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How to Assess a Safe Placement of the Nasogastric or Nasoenteric Tube and its Complications

For safety reasons The nasogastric tube has to be placed in a safe manner to avoid injury or even death. small bowel feeding tube Modern technology and techniques can decrease the dangers. Learn more.

The prevention of problems associated with Nasoenteric Tubes
Safe placement of a Nasogastric or Nasoenteric tubes requires the skills of a medical professional and high-quality accuracy. The nasal gastric (NGT/NET), or nasal gastric tubes are flexible devices that pass through the nose and into the stomach or small intestinal (respectively). This permits for adequate nutrition as in medical care for patients who are critically ill or have had surgery. post pyloric feeding tube place They can also cause problems, a Brazilian study shows.


NG tube positioning The timely introduction of NGT/NET may minimize the risk of infection as well as preserve the integrity of gut mucosa and improve the gastrointestinal motility.


NGT/NET can also improve the outcomes of patients. It can aid in the healing process, decrease problems and severity, and reduce ICU time-outs and can even lower mortality rate. They are especially beneficial for those who are nearing the end of their lives..

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NG/NE feeding tubes are available in a range of methods such as blind insertion, guidance placement devices, fluoroscopy as well as endoscopy. They are used to treat gastrointestinal disorders and drug administration.

There are two major issues associated with feeding tube malposition and are similar to other complications that tube problems can cause:


Aspiration pneumonia: the risk of developing aspiration pneumonia is enhanced by the presence of NGT/NET in the stomach or in the esophagus of patients that require feedings for small bowels. In the current time, 28% tube malpositions lead to pneumonia.
Inadvertently placed lungs: 2-5% of NGT/NET are accidentally placed in the lung. This can lead to the possibility that the lung could collapse (pneumothorax). In rare cases, misplacement could lead to death.
safe nasogastric tube placement Healthcare professionals must assess risks and make sure patients are secure and receive high-quality care.

This article will explain the symptoms and the dangers of misplaced or misplaced feed tubes. It also explains how to determine the location. It will also introduce the ENvue technology that aids medical professionals in properly navigating a feeding tube to prevent complications.

What are the signs and symptoms of a lost NGT/NET
Different signs, like coughs, elevated blood pressure and heart rate, as well as a higher respiratory rate, or reduced oxygen saturation, can indicate a feeding tube misplacement. [1]

Healthcare workers need to regularly evaluate the risks and develop the appropriate safety measures for patients.



The biggest risk of misposition comes from blind feeding tube placement. Tube verification is necessary in order to guarantee the safety of patients.

To prevent further complications To avoid further complications, doctors must immediately stop feeding the tube if they suspect that there is a misplacement. The correct placement of the tube can be determined using many techniques. Each method's efficacy is a matter of comparing it to the patient's particular circumstance.

How to Verify Safe Enteral Feeding Tubes Placement
Before initiating EN to conduct EN, the accuracy of NGT/NET tube placement must be proven with an evidence-based approach. There are numerous verifiable methods of verification available which include radiography, pH readings or capnography (ultrasound), and fluoroscopy.

A radiograph of the abdomen is the best method to determine the location of a feeding tube. Lung collapse feeding tube The entire tube's path through the digestive tract is visible in this image.


Based on the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), the use of the x-ray and pH aspirates was found in 90.8 percent of reports. However, 9.2% of the reports suggested that they utilized non-recommended verification methods (e.g. inserting of air bolus or auscultation). This verification can only be performed after the tube is in place.


Modern systems are in use to aid clinicians when placing feeding tubes. They use sophisticated navigation methods, such as sensors and body mapping to ensure an efficient and safe tube placement. They can provide better assistance to medical professionals in the process.

ENvizion Medical has a new technology for NGT/NET navigation
A promising NGT/NET device, ENvue(r), was launched to the market recently. This system helps clinicians properly insert a feeding tube within the small intestine.

The ENvue Navigation System is made up of an electromagnetic field generator. It creates EM wave that covers the patient's thorax, digestive tract, and lungs. The EM field generator in combination with various EM sensors generate a body map for the patient, and also provide precise images even when a patient is moving.

There is a second sensor embedded inside the tube's distal tip that activates once it is in the vicinity of electromagnetic waves.


The ENvue system tracks the tube sensor through the gastrointestinal tract and it displays the location of the tip and the placement path during placement.


Based on ENvue's reports the procedure begins by registering the patient using anatomical landmarks to align the patient to the navigation system and provides precise navigation.

The intuitive screen of ENvue gives you multiple perspectives simultaneously (Frontal Axial as well as Lateral). The screen shows the outline of the patient as well as the direction and orientation of the tube sensor in real time, with no lagging. The ENvue system warns users if the feeding tube is placed incorrectly within the airways. This may prompt them to remove the tube and replace it.

There are many tools available to accurately assess NGT/NET placement. ENvue, however, is unique. This innovative technology combines body maps with built-in sensors and continuous visual guidance. These tools have made the process more efficient.


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