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How do you assess a safe location for a Nasogastric Tube or Nasoenteric Tube, and Its Complications

Nasogastric feeding tubes need to be placed in a secure manner to avoid harm or death. There are numerous ways to minimize the risk of the risk of complications. Find out more.

Beware of the Issues of Nasoenteric Tubes
A qualified medical professional is required to properly place the nasogastric or nasoenteric tube. They must also be specific. https://www.envizionmed.com/resources/articles/feeding-tube-insertion-and-the-risk-of-lung-collapse/ The nasogastric (NGT/NET) also known as nasal gastric tubes, are flexible devices that be inserted through the nose and into the stomach or small intestine (respectively). Lung collapse feeding tube This permits for adequate nutrition as well being a medical intervention for patients who are seriously ill or who have undergone surgery. Nasogastric tubes can result in complications that cannot be avoided. A Brazilian study has proven this .


The earlier placement of NGT/NET is associated with a decrease in infection-related complications, preservation of gut mucosa integrity as well as improved intestinal motility and immune responses.


NGT/NET may also improve patient outcomes. It may improve the healing process, decrease complications and severity, reduce ICU durations, and even lower the mortality rate. They are beneficial for elderly patients at the dying.

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The feeding tubes for NG/NE can be introduced using various methods, including blind insertion, endoscopy, guidance devices and fluoroscopy. They are used for gastrointestinal decompression, medication administration or enteral nutrition (EN), and occasionally for gastric lavage.

There are two main complications that are associated with malpositioning of the feeding tube Similar to some of the other complications with tubes:


Aspiration pneumonia: A person who relies on small bowel feedings or has a malposition of the NGT/NET in their stomach is significantly increased chances of contracting an aspiration pneumonia. At present 28% of tube malpositions result in pneumonia.
NG tube positioning Inadvertently placed lungs: 2-5% of NGT/NET are accidentally placed in the lung. This could lead to a 30% chance that the lung can collapse (pneumothorax). The misplacement in the lungs can, in rare instances, lead to death.
Healthcare providers should therefore be aware of the potential risks and utilize high-quality and safe care methods.

This article will cover the signs of feeding tube misplacement, as well as risks and confirmation methods. In addition, it will present a novel technology, called the ENvue system, which assists the medical teams in navigating the correct feeding tube to prevent complications.

What Are the Signs and Symptoms of an Incorrect NGT/NET?
Many signs such as increased blood pressure or respiratory rate, asthma, coughs heart rate increases and decreased oxygen saturation can all suggest that the tube feeding you is wrongly located.

Healthcare professionals must be able to regularly assess the risks to patients and follow safety procedures.



The greatest risk of incorrect feeding comes from blind tube placement. Tube verification is needed in order to guarantee the safety of patients.

To avoid further complications Practitioners must stop immediately feeding the tube if they suspect that there is a misplacement. There are many methods to determine the proper placement of the tube. However, each technique's efficacy must be evaluated in relation to a patient's situation.

How can you verify the safety of Enteral Feeding Tube Use
Prior to initiating EN, confirmation of correct NGT/NET tube placement must be confirmed with an evidence-based approach. There are several verifiable methods of verification that can be used, such as x-ray(radiography) Capnography, pH reading, ultrasound, and fluoroscopy.

A radiograph of the abdomen is the "gold standard" to confirm the location of a nasal and nasoenteric feeding tube. It allows you to view the entire path of the tube throughout your digestive tract.


The Pennsylvania Patient Safety Reporting System (January 2017 to June 2020) found that 90.8 percent of the patients had reported the use of the xrays and pH aspirates. In addition, 9.2 percent of the reports suggested that they utilized non-recommended verification methods (e.g., insertion of air auscultation or bolus). This verification can only be performed after the tube has been inserted.


There are many new technologies that can be employed to aid doctors when placing feeding tubes. Lung collapse feeding tube Modern navigation techniques are employed to ensure that feeding tubes are placed quickly and safe. Certain devices include sensors and body mapping. These devices are more helpful for medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation
In recent times, a promising NGT/NET system, known as ENvue(r) was made available for sale. https://worldfinancialreview.com/how-small-bowel-feeding-tube-devices-benefit-hospitals/ It allows clinicians to safely place a feeding tube in the small intestine.

The ENvue navigation system is an electromagnetic (EM) field generator which emits EM waves covering the thorax of the patient and the gastrointestinal tract. The EM field generator along with a variety of EM sensors create a specific body map of the patient and provides accurate illustrations even when a patient moves.

safe nasogastric tube placement There is an additional sensor embedded within the feeding tube distal tip that activates once entering the field of electromagnetic waves.


The ENvue tracking system tracks the tube sensor through your digestive tract and displays relative tip position and placement pathway during the placement.


According to the ENvue's documentation the procedure begins by registering the patient using anatomical landmarks to align the patient with the navigation system and ensures accurate navigation.

The user-friendly screen of Envue can provide multiple simultaneous views (Frontal and Axial), The screen shows the contours of the patient as well as the orientation and direction of the tube sensor in real-time without delays. Moreover the ENvue system warns patients when the tube's feeding is misdirected into the airways, which could prompt them to withdraw and then reinsert the tube.

post pyloric feeding tube place ENvue offers a unique way to evaluate the precise position of NGT/NET. There are numerous tools out there. This innovative technology combines a body map with built-in sensors as well as continuous visual guidance. These tools have made the process much more efficient.


Here's my website: https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/