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How do you assess a safe Placement for the Nasogastric tube or Nasoenteric Tube, and its complications

For reasons of safety, the nasogastric feeding tube should be correctly placed to prevent injury or death. Modern technology and techniques can decrease the dangers. Read more.

Eliminating the issues related to nasoenteric tubing
The secure use of a nasogastric or nasoenteric tube requires a trained medical practitioner and the highest level of precision. Nasogastric or nasoenteric tubes (NGT/NET) are flexible devices that can pass through the nose distally to the small bowel or stomach (respectively), allowing the proper nutrition and medical care for patients who are critically ill or undergoing surgery. They can also cause complications that are not able to be prevented. A study from Brazil has proved this .


Early placement of NGT/NET is associated with less infections, the preservation and strength of the mucosa of your gut as well as improved intestinal motility and an increase in immune responses.


NGT/NET may also improve the patient's outcomes, wound healing, disease severity and complications, as well as shortening the ICU stay and decreasing the mortality rate. They are useful for patients who are in the final stages of their lives..

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The feeding tube NG/NE can be placed using a variety of methods, including blind insertion and guidance devices.

Two major complications are associated with tube feeding malposition. They are comparable to other problems that tube-related issues can cause..


Aspiration pneumonia: A misposition of NGT/NET in the esophagus or in the stomach of a person who needs small bowel meals greatly increases the risk of suffering from aspiration pneumonia. Today 28% of tube malpositions result in pneumonia.
Inadvertent lung placement 2.5% of NGT/NET are accidentally placed in the lungs. This could result in a 30% chance that the lung could collapse (pneumothorax). Rarely, misplacement can cause death.
https://www.envizionmed.com/resources/articles/feeding-tube-insertion-and-the-risk-of-lung-collapse/ Healthcare providers have to assess risks and apply the safety of patients and the quality of care methods.

This article will present the symptoms of feeding tube misplacement, risk, and methods for confirming the location. It will also introduce a revolutionary technology, called the ENvue system that assists the medical teams in navigating an appropriate feeding tube to prevent complications.

What are the Signs and Symptoms of a Missing NGT/NET?
A misplaced feeding tube can be spotted by a range of symptoms, including coughing or high blood pressure an increase in heartbeat and respiratory rate as well as decreased oxygen saturation and an increase in blood pressure.

Healthcare professionals must be able to regularly assess hazards and implement patient safety-related protocols.



The biggest risk of malposition stems from a blind tube placement. Therefore, tube inspection is essential to ensure patient safety and the best possible comfort.

If they suspect that the tube was not placed correctly Doctors should immediately stop feeding it. The proper placement of the tube can be assessed using various methods. Each method's efficacy is a matter of comparing it to the specific patient's situation.

How to Verify Safe Enteral Feeding Tube Use
An evidence-based approach must be used to verify that the proper placement of NGT/NET tubes is verified prior to EN can begin. There are a variety of verified methods that are reliable such as radiography, pH readings, capnography (ultrasound), and fluoroscopy.

A radiograph of the abdomen is the best method to verify the location of the feeding tube. In this case, the tube's entire journey through the digestive tract can be observed.


Lung collapse feeding tube Based on the Pennsylvania Patient Safety Reporting System (January 2017-June 2020), 90.8% of reports reported the use of pH aspirates as well as x-rays. 9.2% of reports also indicated that they used not-approved methods of verification (e.g. Lung collapse feeding tube Auscultation/injection of the air bolus). These verifications should only be done after the tube has been placed.


Modern systems are in use to assist clinicians with placing a feeding tubes. Advanced navigation techniques are employed to ensure that feeding tubes are placed quickly and safe. Some devices integrate sensors and body mapping. These provide greater assistance for medical professionals during the process.

post pyloric feeding tube place New Technology for NGT/NET Navigation developed by ENvizion Medical
The ENvue (r) NGT/NET placement system has been on market for a while. small bowel feeding tube The system allows clinicians to securely place a feeding tube inside the small intestine.

The ENvue navigation system is comprised of an electromagnetic (EM) field generator which emits EM waves that penetrate the thorax of the patient and the gastrointestinal tract. The EM field generator and a number of EM sensors are combined to create an outline of the body of the patient. They also provide precise visualizations, even when a patient is moving.

There is a second sensor embedded within the feeding tube distal tip , which activates when entering the electromagnetic waves.


The ENvue system monitors the tube sensor throughout the gastrointestinal tract and displays the precise tip location and placement path during the process of placement.


According to ENvue's records every procedure starts with a basic registration using anatomical landmarks that aligns the patient to the navigation system, and allows for precise navigation.

The intuitive screen of ENvue offers multiple views simultaneously (Frontal Axial as well as Lateral). The screen displays the shape of the patient as well as the direction and orientation of the tube sensor in real time and without slowing down. In addition, the ENvue system alerts users when the feeding tube is not correctly directed to the airways. This can prompt them to withdraw and re-insert the tube.

There are many options to accurately assess NGT/NET placement. ENvue, however, is exclusive. It incorporates cutting-edge technology with precise body mapping sensors, continuous visual guidance. These options have made the process much more efficient.


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