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How do you assess a safe place to put an Nasogastric tube or Nasoenteric Tube, and its Complications

To ensure that there is no risk of injury or death, the naogastric tube must be placed in a safe manner. There are many methods to reduce the risk of complications. Find out more.

small bowel feeding tube Avoiding the Problems of Nasoenteric Tubes
Safe placement of a Nasogastric or Nasoenteric tube requires the expertise of a medical professional and high-quality accuracy. Nasogastric or Nasoenteric tubes (NGT/NET) are flexible devices that can pass through the nose distally into the stomach or small bowel (respectively) which allows the proper nutrition and medical management of seriously ill or surgically treated patients. However, there are some issues caused by these tubes which can be prevented, as a study of Brazil illustrates.


Early treatment of NGT/NET is associated with decreased complications from infection, as well as the protection and integrity of the mucosa of your gut, enhanced gastrointestinal motility, and an increase in immune responses.


NG tube positioning NGT/NET could also positively impact patient outcomes in terms of wound healing, complications and severity, and also reduce the duration of an ICU stay and reducing the mortality rate. They can be beneficial for older patients towards the end.

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

NG tube positioning Malposition of the tube feeding can lead to two major problems, similar to the issues that are typical with other tubes .


https://en.wikipedia.org/wiki/Feeding_tube Aspiration pneumonia: The misposition of NGT/NET in the esophagus or the stomach of a patient that requires small bowel feeds significantly increases the risk of aspiration pneumonia. As of today 28 percent of tube malpositions end in pneumonia.
Inadvertently, the lungs are misplaced 2.5% of NGT/NET are placed accidentally within the lungs, which results in a 30% chance of collapsed lung (pneumothorax). In some rare cases, the improper placement of NGT/NET may lead to death.
Healthcare professionals must therefore evaluate the potential risks and utilize the highest quality of care and safety methods.

This article will discuss the warning signs and dangers of misplaced feeding tubes. It also explains how to confirm where it is. In addition, it will introduce a new technology, the ENvue system, which assists the medical teams in navigating an appropriate feeding tube in order to avoid problems.

What are the Signs and Symptoms for a Missplaced NGT/NET
A feeding tube misplacement can be detected through a variety of signs, such as coughing and blood pressure that is high, the heart beating and respiratory rate and decreased oxygen saturation and an increase in blood pressure.

Healthcare workers need to be able recognize potential hazards and establish security measures.



The greatest risk of malposition results from inexperienced feeding tube placement. For the best patient safety and comfort, tube verification is essential.

If doctors suspect the tube was not placed correctly, doctors should immediately stop feeding it. The correct placement of the tube can be assessed using various methods. However, the effectiveness of every technique should be considered in relation to the specific patient's needs.

Lung collapse feeding tube safe nasogastric tube placement How do you ensure safe tube placement in enteral feeding
Before beginning EN, confirmation of correct NGT/NET tube placement has to be established using an evidence-based process. NG tube positioning You can employ a range of proven methods to verify the placement of your tube, including x-ray(radiography) as well as pH capnography , as well as ultrasound.

A radiograph of the abdomen is the "gold gold" to confirm the location of a nasogastric as well as a nas feeding tube. The entire route of the tube through the digestive tract is seen in this image.


Based on the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), 90.8% of reports mentioned the use of pH aspirates and xrays. 9.2 percent of the reports mentioned that they had used non-recommended methods for verification, like the insertion of an air bolus or auscultation. This verification can only be performed after the tube is in place.


There are now innovative technologies that aid clinicians with the placement of feeding tubes. These devices utilize advanced navigation methods, such as sensors and body mapping to ensure an efficient and safe tube placement. They provide more assistance medical personnel during the process.

ENvizion Medical introduces new technology for NGT/NET Navigation
A promising NGT/NET device, ENvue(r), is a new device that was launched on the market in the past few years. The system assists clinicians in securely insert a feeding tube into the small intestine.

https://www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm The ENvue navigation system is comprised of an electromagnetic (EM) field generator which emits EM waves that penetrate the thorax of the patient and the gastrointestinal tract. The EM field generator, in conjunction with various EM sensors, creates the bodymap of a particular patient and offers accurate drawings even when the person is moving.

There is an additional embedded sensor in the distal end that is activated when entering the field of electromagnetic waves.


Lung collapse feeding tube The ENvue tracking system tracks the tube sensor throughout your gastrointestinal tract and displays the relative position of the tip and placement pathway during the placement.


According to ENvue's data the procedure begins with a basic registration using anatomical landmarks that aligns the patient with the navigation system. This ensures accurate navigation.

The user-friendly screen of ENvue gives you multiple perspectives simultaneously (Frontal Axial as well as Lateral). In real-time the screen displays the contours of the patient as well as the direction of the tube sensor. There is no lagging. The ENvue system also informs users when the feeding tubes have been redirected incorrectly into the lungs. This can cause them to pull the tube out and insert it again.

There are many tools available to precisely assess the NGT/NET position. ENvue, however, is distinct. It combines innovative technology with an accurate body map, sensors and continuous visual guidance. These features are set to transform the way we work.


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