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

For safety reasons for safety reasons, the nasogastric feeding tube must be properly placed to ensure that there is no risk of injury or death. There are many methods to reduce complications. Learn more.

Avoiding the Problems of Nasoenteric Tubes
The safe placement of a Nasogastric or Nasoenteric tubes requires the knowledge of a qualified medical professional and high accuracy. Flexible devices called nasogastric and the nasoenteric (NGT/NET) that pass through the nose and into the stomach (or small bowel) enable proper nutrition, medical management of severely ill patients, or patients undergoing surgery. They can also cause complications, a Brazilian study proves.


Early placement of NGT/NET is associated with reductions in infections, the preservation of the integrity of the gut mucosa, and enhanced gastrointestinal motility and immune responses.


NGT/NET also has the potential to positively affect patient outcomes, wound healing, the severity of illness and complications, in addition to reducing the ICU stay and reducing the mortality rate. They are beneficial for older patients with a terminal illness..

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The feeding tubes for NG/NE can be placed using a variety of methods such as blind insertion guide placement devices, endoscopy and fluoroscopy. They can be used to treat gastric decompression, medication administration as well as enteral nutrition (EN) and, occasionally for gastric lavage.

Two major problems are associated with the malposition of feeding tubes. They are comparable to other issues that arise with tubes.


Aspiration pneumonia: Malposition of NGT/NET in the esophagus or the stomach of a patient that requires small bowel feeds significantly increases the chance of having aspiration pneumonia. Nowadays the cause of pneumonia is 28 percent of malpositions of tubes.
Inadvertent lung misplacement. 2-5% of NGT/NET are inserted into the lungs through accident which can lead to the risk of a collapsed lung (pneumothorax). In some rare cases, the inadvertently placing NGT/NET into the wrong place can result in death.
Healthcare providers have to assess risks and apply patient safety and quality of treatment methods.

This article will highlight the warning signs of tube leaks, dangers, and the methods to confirm location. The ENvue system is a new technology that lets medical professionals to navigate a feeding tube safely and avoids complications.

What are the signs and symptoms of an incorrect NGT/NET
Many signs, including coughs, elevated blood pressure, increased heart rate and breathing rate, or lower oxygen saturation, can indicate the possibility of a misplaced feeding tube. [1]

Healthcare workers need to be able to identify hazards and put in place safety procedures.



The most significant risk of misposition stems from a blind tube placement. Tube verification is needed in order to guarantee the safety of patients.

To avoid further complications to avoid any further complications, physicians must stop feeding through the tube when they suspect the tube has been misplaced. There are numerous ways to determine the proper placement of your tube. But, the efficacy of each technique is to be assessed in relation to the specific patient's needs.

How to Ensure Safe Enteral Feeding Tube Use
An evidence-based approach must be employed to ensure that the correct placement of NGT/NET tubes is confirmed before EN is able to be started. There are a variety of trustworthy methods to verify this, including x-ray(radiography) pH reading, capnography ultrasound, and fluoroscopy.

An abdominal radiograph is the "gold gold" to confirm the location of a nasogastric or nasoenteric feeding tube. The entire route of the tube through the digestive tract is visible in this image.


The Pennsylvania Patient Safety Reporting System (January 2017, through June 2020) revealed that 90.8% reported the use of in-office xrays as well as pH aspirates. However, 9.2% of the reports suggested that they used non-recommended verification methods (e.g. inserting of air Auscultation/bolus). It is important to note that these verifications are performed only after the tube has already in place.


Today, there are innovative systems available to assist clinicians with placing a feeding tubes. small bowel feeding tube These devices employ advanced navigation methods, such as sensors as well as body mapping to ensure secure and swift tube placement. These provide greater assistance medical personnel during the procedure.

ENvizion Medical introduces new technology for NGT/NET Navigation.
In recent time, a new NGT/NET placement device known as ENvue(r) was introduced to the market. safe nasogastric tube placement It allows doctors to safely place a feeding tube within the small intestine.

The ENvue navigation device comes with an electromagnetic (EM-) field generator that produces EM waves that cover the thorax of the patient and also their gastrointestinal tract. The EM field generator, in conjunction with several EM sensors, creates an exact bodymap for the patient and offers accurate drawings even when the person is moving.

There is a second sensor embedded within the feeding tube distal tip that activates once entering the field of electromagnetic waves.


post pyloric feeding tube place The ENvue system monitors the tube sensor throughout the gastrointestinal tract, and displays the exact tip direction and location during the placement.


ENvue reports indicate that every procedure starts with anatomical landmarks to register the patient. This permits precise navigation and also aligns them with the navigation system.

post pyloric feeding tube place The intuitive display of ENvue allows for multiple views simultaneously (Frontal and Axial), In real-time, it displays patients' contours as well as the orientation of the tube sensor. There is no lag. The ENvue system also warns patients when the tubes feeding them are misdirected into the lung. The result could be to pull the tube out and insert it again.

ENvue provides a unique method to accurately evaluate NGT/NET placement. There are many tools available. post pyloric feeding tube place Through its innovative technology, it incorporates a precise body map, sensors built-in and continuous guidance from a visual perspective. These features are set to transform the way we work.

NG tube positioning
Here's my website: https://www.healthcarebusinesstoday.com/ng-tube-positioning-best-medical-devices-2022/