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How to assess a safe placement of a nasal tube and its complications

To protect yourself for safety reasons, the nasogastric feeding tube has to be placed in a safe manner to ensure that there is no risk of injury or death. The use of different techniques and modern technology may help to reduce complications.Read more to discover why that may be the situation.

Reducing the risks caused by nasoenteric tube
A qualified medical professional is required to safely place the nasogastric or nasoenteric tube. It is also essential to be precise. The Nasogastric (NGT/NET), or nasal gastric tubes are flexible tubes that can be used to pass through the nose into the stomach, or the small intestinal (respectively). It allows an adequate diet as well as medical management of patients who are critically ill or have undergone surgery. They can also cause problems that can't be prevented. A Brazilian study has proved this .


Early placement of NGT/NET is associated with decreased infections, protection and integrity of the gut mucosa as well as improved intestinal motility and an increase in immune responses.


NGT/NET could also positively impact the patient's outcomes as well as wound healing, disease severity and complications, as well as shortening the ICU stay and reducing the mortality rate. They are also useful for seniors who are nearing the end of their lives..

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The feeding tubes NG/NE are available in a range of methods such as blind insertions, guidance placing devices, fluoroscopy and endoscopy. They can be used to treat gastrointestinal disorders and drug administration.

The malposition of the feeding tube can result in two major issues that are similar as those seen with other tubes. .


Aspiration pneumonia: A patient who relies on small bowel feeds or has NGT/NET malposition in their stomachs greatly increases the chances of contracting an aspiration pneumonia. Today 28 percent of tube malpositions end in pneumonia.
Inadvertently, the lungs are misplaced. 2 to 5 percent of NGT/NET can be placed into the lungs through accident which can lead to the risk of an enlarged lung (pneumothorax). The misplacement in the lungs can even at times cause death.
Healthcare providers must therefore assess the risk and employ patients' safety and high-quality care methods.

This article will discuss the signs of feeding tube loss, the risks and techniques for location verification. Lung collapse feeding tube In addition, it will introduce a revolutionary technology, the ENvue system, which aids medical teams navigate the proper feeding tube in order to avoid complications.

What are the signs and Symptoms of a Misplaced NGT/NET?
Many signs such as increased blood pressure or respiratory rate, coughs, asthma heart rate elevations, and decreased oxygen saturation can all indicate that a feeding tube is misplaced.

Healthcare workers must periodically assess hazards and implement security-related protocols for patients.



safe nasogastric tube placement The greatest risk of incorrect feeding comes from blind tube placement. To ensure patient safety and convenience, tube verification is crucial.

https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/ The doctor should stop feeding through the tube right away when they suspect that the tube is not correctly placed. This will avoid more problems. Many techniques can determine the right tube placement. NG tube positioning Every technique's efficacy must be assessed in the light of the specific patient.

https://www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm How can you verify the safety of Enteral Feeding Tubes Placement
A method based on evidence must be utilized to confirm that the correct positioning of NGT/NET tubes is verified prior to when EN can begin. You can employ a range of proven verification methods for example, x-ray(radiography) and pH capnography and ultrasound.

An abdominal radiograph can be used to confirm the position of a nasogastric or nasal tube. The entire tube's path through the digestive tract is visible here.


The Pennsylvania Patient Safety Reporting System (January 2017 to June 2020) identified that 90.8 percent of patients reported using of an xray and pH aspirates. The same report also revealed that 9.2% of the reports revealed that they utilized non-recommended verification methods (e.g., insertion of air auscultation or bolus). It is important to note that these verifications take place only after the tube has already placed.


Innovative technologies are now available to aid clinicians when placing feeding tubes. Modern navigation techniques are employed to help place feeding tubes swiftly and safe. Certain devices are equipped with sensors as well as body mapping. These devices are beneficial for medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation.
small bowel feeding tube The ENvue (r) NGT/NET placement system has been available on the market for some time. It assists clinicians in placing a feeding tube in a safe and secure way into the small intestinal tract.

The ENvue navigation system consists of an electromagnetic (EM) field generator which emits EM waves covering the patient's thorax as well as the digestive tract. The EM field generator, in conjunction with several EM sensors, generates the bodymap of the specific patient and gives accurate images even in the event of a person's movement.

There is a second sensor embedded in the tube's distal tip which is activated upon it enters the electromagnetic waves.


The ENvue system follows the tube sensor through the gastrointestinal tract . It it displays the location of the tip and the path to placement during placement.


According to the ENvue's documentation the procedure begins by registering the patient using anatomical landmarks to align the patient to the navigation system. This ensures accurate navigation.

ENvue's intuitive screen allows for multiple views at once (Frontal and Axial), The screen displays a patient's body contour and also the direction and direction of the sensor in real-time with no lagging. The ENvue system alerts users when the tube for feeding is placed wrongly in the airways. This may prompt users to take the tube off and replace it.

Although there are several tools available to determine the exact location of NGT/NET, ENvue is different. With innovative technology, it is able to combine a highly precise body map, built-in sensors, and continuous visual guidance. These features have made the process much more efficient.


Homepage: https://www.medscape.com/viewarticle/891200