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How to determine a secure location for an Nasogastric Tube or Nasoenteric Tube, and Its Complications

Nasogastric feeding tubes should be placed in a secure manner to avoid injuries or death. The use of different techniques and modern technology could help reduce complications.Read more to understand reasons why this could be the case.

Avoiding the Problems Associated with Nasoenteric Tubes
The safe placement of a Nasogastric or Nasoenteric tubes requires the experience of a medical professional and high accuracy. Flexible devices such as nasogastric, and the nasoenteric (NGT/NET) that pass through the nose and into the stomach (or small bowel) permit proper nutrition medical treatment for seriously sick patients, and those who undergo surgery. Nasogastric tubes can result in complications that can't be avoided. safe nasogastric tube placement A study from Brazil has shown .


The earlier introduction of NGT/NET may reduce the chance of contracting an infection as well as preserve the integrity of gut mucosa and increase gastrointestinal mobility.


NGT/NET could also positively impact the patient's outcomes as well as wound healing, the severity of illness and complications, in addition to reducing the ICU stay as well as reducing the mortality rate. They are beneficial for older patients in their final years.

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NG/NE feeding tubes can be placed using a variety of methods including blind insertion guidance devices for placement, endoscopy, and fluoroscopy, and are utilized for gastrointestinal decompression, medication administration and enteral nutrition (EN) and sometimes for gastric lavage.

Two major complications can be found with the malposition of feeding tubes. small bowel feeding tube They are comparable to other problems with tubes.


Aspiration pneumonia: A patient who relies on small bowel feedings or has NGT/NET malposition in their stomachs greatly increases the risk of contracting pneumonia due to aspiration. Today, 28% tube malpositions can cause pneumonia.
Inadvertently misplaced lung. 2 to 5 percent of NGT/NET are inserted into the lungs by accident which can lead to an increase of 30% for a collapsed lung (pneumothorax). The misplacement of the lungs may at times cause death.
Healthcare providers must therefore assess the potential risks and utilize the highest quality of care and safety methods.

This article will explain the signs of feeding tube misplacement, risk, and the methods to confirm location. It will also introduce the ENvue technology that assists medical teams in correctly navigating the tube for feeding in order to avoid problems.

What are the signs and signs of a missing NGT/NET
A variety of signs, including increased breathing rate or blood pressure, coughs, asthma as well as heart rate rises and a decrease in oxygen saturation may all be indicators that a feeding tube is misplaced.

Healthcare workers should be able to identify hazards and put in place security procedures.



The biggest risk of misposition is due to blind feeding tube placement. For optimal patient safety and satisfaction, tube verification is essential.

If doctors suspect the tube was not placed correctly Doctors should immediately stop feeding it. The proper placement of the tube is verified using a variety of techniques. The effectiveness of each technique should be compared to the specific patient's circumstance.

How to Verify Safe Enteral Feeding Tube Placement
A evidence-based method must be utilized to confirm that the correct positioning of NGT/NET tubes has been verified prior to EN can be initiated. There are numerous reliable verification methods available such as radiography, pH readings as well as capnography (ultrasound), and fluoroscopy.

https://lively-heron-w5qqwf.mystrikingly.com/blog/add-a-blog-post-title-84ed29f4-f589-478c-8bc7-1ca30981fdc3 A abdominal radiograph is the "gold standard" to verify the location of a nasogastric as well as a nas feeding tube. Here, the tube's full course through the digestive system can be observed.


small bowel feeding tube The Pennsylvania Patient Safety Reporting System (January 2017 through June 2020) revealed that 90.8 percent reported the use of xrays and pH aspirates. However, 9.2 percent of the reports indicated they utilized non-recommended verification methods (e.g. inserting of air Auscultation/bolus). This verification can only be performed when the tube is inserted.


There are numerous innovative technology options to assist doctors with the placement of feeding tubes. safe nasogastric tube placement The devices for placement employ sophisticated methods of navigation, some of which integrate sensors and body mapping to ensure safe and quick placement of feeding tubes. These devices are beneficial for medical staff.

NG tube positioning ENvizion Medical introduces new technology for NGT/NET Navigation.
In the last couple of times, a promising NGT/NET placement device known as ENvue(r) was released on the market. The system assists the clinicians in inserting a feeding tube safely in the small intestine.

The ENvue navigation device is outfitted with an electromagnetic (EM-) field generator, which emits EM waves that penetrate the patient's thorax and also their gastrointestinal tract. The EM field generator along with a range of EM sensors work together to produce an image of the body of the patient. They also provide accurate illustrations, even when a patient moves.

There is an additional embedded sensor within the feeding tube distal tip , which activates when it enters the electromagnetic waves.


The ENvue tracking system follows the tube sensor through the gastrointestinal tract, and displays its relative position and the path of placement during the process of placement.


ENvue documents show that every procedure starts by registering anatomical landmarks. This aligns the patient with the navigation systems and assures accurate navigation.

Envue's intuitive screen can display multiple views simultaneously (Frontal and Axial), The screen displays a body contour of the patient, as well as the direction and orientation of the sensor in real-time and without lagging. The ENvue system also alerts users when feeding tubes aren't properly directed to the lung. The result could be to pull the tube out and then re-insert it.

Although there are numerous tools on the market to accurately assess the NGT/NET's position, ENvue is different. It combines innovative technology with a precise body map sensors and continuous visual guidance. These features are set to transform the way we work.


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