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How to assess a safe placement of a Nasogastric/Naoenteric tubing and its complications

To avoid harm or death, the naogastric tube should be properly placed. There are a variety of ways to prevent complications. Learn more.

Avoiding the problems caused by nasoenteric tube
A qualified medical professional is required to ensure the safe placement of an nasogastric/nasoenteric nas. They must also be exact. Nasogastric tubes or nasoenteric tube (NGT/NET) are flexible devices that go through the nose and distally into the stomach or small bowel (respectively) they allow adequate nutrition as well as medical care for seriously ill or surgically treated patients. https://www.healthcarebusinesstoday.com/patient-safety-week-safe-nasogastric-tube-placement/ They can also cause complications that cannot be avoided. A study from Brazil has shown .


Early treatment of NGT/NET is associated with decreased infections, protection and strength of the mucosa in the gut increased gastrointestinal motility and an increase in immune responses.


NGT/NET may also positively impact the patient's outcomes, aid in the healing process, reduce complications and severity and reduce the time hospitalization in the ICU and can even lower mortality rate. They can be useful for seniors at death.

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NG/NE feeding tubes may be inserted with different techniques, including blind insertion, endoscopy, guidance devices and fluoroscopy. They are utilized for stomach decompression, medication administration or enteral nutrition (EN) and, occasionally to facilitate gastric lavage.

A malpositioning of the tube that feeds it can cause two major issues, similar as those seen with other tubes. .


NG tube positioning Aspiration pneumonia: A patient who relies on small bowel feedings or who has malposition of NGT/NET in their stomach greatly increases the chance of contracting aspiration pneumonia. Nowadays the cause of pneumonia is 28 percent of malpositions of tubes.
Accidental lung misplacement. 2 to 5 percent of NGT/NET get placed in the lungs accidentally and can result in the risk of an enlarged lung (pneumothorax). In some rare cases, the improper placement of NGT/NET may result in the death of a patient.
NG tube positioning Healthcare providers should therefore be aware of the risks and implement high-quality and safe care methods.

This article will explain the indicators of feeding tube misplacement, risk, and location confirmation methods. It will also introduce the ENvue technology that assists medical teams in correctly navigating a feeding tube to avoid any complications.

What are the Signs and Symptoms of a Missplaced NGT/NET
A problem with the feeding tube may be spotted by a range of signs, such as coughing and high blood pressure, the heart beating and respiratory rate and lower oxygen saturation and an increase in blood pressure.

Healthcare workers must regularly analyze risks and put in place safety-related protocols.



The greatest risk of malposition comes from blind feeding tube placement. Tube verification is needed to ensure patient safety.

If doctors suspect the tube is not in the correct place the doctor should stop feeding through it. The correct position of the tube can be determined using many techniques. Every technique's efficacy must be assessed in relation to the individual patient.

How to Ensure Safe Enteral Feeding Tube Placement
Before initiating EN The correct NGT/NET tube position must be proven using an evidence-based process. There are numerous reliable verification methods available which include radiography, pH reading, capnography (ultrasound), and fluoroscopy.

An abdominal radiograph is the most effective way to confirm the position of feeding tube. The entire tube's path through the digestive tract is examined here.


Per the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) The use of x-rays and pH aspirates was discovered in 90.8 percent of the reports. Lung collapse feeding tube In addition, 9.2 percent of the reports suggested that they utilized non-recommended verification methods (e.g. the insertion of an air bolus/auscultation). It is important to note that these verifications are performed after the tube is already placed.


Today, there are innovative systems available to aid clinicians in placing feeding tube. Modern navigation techniques are employed to ensure that feeding tubes are placed quickly and safe. Some devices integrate sensors and body mapping. These devices are particularly useful for medical professionals.

ENvizion Medical has a new technology for NGT/NET navigation.
In the past few years, a promising NGT/NET system, known as ENvue(r) was launched on the market. Lung collapse feeding tube safe nasogastric tube placement It aids the doctor in inserting 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 emits EM waves that cover the thorax of a patient and also their gastrointestinal tract. https://www.sciencetimes.com/articles/42390/20230214/feeding-tube-insertion-and-the-risk-of-lung-collapse.htm The EM field generator and several EM sensors come together to form an image of the body of the patient. Lung collapse feeding tube They also provide precise illustrations, even when a patient is moving.

The distal portion of a feeding tube has an embedded sensor which activates when electromagnetic waves pass through it.


The ENvue system monitors the tube sensor throughout the digestive tract and displays the relative tip place and the path for placement throughout the placement.


ENvue documents indicate that each procedure starts with anatomical landmarks for the purpose of registering the patient. This makes it possible to navigate precisely and aligns them to the navigation system.

Envue's intuitive screen provides multiple simultaneously-views (Frontal Axial, Lateral, and Lateral). The screen shows the outline of a patient , as well as the orientation and direction of the tube sensor in real-time without delay. The ENvue system alerts patients if the feeding tube is positioned incorrectly in the airways. This may prompt them to unplug the tube and then re-install it.

ENvue is a revolutionary method to determine the exact position of NGT/NET. There are numerous tools available. It is a cutting-edge tool that is able to combine a highly precise body map, sensors built-in as well as continuous visual guidance. safe nasogastric tube placement These tools have made the process more efficient.


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