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

To avoid injury or death, the naogastric tube must be placed in a safe manner. https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/ Innovative techniques and the latest technology could help reduce complications.Read more to find out reasons why this could be the case.

Beware of the Issues that are Associated with Nasoenteric Tubes
Secure placement of a nasal or Nasoenteric tube demands the experience of a medical professional with high precision. Nasogastric tubes or nasoenteric tube (NGT/NET) are flexible devices that pass through the nose distally to the small bowel or stomach (respectively), allowing an adequate diet and medical treatment of seriously ill or surgically treated patients. These tubes can cause complications, a Brazilian study shows.


Early treatment of NGT/NET is associated with decreased complications from infection, as well as the protection and strength of the mucosa of your gut as well as improved intestinal motility and increased immune response.


NGT/NET can also improve patient outcomes, improve healing of wounds, decrease complications and severity, shorten the length of hospitalization in the ICU and even reduce the mortality rate. They can be beneficial for elderly patients at the dying.

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NG/NE feeding tubes are accessible in a myriad of ways including blind insertion, guidance positioning devices, fluoroscopy as well as endoscopy. They are suitable to relieve gastrointestinal discomfort and for medication administration.

The malposition of the feeding tube can result in two major issues that are similar to the problems that occur with other tubes .


Aspiration pneumonia: The chance of developing aspiration pneumonia is increased by the presence of NGT/NET within the stomach or in the esophagus of patients who require small bowel feedings. Presently pneumonia is caused by 28% of tube malpositions.
Inadvertent lung misplacement: 2-5% of NGT/NET get placed within the lungs, which causes an increase of 30% risk of a collapsed lung (pneumothorax). Rarely, misplacement can cause the death of a patient.
post pyloric feeding tube place Healthcare providers have to assess risks and apply patient safety and quality of healthcare methods.

This article will provide signs and risks of misplaced feeding tubes. It also provides a method to determine the that the tube is in its proper location. It will also introduce the ENvue technology that assists medical personnel in navigating the tube for feeding to prevent complications.

What are the Signs and Symptoms for a Missplaced NGT/NET
Numerous signs like increased blood pressure or respiratory rate, coughs, asthma heart rate increases and decreased oxygen saturation can all suggest that a feeding tube has been incorrectly placed.

Healthcare workers must periodically review the safety risks and adopt safety procedures for patients.



The blindness of feeding tube placement is the greatest risk for malposition. Tube verification is essential to ensure the safety of patients.

NG tube positioning If doctors suspect the tube was not placed correctly, doctors should immediately stop feeding it. There are many ways to determine the correct placement of your tube. Each method's efficacy should be assessed in light of the specific patient's situation.

post pyloric feeding tube place How to Verify Safe Enteral Feeding Tube Use
A evidence-based method is necessary to ensure the proper positioning of NGT/NET tubes prior to when EN is able to begin. There are a myriad of reliable verification methods, which include x-ray(radiography) as well as pH capnography , and ultrasound.

A radiograph of the abdomen is the "gold gold" for verifying the location of a nasogastric or nasoenteric feeding tube. The entire route of the tube through the digestive tract is examined in this image.


The Pennsylvania Patient Safety Reporting System (January 2017, from January 2017 to June 2020) revealed that 90.8 percent of the patients had reported the use of xrays and pH aspirates. 9.2 percent of reports indicated that they used non-approved methods for verification (e.g. the injection of an auscultation or air bolus). These verifications can only be carried out after the tube is been inserted.


Modern systems are in use to assist clinicians with placing a feeding tubes. The devices for placement employ sophisticated techniques of navigation, some include sensors as well as body mapping for secure and fast placement of the tube. These devices provide more assistance to medical professionals.

New Technology for NGT/NET Navigation developed by ENvizion Medical
The ENvue (r) NGT/NET placement system has been available on the market for some time. NG tube positioning It permits clinicians to place a safe feeding tube in the small intestinal tract.

The ENvue navigation device is fitted with an electromagnetic (EM-) field generator, which produces EM waves that penetrate the thorax area of the patient and also their gastrointestinal tract. The EM field generator along with a range of EM sensors are combined to create a patient's body map. They also offer precise images, even when the patient moves.

The distal edge of a feeding tube contains an embedded sensor, which is activated the moment electromagnetic waves hit it.


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


According to ENvue's data, each procedure starts by registering the patient using anatomical landmarks that aligns the patient with the navigation system and provides the most precise navigation.

The intuitive display of ENvue allows for multiple views simultaneously (Frontal and Axial), The screen displays the contours of a patient's body and the orientation and direction of the tube sensor in real time without lagging. The ENvue system alerts patients if the tube feeding device is placed improperly in the airways. This could prompt them to unplug the tube and then re-install it.

NG tube positioning There are many applications available to assess NGT/NET placement accurately, ENvue is different. It brings together cutting-edge technology, a precise body map, sensors and continuous visual guidance. These functions have been able to change the method of navigation.


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