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How do you determine if it is safe? Placement of the Nasogastric or Nasoenteric Tube and Its Complications

For reasons of safety The nasogastric tube must be properly placed in order to avoid injuries or death. Modern technology and techniques can help reduce the risks. Find out more.

Reducing the Risks of Nasoenteric Tubes
A safe and secure placement of a Nasogastric or Nasoenteric tube requires the skills of a medical professional with high precision. Flexible devices such as nasogastric, and Nasoenteric (NGT/NET) which are inserted through the nose into the stomach (or small bowel) enable proper nutrition as well as medical care for severely sick patients, and patients undergoing surgery. There are many issues caused by these tubes which can be avoided, as a study from Brazil highlights.


Early placement of NGT/NET is associated with lower incidences of infectious complications, protection of gut mucosa integrity, and enhanced gastrointestinal motility and immune response.


NGT/NET also can positively affect the patient's outcomes, aid in wound healing, reduce disease severity and complications reduce the duration of stay in the ICU and could even decrease the mortality rate. They are beneficial for elderly patients at the dying.

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The NG/NE feeding tube is placed using a variety of techniques, including blind insertion, and guidance devices.

There are two major complications related to malposition of feeding tubes, which are similar to some of the other problems with tubes:


Aspiration pneumonia: A misposition of NGT/NET in the esophagus or the stomach of a patient who requires small bowel feeding greatly increases the risk of aspiration pneumonia. safe nasogastric tube placement At present, 28% malpositions of the tube can lead to pneumonia.
Inadvertently misplaced lung. About 2 percent of NGT/NET can be placed into the lungs through accident and can result in the risk of an enlarged lung (pneumothorax). The misplacement of the lungs can, in rare instances, lead to death.
Healthcare professionals need to evaluate the risks and make sure that patients are secure and receiving high-quality medical care.

This article will discuss the symptoms of feeding tube displacement, as as risks and confirmation methods. NG tube positioning It will also introduce a revolutionary technology, the ENvue system, which aids the medical teams in navigating an appropriate feeding tube to prevent complications.

NG tube positioning Lung collapse feeding tube What Are the Signs and Symptoms of an Incorrect NGT/NET?
A problem with the feeding tube may be detected by a range of signs, such as coughing and high blood pressure, the heart beating and respiratory rate, decreased oxygen saturation, and elevated blood pressure.

Healthcare workers are required to analyze potential hazards and develop safety procedures.



The most significant risk of misposition results from inexperienced feeding tube placement. To ensure patient safety and convenience, tube verification is essential.

To avoid further complications to avoid any further complications, physicians must stop feeding through the tube if they suspect that the tube is not in the correct place. There are a variety of ways to determine the proper placement of the tube. The effectiveness of each technique must be assessed in relation to the patient's individual needs.

Lung collapse feeding tube How can you verify the safety of Enteral Feeding Tubes Placement
A method based on evidence is needed to ensure the proper the placement of NGT/NET tubes, before EN is able to begin. There are numerous trustworthy methods to verify this, including x-ray(radiography), Capnography, pH reading, ultrasound, and fluoroscopy.

An abdominal radiograph is the most effective way to determine the location of feeding tube. It allows you to view all the way the tube throughout the digestive system.


small bowel feeding tube According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports mentioned the use of pH aspirates or x-rays. 9.2 percent of the reports reported that they used nonrecommended verification methods, such as placing an air bolus/auscultation. This verification is only done after the tube has been inserted.


Innovative systems are available today to aid clinicians in placing feeding tube. They use sophisticated navigation techniques, including sensors and body mapping, to ensure safe and quick feeding tube placement. These devices are beneficial for medical personnel.

ENvizion Medical has a new technology for NGT/NET navigation.
A promising NGT/NET placement device, ENvue(r), is a new device that was launched on the market over the last few years. It allows clinicians to successfully insert a feeding tube into the small intestinal.

The ENvue Navigation System is comprised of an electromagnetic field generator. It produces EM wave that covers the thorax of the patient, the gastrointestinal tract and lung. The EM field generator, when used in conjunction with various EM sensors, creates a specific patient's bodymap and produces accurate and detailed illustrations when the patient moves.

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


safe nasogastric tube placement The ENvue tracking system tracks the tube sensor throughout the gastrointestinal tract, and displays the position of the tip relative to the path of placement during the process of placement.


ENvue records indicate that every procedure begins with anatomical landmarks to record the patient. This permits precise navigation and also aligns them with the navigation system.

The user-friendly screen of Envue provides three simultaneous views (Frontal Axial Lateral). The screen shows the outline of a patient , as well as the direction and orientation of the tube sensor in real time with no slowing down. Moreover the ENvue system warns patients when the tube's feeding is not correctly directed to the airways, which could prompt them to withdraw and reinsert the tube.

There are many tools available to precisely assess the NGT/NET position. ENvue, however, is exclusive. Through its innovative technology, it is able to combine a highly precise body map, built-in sensors, and continuous visual guidance. These capabilities have helped change the method of navigation.


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