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How do you determine if it is a safe location for an Nasogastric Tube or Nasoenteric Tube, and its Complications

For reasons of safety The nasogastric tube should be correctly placed in order to avoid injuries or death. Innovative techniques and the latest technology could help reduce complications.Read more to discover how this might be the scenario.

https://www.envizionmed.com/envue-system/ Avoiding the problems caused by nasoenteric tube
The secure placement of a nasogastric , or nasoenteric tube requires a professional medical practitioner with an excellent level of accuracy. The nasal gastric (NGT/NET) also known as nasal gastric tubes, are flexible devices that be inserted through the nose and into the stomach or small intestine (respectively). It allows for adequate nutrition as well the medical treatment of patients who are critically ill or have undergone surgery. There are many issues caused by these tubes which can be prevented, as a study of Brazil highlights.


Placement of NGT/NET early is associated with decreased infections, the preservation and strength of the gut mucosa, enhanced gastrointestinal motility, and increased immune reactions.


NGT/NET may also improve outcomes for patients. It can aid in the healing process, decrease the severity and complications, decrease ICU durations, and could even lower mortality rate. They are helpful for older patients who are at nearing the end of their lives..

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The feeding tubes for NG/NE can be installed using different methods including blind insertion endoscopy, guidance devices and fluoroscopy. They are utilized for gastrointestinal decompression, medication administration and enteral nutrition (EN), and occasionally to facilitate gastric lavage.

There are two major problems caused by malpositioning of the tube for feeding and are similar to other issues with tubes:


Aspiration pneumonia: The chance of developing aspiration pneumonia is greatly enhanced by the presence of NGT/NET within the stomach or in the esophagus of patients that require small bowel feedings. In the present, pneumonia is caused by 28 percent of malpositions in the tube.
Inadvertent lung placement 2-5 percent of NGT/NET accidentally get in the lung. This could lead to the possibility that the lung could collapse (pneumothorax). In rare cases, misplacement could lead to the death of a patient.
Healthcare providers should therefore be aware of the risks and implement high-quality and safe care methods.

This article will explain the warning signs and dangers of misplaced feeding tubes. It also explains how to confirm location. This article will also explain the ENvue technology that aids medical professionals in properly navigating a feeding tube in order to avoid problems.

What are the signs and Symptoms of a Missplaced NGT/NET
Different signs, like coughs, increased blood pressure, increased heart rate and respiratory rate, or reduced oxygen saturation could be a sign of the possibility of a misplaced feeding tube. [1]

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



post pyloric feeding tube place The biggest risk of misposition comes from blind feeding tube placement. This is why tube inspection is crucial to ensure the safety of patients and the best possible comfort.

To avoid further complications to avoid any further complications, physicians must stop feeding through the tube in case they suspect misplacement. Different methods can be used to determine correct tube placement. Each method's efficacy must be evaluated in relation to the patient's particular circumstance.

How to Ensure Safe Enteral Feeding Tub Location
A evidence-based approach is required to confirm correct positioning of NGT/NET tubes prior to when EN can commence. There are many valid methods for verification such as radiography, pH readings, capnography (ultrasound), and fluoroscopy.

https://www.envizionmed.com/resources/articles/feeding-tube-insertion-and-the-risk-of-lung-collapse/ An abdominal radiograph is the "gold gold" to confirm the location of a nasogastric or nasoenteric feeding tube. This is where the tube's complete path through the digestive system can be seen.


According to the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports reported the use of pH aspirates and x-rays. The same report also revealed that 9.2% of the reports indicated the use of non-recommended verification techniques (e.g. placing an air auscultation or bolus). It is worth noting that these tests are conducted only after the tube has already in place.


post pyloric feeding tube place Today, there are innovative systems available to aid clinicians when placing feeding tube. These placement devices employ advanced methods of navigation. Some of which incorporate sensors and body mapping for safe and swift placement of the feeding tube. These provide greater assistance for medical professionals during the process.

ENvizion Medical introduces new technology for NGT/NET Navigation.
A promising NGT/NET device, ENvue(r), was launched to the market in recent years. This system aids clinicians to safely place a feeding tube in the small intestine.

The ENvue Navigation System consists of an electromagnetic field generator. It emits EM wave that covers the patient's thorax, gastrointestinal tract, and lung. The EM field generator, working in combination with other EM sensors, creates an exact bodymap for the patient and offers accurate drawings even in the event of a person's movement.

A second sensor that is embedded in the distal portion of the feeding tube will activate when it is in the electromagnetic field.


The ENvue system monitors the tube sensor throughout the digestive tract and displays the relative tip position and path of placement during the placement.


ENvue records indicate that every procedure begins with anatomical landmarks to register the patient. This makes it possible to navigate precisely and aligns them to the navigation system.

The intuitive screen of ENvue offers multiple views simultaneously (Frontal Axial as well as Lateral). In real-time the screen displays the patient's contours and the direction of the tube sensor. There is no lagging. https://www.healthcarebusinesstoday.com/patient-safety-week-safe-nasogastric-tube-placement/ The ENvue system alerts users when the feeding tube is placed incorrectly within the airways. This may prompt them to remove the tube and then re-install it.

Although there are numerous tools available for assessing the precise placement of NGT/NET, ENvue is different. It is a revolutionary technology that combines a body map with built-in sensors as well as continuous visual guidance. These capabilities have helped change the method of navigation.


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