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How do you determine a safe placement of a Nasogastric/Naoenteric tubing and its complications

Nasogastric feeding tubes should be placed in a secure manner to avoid harm or death. Innovative techniques and the latest technology could help reduce complications.Read more to find out what could be the reason for this situation.

The prevention of problems that are associated with nasoenteric tubes
The safe placement of a nasal or nasoenteric tube requires a professional medical professional and an extremely precise level of accuracy. Flexible devices known as nasogastric or nasoenteric (NGT/NET) that go through the nose into the stomach (or small bowel) provide a healthy diet as well as medical care for severely ill patients, or those who undergo surgery. The tubes could cause problems, a Brazilian study proves.


The earlier application of NGT/NET could minimize the chance of contracting an infection as well as preserve the integrity of gut mucosa and enhance gastrointestinal motility.


NGT/NET could also positively impact the outcomes of patients. It can aid in the healing process, decrease the number of complications and their severity, cut down on ICU stay lengths, and even lower the mortality rate. They are especially beneficial for elderly patients in the final stages of their lives..

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The feeding tubes for NG/NE can be placed using a variety of methods, including blind insertion, guidance devices for placement, endoscopy and fluoroscopy. They they are used for stomach decompression, medication administration as well as enteral nutrition (EN) and sometimes to facilitate gastric lavage.

Two major issues are connected with the malposition of feeding tubes. They are similar to the other issues that arise with tubes.


Aspiration pneumonia: the risk of developing aspiration-related pneumonia is increased when there is NGT/NET within the stomach or in the esophagus of patients that require small bowel feedings. Today 28 percent of malpositions in the tube result in pneumonia.
post pyloric feeding tube place Inadvertently, the lungs are misplaced 2 to 5% of NGT/NET are placed accidentally in the lungs. This results in a 30% chance of a collapsed lung (pneumothorax). Rarely, misplacement can cause death.
Thus, healthcare professionals must assess risks and apply patient safety and quality care methods.

This article will outline the symptoms and the dangers of misplaced feeding tubes. It also provides a method to determine the location. It will also introduce an innovative technology, called the ENvue system, which assists the medical teams in navigating the proper feeding tube in order to avoid any complications.

What are the Signs and Symptoms of a Missplaced NGT/NET
Many signs such as increased breathing rate or blood pressure, asthma, coughs, heart rate elevations and decreased oxygen saturation could all be indicators that a feeding tube is not properly placed.

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



The most significant risk of misposition comes from blind feeding tube placement. To ensure patient safety and satisfaction, tube verification is essential.

To avoid any further complications To avoid further complications, doctors must immediately stop feeding through the tube if they suspect misplacement. The correct positioning of the tube may be assessed using various methods. However, the effectiveness of each method should be considered in relation to the specific patient's needs.

How do I confirm safe tube placement in enteral feeding
A method based on evidence must be used to verify that the proper placement of NGT/NET tubes is confirmed before EN can begin. There are a myriad of proven verification methods such as x-ray(radiography) as well as pH capnography , as well as ultrasound.

A radiograph of the abdomen can be used to verify the location of a nasogastric, or nasoenteric tube. The entire tube's route through the digestive tract is observed in this image.


The Pennsylvania Patient Safety Reporting System (January 2017 through June 2020) identified that 90.8% reported the use of an xray and pH aspirates. 9.2% of the reports indicated that they had used non-recommended verification methods, such as the insertion of an air bolus or auscultation. These verifications should only be done after the tube has been inserted.


There are a variety of innovative technologies that can be used to assist doctors with the placement of feeding tubes. These devices use advanced techniques for navigation, like sensors as well as body mapping for the safety and speed of tube placement. These devices are more helpful to medical personnel.

ENvizion Medical has a new technology to enable NGT/NET navigation.
A promising NGT/NET placement device, ENvue(r),, was introduced to the market in the past few years. It permits clinicians to securely place a feeding tube in the small intestine.

post pyloric feeding tube place The ENvue navigation device comes with an electromagnetic (EM-) field generator that produces EM waves that penetrate the thorax of the patient as well as their gastrointestinal tract. The EM field generator along with a range of EM sensors are combined to create an outline of the body of the patient. NG tube positioning Lung collapse feeding tube They also provide exact drawings, even when a patient is moving.

An additional sensor embedded in the distal portion of the tube feeding triggers whenever it enters the electromagnetic field.


The ENvue system follows the tube's sensor through the gastrointestinal tract . It will display the precise position of the tip and the path to placement during placement.


ENvue documents indicate that each procedure starts with anatomical landmarks to register the patient. This allows for precise navigation and aligns them to the system of navigation.

The intuitive screen of ENvue gives you multiple perspectives simultaneously (Frontal Axial as well as Lateral). In real-time, the screen displays the patient's anatomy and the direction of the tube sensor. It is not lagging. NG tube positioning The ENvue system also warns users when the feeding tubes have been redirected incorrectly into the lung. This could cause them to remove the tube and then re-insert it.

There are many options to accurately assess NGT/NET placement. ENvue, however, is distinct. Utilizing cutting-edge technology, it is able to combine a highly precise body map, sensors built-in, and continuous visual guidance. These features are set to revolutionize the procedure.


Website: https://www.facebook.com/ENvizionMed/