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How can you assess a secure placement of a Nasogastric/Naoenteric tubing and its complications

For safety reasons for safety reasons, the nasogastric feeding tube should be correctly placed to ensure that there is no risk of injury or death. New technology and techniques may reduce the complications. Learn more.

Beware of the Issues that are Associated with Nasoenteric Tubes
A medical professional with experience must be able to safely insert an nasogastric/nasoenteric nas. Also, they must be specific. Flexible devices, nasogastric and nasoenteric (NGT/NET) that go through the nose and into the stomach (or small bowel) allow for proper nutrition medical treatment for seriously sick patients, and those who undergo surgery. They can also cause complications, a Brazilian study suggests.


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 may also improve patient outcomes in terms of wound healing, complications and severity, as well as shortening the ICU stay as well as reducing the mortality rate. https://www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm They are beneficial for older patients who are nearing the end of their lives..

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

Two major complications are associated with the malposition of feeding tubes. post pyloric feeding tube place They are similar to other problems with tubes.


Aspiration pneumonia: A patient who relies on small bowel feedings or suffers from NGT/NET malposition within their stomach significantly increases the chances of contracting an aspiration pneumonia. Nowadays the cause of pneumonia is 28 percent of tube malpositions.
Inadvertent lung placement: 2-5% of NGT/NET can accidentally enter the lungs. This could result in an increase of 30% that the lung will fall down (pneumothorax). The misplacement of the lungs can even in rare cases, cause death.
Healthcare professionals need to evaluate the risks and implement the highest quality of care and safety methods.

This article will outline the symptoms and the dangers of misplaced feeding tubes. It also describes how to confirm its location. Additionally, it will present a novel technology, the ENvue system, which aids medical teams navigate the correct feeding tube to avoid any complications.

What Are the Signs and Symptoms of a Missing NGT/NET?
A variety of signs, including increased breathing rate or blood pressure, coughs, asthma heart rate elevations, and decreased oxygen saturation could all indicate that a feeding tube is misplaced.

Healthcare workers need to be able to recognize dangers and establish safety protocols.



The greatest risk of malposition is from blind feeding tube placement. Tube verification is required to ensure patient safety.

If doctors suspect the tube is not in the correct place The doctor should stop feeding through it. The proper placement of the tube can be identified using a variety of methods. However, the effectiveness of every technique should be evaluated according to a patient's situation.

How can you verify the safety of Enteral Feeding Tube Positioning
Prior to initiating EN, confirmation of correct NGT/NET tube placement has to be proven using an evidence-based approach. There are many verifiable methods of verification available such as radiography, pH readings or capnography (ultrasound), and fluoroscopy.

An abdominal radiograph is used to confirm the location of a nasogastric or nasal tube. The tube's complete route through the digestive system can be seen.


According to the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020), the use of the x-ray and pH aspirates was reported in 90.8% of the reports. At the same time, 9.2% of the reports suggested that they utilized non-recommended verification methods (e.g., insertion of air auscultation or bolus). This verification is only done once the tube is placed.


Today, there are innovative systems available to aid clinicians in placing feeding tubes. 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 can provide greater assistance to medical professionals.

ENvizion Medical has a new technology for NGT/NET navigation
In the last few times, a promising NGT/NET placement system known as ENvue(r) was launched on the market. safe nasogastric tube placement The system allows clinicians to securely place a feeding tube in the small intestine.

The ENvue Navigation System is made up of an electromagnetic field generator. It creates EM waves that cover the thorax of the patient, the gastrointestinal tract, and the lungs. https://www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm The EM field generator along with a variety of EM sensors produce a precise body map for the patient, and also provide precise images even when a patient is moving.

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


The ENvue system follows the tube sensor through the gastrointestinal tract and will display the precise position of the tip and placement pathway during placement.


According to the ENvue's documentation, each procedure starts with a simple registration using anatomical landmarks that connect the patient to the navigation system and provides exact navigation.

The intuitive display of ENvue offers three simultaneous views (Frontal Axial, Lateral, and Lateral). The screen shows the outline of a patient's body and the direction and orientation of the tube sensor in real time with no delays. Moreover, the ENvue system alerts users whenever the tube's feed is misdirected into the airways, which could prompt them to withdraw and then reinsert the tube.

There are many tools available for assessing the precise position of NGT/NET. ENvue, however, is exclusive. With innovative technology, it offers a very precise body map, sensors built-in as well as continuous visual guidance. post pyloric feeding tube place These options have made the process much more efficient.


Here's my website: https://www.envizionmed.com/resources/articles/how-to-assess-a-safe-placement-of-a-nasogastric-or-nasoenteric-tube-and-its-complications/