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How to Evaluate a Safe place to put Nasogastric Tube or Nasoenteric Tube? Nasogastric Tube or Nasoenteric Tube, and Its Complications

Nasogastric feeding tubes should be placed in a secure manner to avoid injury or even death. The use of different techniques and modern technology might help in reducing complications.Read more to understand how this might be the situation.

Reducing the risks caused by nasoenteric tube
The secure placement of a nasogastric or nasal tube requires a qualified medical practitioner and a high level of accuracy. Flexible devices such as nasogastric, and nasoenteric (NGT/NET) that pass through the nose into the stomach (or small bowel) enable proper nutrition medical treatment for seriously sick patients or patients undergoing surgery. Unfortunately, there are complications caused by these tubes which can be prevented, as a study by Brazil illustrates.


The timely introduction of NGT/NET may reduce the chance of contracting an infection maintain the integrity of the mucosa in the gut and improve gastrointestinal motility.


NGT/NET also has the potential to positively affect patient outcomes in terms of wound healing, disease severity and complications, and may also help in reducing the ICU stay and reducing the mortality rate. They can be useful for patients who are towards the end.

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post pyloric feeding tube place The feeding tube NG/NE can be installed using a variety methods, such as blind insertion as well as guidance devices.

A malpositioning of the tube that feeds it can cause two major problems, similar to the problems that occur with other tubes. .


Aspiration pneumonia: The possibility of developing aspiration-related pneumonia is increased when there is NGT/NET within the stomach or in the esophagus in patients who require small bowel feedings. Today, pneumonia is caused by 28 percent of tube malpositions.
Inadvertent misplacement of the lung 2.5% of NGT/NET get placed within the lungs, which causes an increase of 30% risk of a collapsed lung (pneumothorax). In rare instances, improper placement of NGT/NET may cause death.
Therefore, healthcare providers must examine risks and use patient safety and quality treatment methods.

This article will outline the symptoms and the dangers of misplaced or misplaced feed tubes. Lung collapse feeding tube It also provides a method to verify the that the tube is in its proper location. The ENvue system is a cutting-edge technology that lets medical personnel to navigate the feeding tube with safety and prevents any problems.

What are the warning signs and symptoms of a misplaced NGT/NET
Various signs, such as coughs, blood pressure increases, increased heart rate and respiratory rate, or a decrease in oxygen saturation, may indicate the existence of a feeding tube that is not properly placed. [1]

Healthcare workers should be able identify potential dangers and put in place safety procedures.



Blind feeding tube placement poses the most significant risk of incorrect placement. Thus, tube verification is crucial to ensure patient safety and satisfaction.

To avoid any further complications Practitioners must stop immediately feeding through the tube in case they suspect that the tube is not in the correct place. Many techniques can determine the correct tube placement. Lung collapse feeding tube Each technique's effectiveness must be assessed in relation to the patient's individual needs.

How do I confirm the safety of tube placement for enteral feeding
A proof-based approach should be employed to ensure that the correct placement of NGT/NET tubes is verified prior to when EN can begin. There are many reliable verification methods available that can be used, such as radiography, pH readings and capnography (ultrasound) and fluoroscopy.

A radiograph of the abdomen is the best method to confirm the position of the feeding tube. This allows you to observe the entire course of the tube through your digestive system.


According to the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), the use of x-rays and pH aspirates was discovered in 90.8% of the reports. However, 9.2% of the reports suggested that they utilized non-recommended verification methods (e.g., insertion of air bolus or auscultation). This verification can only be completed after the tube has been inserted.


Nowadays, there are new methods that aid clinicians in placing feeding tubes. https://www.openlearning.com/u/woodsdue-rua1wz/blog/FromNgTubePositioningSystemToNasalSprayNasalSprayTheTopMedicalDevicesOf2022 These devices utilize advanced navigation techniques, including sensors as well as body mapping, to ensure secure and swift tube placement. These devices are particularly useful to medical personnel.

New Technology for NGT/NET Navigation by ENvizion Medical
A promising NGT/NET placement device, ENvue(r), has been introduced to the market over the last few years. The system assists the clinicians in inserting a feeding tube without risk in the small intestinal tract.

The ENvue navigation device is fitted with an electromagnetic (EM-) field generator, which produces EM waves that cover the thorax area of the patient as well as their digestive tract. The EM field generator, in conjunction with several EM sensors generate a body map of the patient and provides precise images even when a patient is moving.

http://b3.zcubes.com/v.aspx?mid=11315521 There is an additional embedded sensor in the tube's distal tip which is activated upon it enters the electromagnetic waves.


The ENvue tracking system tracks the tube sensor throughout your digestive tract and displays the position of the tip relative to the path of placement during the process of placement.


safe nasogastric tube placement ENvue documents indicate that each procedure begins with anatomical markers to identify the patient. This makes it possible to navigate precisely and also aligns them with the system of navigation.

Envue's intuitive screen provides multiple simultaneously-views (Frontal, Axial, and Lateral). NG tube positioning In real-time, it displays patients' contours as well as the position of the tube sensor. It is not lagging. In addition, the ENvue system alerts users whenever the tube's feed is misdirected into the airways. This can trigger them to take it off and then reinstall the tube.

https://small-bowel-feeding-tubeqajj404.bravejournal.net/post/2023/05/07/Pneumothorax-events-that-are-related-to-the-placement-of-an-enteral-Feeding-Tub ENvue provides a unique approach to evaluate the precise position of NGT/NET. There are numerous tools available. This cutting-edge technology integrates a body map with built-in sensors, and continuously guiding the user. These functions have been able to revolutionize the procedure.


Read More: https://canvas.instructure.com/eportfolios/2094441/Home/Pneumothorax_Conditions_Related_to_the_Enteral_Feeding_Tube_Placement