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How to determine a secure Placement for an Nasogastric tube or Nasoenteric Tube, and its Complications

For reasons of safety, the nasogastric feeding tube has to be placed in a safe manner to ensure that there is no risk of injury or death. Different techniques and new technology might help in reducing complications.Read more to understand reasons why this could be the situation.

Reducing the Risks of Nasoenteric Tubes
The safe placement of a Nasogastric or Nasoenteric tube requires the knowledge of a qualified medical professional, and high precision. small bowel feeding tube Flexible devices, nasogastric and the nasoenteric (NGT/NET) that go through the nose into the stomach (or small bowel) enable proper nutrition and medical treatment of seriously sick patients, and those who undergo surgery. There are a few issues associated with these tubes that could be avoided, as a study of Brazil exposes.


NGT/NET placement early is associated with lower incidences of infectious complications, protection in the integrity of the mucosa of the gut, and increased gastrointestinal motility as well as immune response.


NGT/NET can also have a positive impact on patient outcomes and wound healing, as well as disease severity and complications, in addition to reducing the ICU stay and reducing the mortality rate. They are especially beneficial for those in their final years.

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The feeding tubes NG/NE are available in a myriad of ways such as blind insertion, guidance placement devices, fluoroscopy and endoscopy. They are suitable to treat gastrointestinal disorders and drug administration.

Two major complications can be found with the malposition of feeding tubes. They are like other issues with tubes.


Aspiration pneumonia: the risk of developing aspiration pneumonia is greatly increased when there is NGT/NET in the stomach or in the esophagus for patients who require feedings for small bowels. As of today 28 percent of malpositions in the tube result in pneumonia.
Accidental lung misplacement. 2-5% of NGT/NET are inserted into the lungs by accident which can lead to a 30% risk of a collapsed lung (pneumothorax). safe nasogastric tube placement The misplacement of the lungs may, in rare instances, result in the death of a patient.
So, healthcare professionals have to examine risks and use the safety of patients and the quality of medical procedures.

This article will explain the symptoms of feeding tube leaks, dangers, and techniques for location verification. Furthermore, it will introduce an innovative technology, the ENvue system, which assists the medical teams in navigating an appropriate feeding tube to avoid complications.

What are the signs and Symptoms for a Missplaced NGT/NET
Numerous signs like increased blood pressure or respiratory rate, asthma, coughs, heart rate elevations and a decrease in oxygen saturation may all indicate that a feeding tube is misplaced.

Healthcare professionals must be able to regularly assess risks and put in place safety-related procedures.



A blind feeding tube placement carries the greatest risk for malposition. To ensure the safety of patients and convenience, tube verification is vital.

To prevent further complications Practitioners must stop immediately feeding through the tube if they suspect that the tube is not in the correct place. A variety of techniques can help determine the right tube placement. However, the effectiveness of each method should be considered in relation to the specific patient's needs.

How do you ensure the safety of tube placement for enteral feeding
A evidence-based method must be used to confirm that the proper placement of NGT/NET tubes is verified prior to EN can be initiated. You can employ a range of reliable verification methods, for example, x-ray(radiography), pH, capnography and ultrasound.

An abdominal radiograph is considered to be the "gold standard" for verifying the location of a nasogastric and nasoenteric feeding tube. It allows you to view all the way the tube through your digestive tract.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports mentioned the use of pH aspirates and xrays. Lung collapse feeding tube In addition, 9.2 percent of the reports indicated they had used methods of verification that were not recommended (e.g., insertion of air Auscultation/bolus). The verification can only be done once the tube is placed.


https://www.scienceworldreport.com/articles/62033/20230321/ng-tube-positioning-and-confirmation-for-safe-ng-feeding-tube-placement.htm Modern systems are in use that aid clinicians in placing the feeding tubes. Innovative navigation techniques are utilized to quickly place feeding tubes and safely. Certain devices are equipped with sensors as well as body mapping. They also provide assistance for medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation
A promising NGT/NET placement device, ENvue(r), has been introduced to the market recently. The system assists the clinicians in putting a feeding tube in a safe and secure way inside the small intestine.

The ENvue navigation device is equipped with an electromagnetic (EM-) field generator, which produces EM waves that cover the thorax of a patient as well as their gastrointestinal tract. The EM field generator, in conjunction with several EM sensors produce a precise body map of the patient and provides precise images even when a patient moves.

There is a second sensor embedded within the feeding tube distal end that is activated when it enters the electromagnetic waves.


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


ENvue reports indicate that every procedure begins with anatomical markers for the purpose of registering the patient. This permits precise navigation and also aligns them with the system of navigation.

The user-friendly screen of Envue can provide multiple simultaneous views (Frontal and Axial), The screen shows the outline of a patient and the direction and orientation of the tube sensor in real time with no slowing down. Moreover, the ENvue system alerts users when the feeding tube is not properly directed into the airways. This can trigger them to take it off and then reinstall the tube.

safe nasogastric tube placement Although there are numerous applications available to determine the exact location of NGT/NET, ENvue is different. This innovative technology combines body maps with built-in sensors and continuous guidance. These capabilities have revolutionized the way we work.


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