high-quality and safe care methods.

This article will discuss the symptoms of feeding tube loss, the risks and techniques for location verification. Additionally, it will present a novel technology, called the ENvue system that assists medical personnel in navigating a feeding tube correctly in order to avoid problems.

What Are the Signs and Symptoms of a Missing NGT/NET?
Numerous signs like increased blood pressure or respiratory rate, asthma, coughs heart rate elevations, and lower oxygen saturation could all indicate that a feeding tube is not properly placed.

Healthcare professionals must regularly review the safety risks and adopt safety-related procedures for patients.



The biggest risk for improper feeding results from blind tube placement. Tube verification is necessary to ensure safety for patients.

If they suspect that the tube is misplaced Doctors should immediately stop feeding through it. The correct position of the tube is determined using many techniques. Each technique's efficiency is a matter of comparing it to the patient's particular circumstance.

How to Verify Safe Enteral Feeding Tube Placement
Prior to initiating EN the correct NGT/NET tube positioning must be proven by using an evidence-based method. There are numerous verifiable methods of verification available which include radiography, pH readings, capnography (ultrasound), and fluoroscopy.

A radiograph of the abdomen is the best method to locate the location of a feeding tube. This is where the tube's complete route through the digestive system can be seen.


According to the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), 90.8% of reports identified the use of pH aspirates and x-rays. At the same time, 9.2% of the reports stated that they utilized non-recommended verification methods (e.g. inserting of air auscultation or bolus). https://www.sciencetimes.com/articles/43002/20230327/how-to-safely-place-a-post-pyloric-feeding-tube.htm These verifications should only be completed after the tube has been inserted.


Today, there are a variety of innovative technologies that aid clinicians with placing feeding tubes. Advanced navigation methods are used to place feeding tubes quickly and safely. Certain devices are equipped with sensors and body mapping. These devices are beneficial for medical professionals.

New Technology for NGT/NET Navigation by ENvizion Medical
A promising NGT/NET placement device, ENvue(r), was launched to the market in the past few years. This system helps clinicians securely insert a feeding tube into the small intestinal.

The ENvue navigation device is fitted with an electromagnetic (EM-) field generator that produces EM waves that cover the thorax of a patient as well as their digestive tract. The EM field generator in combination with various EM sensors produce a precise body map for the patient, and also provide accurate illustrations even when a patient moves.

There is an additional sensor embedded within the feeding tube distal tip which is activated upon it is in the vicinity of electromagnetic waves.


The ENvue system monitors the tube sensor throughout the digestive tract and displays the relative tip location and placement path during the process of placement.


ENvue documents show that every procedure starts by registering anatomical landmarks. This allows the patient to be aligned to the navigation systems and guarantees accuracy in navigation.

The user-friendly screen of Envue provides three simultaneously-views (Frontal, Axial, and Lateral). post pyloric feeding tube place In real-time, the screen displays the patient's anatomy and the direction of the tube sensor. There is no lagging. Moreover the ENvue system alerts users when the tube's feeding is not properly directed into the airways. This could lead them to remove and then reinsert the tube.

There are many tools available to help you determine the exact location of NGT/NET. ENvue, however, is exclusive. Through its innovative technology, it offers a very precise body map, sensors built-in as well as continuous visual guidance. These capabilities have helped change the method of navigation.


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