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How to determine a secure placement for the Nasogastric or Nasoenteric Tube and its Complications

Nasogastric feeding tubes should be placed in a secure manner to avoid injury or even death. post pyloric feeding tube place Innovative technology and techniques could lessen the risk of complications. Find out more.

The prevention of problems associated with Nasoenteric Tubes
The secure use of a nasogastric or nasoenteric tube is dependent on a medical doctor and a high level of accuracy. The Nasogastric (NGT/NET), or nasal gastric tubes, are flexible devices that can pass through the nose and into the stomach or small intestine (respectively). This permits the proper nutrition as well being a medical intervention for patients with serious illness or have had surgery. Unfortunately, there are complications with these tubes that can be avoided, as a study from Brazil highlights.


The earlier placement of NGT/NET is associated with reductions in infection-related complications, preservation of gut mucosa integrity, and enhanced gastrointestinal motility and immune responses.


NGT/NET could also have a positive impact on patient outcomes, increase the healing process, reduce the severity of illness and complications and reduce the time stay in the ICU and may even lower the mortality rate. They are especially beneficial for those who are nearing the end of their lives..

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The feeding tube NG/NE can be introduced using a variety methods, including blind insertion as well as guidance devices.

https://www.scienceworldreport.com/articles/62033/20230321/ng-tube-positioning-and-confirmation-for-safe-ng-feeding-tube-placement.htm safe nasogastric tube placement There are two major complications caused by malpositioning of the tube for feeding that are similar to other complications with tubes:


Aspiration pneumonia: The possibility of developing aspiration-related pneumonia is increased when there is NGT/NET within the stomach or in the esophagus in patients who require small bowel feedings. Presently pneumonia is caused by 28 percent of malpositions of tubes.
Inadvertent lung placement 2-5 percent of NGT/NET get stuck in the lungs. NG tube positioning This can lead to a 30% chance that the lung can collapse (pneumothorax). Very rarely, misplacement causes the death of a patient.
So, healthcare professionals have to be aware of risks and employ security measures and high-quality treatment methods.

This article will highlight the signs of feeding tube misplacement, risks, and location confirmation methods. In addition, it will introduce a new technology, called the ENvue system, which assists medical professionals in navigating a feeding tube correctly to avoid any complications.

What are the Signs and Symptoms of an Incorrect NGT/NET?
Many signs, including coughs, elevated blood pressure as well as an increase in heart rate and breathing rate, or lower oxygen saturation, could indicate the existence of a feeding tube that is not properly placed. [1]

Healthcare professionals must regularly evaluate the risks and develop safety procedures for patients.



The blindness of feeding tube placement is the greatest risk of improper placement. Tube verification is required to ensure patient safety.

Practitioners should stop feeding the tube immediately should they suspect that it's not correctly placed. This will avoid further problems. The correct placement of the tube can be identified using a variety of methods. But, the efficacy of each technique is to be assessed in relation to a patient's situation.

How to Verify Safe Enteral Feeding Tube Placement
A proof-based approach should be utilized to confirm that the correct positioning of NGT/NET tubes has been confirmed before EN can begin. There are many reliable verification methods available such as radiography, pH readings, capnography (ultrasound) and fluoroscopy.

A abdominal radiograph is the "gold standard" to determine the position of a nasogastric and nasoenteric feeding tube. Here, the tube's full course through the digestive system can be observed.


According to the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) The use of x-rays and pH aspirates was identified in 90.8% of the reports. 9.2 percent of the reports indicated the use of non-recommended method of verification, for instance, the insertion of an air bolus or auscultation. These verifications should only be done after the tube has been placed.


Innovative technologies are now available to assist clinicians with placing a feeding tubes. These devices use advanced methods of navigation, a few of which incorporate sensors and body mapping for safe and rapid feeding tube placement. They provide more assistance to medical professionals in the process.

ENvizion Medical has a new technology to enable NGT/NET navigation.
The ENvue (r) NGT/NET placement system has been available on the market for a while. It permits clinicians to place a safe feeding tube into the small intestinal tract.

The ENvue Navigation System is comprised of an electromagnetic field generator. It creates EM waves that cover the patient's thoraxand gastrointestinal tract, and the lung. The EM field generator, when used in combination with a variety of EM sensors, creates the bodymap of a particular patient and produces accurate and detailed illustrations in the event of a person's movement.

The distal edge of a feeding tube has an embedded sensor that is activated when electromagnetic waves penetrate it.


The ENvue system follows the tube's sensors through the digestive tract and displays the relative tip position and placement pathway during placement.


safe nasogastric tube placement ENvue records show that each procedure begins by registering anatomical landmarks. This helps align the patient with the navigation systems and ensures accuracy in navigation.

The user-friendly screen of ENvue provides multiple views at once (Frontal Axial and Lateral). The screen displays a body contour of the patient, as well as the direction and orientation of the sensor, in real-time with no lagging. The ENvue system also alerts users when the feeding tubes aren't properly directed to the lungs. NG tube positioning This could cause them to pull the tube out and re-insert it.

There are a variety of tools to accurately assess NGT/NET placement. ENvue, however, is unique. It brings together cutting-edge technology, precise body maps, sensors and continuous visual guidance. These capabilities have revolutionized the way we work.


Homepage: https://www.envizionmed.com/resources/articles/feeding-tube-insertion-and-the-risk-of-lung-collapse/