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How do you determine a safe placement of a Nasogastric/Naoenteric tube and its complications

To ensure safety, the nasogastric feeding tube should be placed correctly to ensure that there is no risk of injury or death. Innovative technology and techniques could reduce the complications. Find out more.

Reducing the Risks of Nasoenteric Tubes
A safe and secure placement of a Nasogastric or Nasoenteric tube demands the expertise of a medical professional, and high precision. The nasogastric (NGT/NET) or nasal gastric tubes are flexible devices that be used to pass through the nose into the stomach or small intestinal (respectively). It permits an adequate diet as well in medical care for patients with serious illness or have had surgery. safe nasogastric tube placement However, there are some issues caused by these tubes which can be avoided, as a study of Brazil exposes.


post pyloric feeding tube place Early placement of NGT/NET can result in a reduction in infectious complications, preservation of gut mucosa integrity, and enhanced gastrointestinal motility and immune response.


NGT/NET can also be beneficial to patient outcomes. It could improve the healing process, decrease the severity and complications, decrease ICU stay durations, and could even lower mortality rate. They are also useful for seniors at the end of life.

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

There are two major complications associated with feeding tube malposition and are similar to some of the other problems with tubes:


Aspiration pneumonia: Malposition of NGT/NET within the esophagus, or the stomach of a patient who requires small bowel feeds significantly increases the risk of suffering from aspiration pneumonia. At present 28 percent of tube malpositions result in pneumonia.
Inadvertently, the lungs are misplaced 2.5% of NGT/NET can be accidentally placed within the lungs, which leads to the risk of an infected lung (pneumothorax). Sometimes, misplacement may cause the death of a patient.
Healthcare providers must evaluate risks and ensure that patients are protected and receive the best care.

This article will provide dangers and signs of misplaced feeding tubes. It also explains how to identify the exact where it is. Additionally, it will introduce a new technology, the ENvue system that assists the medical teams in navigating a feeding tube correctly to prevent complications.

What are the signs and Symptoms for a Missplaced NGT/NET
A variety of signs, like coughs, higher blood pressure as well as an increase in heart rate and respiratory rate, or decreased oxygen saturation, could indicate a feeding tube misplacement. [1]

Healthcare workers need to be able to recognize dangers and put in place safety protocols.



The biggest risk of malposition results from inexperienced feeding tube placement. To ensure the safety of patients and ease of use, tube verification is vital.

If they suspect that the tube is misplaced, doctors should immediately stop feeding through it. There are a variety of methods to determine the right tube placement. The effectiveness of each technique should be compared to the specific patient's circumstance.

How to Ensure Safe Enteral Feeding Tube Positioning
A proof-based approach should be employed to ensure that the correct placement of NGT/NET tubes is verified before EN can begin. post pyloric feeding tube place There are a myriad of reliable verification methods, for example, x-ray(radiography) as well as pH ultrasound, and capnography.

An abdominal radiograph is the best method to determine the location of a feeding tube. The entire tube's path through the digestive tract can be seen in this image.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports reported the use of pH aspirates and xrays. 9.2% of the reports indicated that they had used non-recommended methods for verification, like placing an air bolus/auscultation. post pyloric feeding tube place It is important to mention that these verifications take place only after the tube has been already placed.


NG tube positioning There are numerous innovative technologies that could be utilized to aid doctors when placing feeding tubes. The devices for placement employ sophisticated techniques of navigation, some of which incorporate sensors and body mapping to ensure safe and quick placement of feeding tubes. These provide greater assistance to medical professionals in the procedure.

ENvizion Medical introduces new technology for NGT/NET Navigation
In recent years, a promising NGT/NET placement system known as ENvue(r) was launched on the market. The system allows clinicians to safely place a feeding tube into the small intestine.

The ENvue Navigation System is made up of an electromagnetic field generator. It creates EM wave that covers the patient's thorax, gastrointestinal tract, and the lungs. The EM field generator, when used in conjunction with several EM sensors, creates the bodymap of a particular patient and gives accurate images even when a person moves.

There is a second sensor embedded within the feeding tube distal tip which is activated upon entering the field of electromagnetic waves.


The ENvue tracking system follows the tube's sensor throughout your gastrointestinal tract and displays its relative position and the route of placement throughout the placement.


ENvue reports show that each procedure begins by registering anatomical landmarks. https://www.envizionmed.com/resources/articles/feeding-tube-insertion-and-the-risk-of-lung-collapse/ post pyloric feeding tube place This allows the patient to be aligned with the navigation systems, and allows for accuracy in navigation.

The intuitive screen of ENvue gives you multiple perspectives simultaneously (Frontal Axial as well as Lateral). In real-time, the screen displays the patient's contours and how the tube is positioned on the sensor. There's no lagging. Additionally the ENvue system warns patients when the tube's feeding is misdirected into the airways, which may trigger them to take it off and re-insert the tube.

ENvue provides a unique method to determine the exact position of NGT/NET. There are numerous tools available. This revolutionary technology blends an integrated body map with sensors, and continuously guiding the user. These functions have been able to alter the process.


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