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How do you determine if it is a safe place to put Nasogastric Tube or Nasoenteric Tube? Nasogastric tube or Nasoenteric Tube, and Its Complications

Nasogastric feeding tubes need to be used with care to prevent damage or death. https://devpost.com/enevoldsenmcintosh981 There are many ways to avoid complications. Learn more.

Eliminating the issues caused by nasoenteric tube
A medical professional with experience is required to properly place an nasogastric/nasoenteric nas. Also, they must be precise. Nasogastric tubes or nasoenteric tube (NGT/NET) are tubes that are flexible and pass through the nose, distally, into the small bowel or stomach (respectively) which allows adequate nutrition as well as medical management of patients who are critically ill or undergoing surgery. These tubes can lead to complications, a Brazilian study illustrates.


The earlier deployment of NGT/NET will reduce the chance of getting infections and preserve the integrity of the gut mucosa and increase gastrointestinal mobility.


NGT/NET also can positively affect the outcomes of patients, enhance wound healing, lessen complications and severity also, reducing the length of stay in the ICU and could even decrease the mortality rate. They are beneficial for elderly patients at the end-of-life.

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post pyloric feeding tube place NG/NE feeding tubes are available in a variety of techniques including blind insertion, guidance placement devices, fluoroscopy and endoscopy. They are suitable to treat gastrointestinal disorders and drug administration.

Lung collapse feeding tube Feeding tube malposition can cause two major problems, similar as those seen with other tubes .


Aspiration pneumonia: The chance of developing aspiration pneumonia is increased when there is NGT/NET in the stomach , or in the esophagus in patients who require feedings for small bowels. As of today 28 percent of malpositions in the tube result in pneumonia.
Inadvertent lung placement 2.5% of NGT/NET are accidentally placed in the lung. This could lead to an increase of 30% that the lung will collapse (pneumothorax). In rare instances, inadvertently placing NGT/NET into the wrong place can result in death.
So, healthcare professionals have to be aware of risks and employ patient safety and quality of healthcare methods.

This article will address the causes of tube displacement, as the risks and methods for confirmation. It will also present the ENvue technology, which assists medical teams to navigate a feeding tube to prevent complications.

What are the signs and Symptoms for a Missplaced NGT/NET
Various signs, such as coughs, blood pressure increases and heart rate, as well as a higher respiratory rate, or decreased oxygen saturation, can indicate a feeding tube misplacement. [1]

Healthcare professionals must be able to regularly assess the risks to patients and follow safety procedures.



The greatest risk of improper feeding results from blind tube placement. Tube verification is required in order to guarantee the safety of patients.

If they suspect that the tube is misplaced, doctors should immediately stop feeding through it. There are numerous ways to determine the proper position of the tube. However, the effectiveness of each method must be evaluated in relation to the patient's condition.

How to Ensure Safe Enteral Feeding Tube Use
A method based on evidence must be used to confirm that the correct placement of NGT/NET tubes is confirmed before EN can begin. There are numerous verifiable methods of verification that can be used, such as x-ray(radiography), Capnography, pH reading, ultrasound and fluoroscopy.

post pyloric feeding tube place A radiograph of the abdomen is the best method to confirm the position of a feeding tube. In this case, the tube's entire course through the digestive system can be seen.


According to the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), 90.8% of reports reported the use of pH aspirates and xrays. At the same time, 9.2% of the reports stated that they used non-recommended verification methods (e.g. placing an air bolus or auscultation). The verification can only be done when the tube is inserted.


Today, there are innovative systems available to aid clinicians in placing feeding tubes. The placement devices utilize advanced techniques of navigation, some include sensors as well as body mapping to ensure safe and rapid feeding tube placement. These devices provide more assistance for medical personnel.

New Technology for NGT/NET Navigation ENvizion Medical
A promising NGT/NET placement device, ENvue(r), is a new device that was launched on the market over the last few years. It allows doctors to safely place a feeding tube into the small intestinal tract.

https://www.transtats.bts.gov/exit.asp?url=https://www.healthcarebusinesstoday.com/patient-safety-week-safe-nasogastric-tube-placement/ The ENvue navigation system is an electromagnetic (EM) field generator that emits EM waves that penetrate the patient's thorax and gastrointestinal tract. The EM field generator and a number of EM sensors come together to form the body map of the patient. They also provide accurate images, even when the patient moves.

The distal tip of a feeding tube contains an embedded sensor which activates when electromagnetic waves enter it.


The ENvue system follows the tube's sensor through the gastrointestinal tract and shows the position of the tip and the path to placement during placement.


ENvue data shows that each procedure starts with anatomical landmarks registration. This helps align the patient with the navigation systems and assures exact navigation.

The user-friendly screen of Envue can provide multiple simultaneous views (Frontal and Axial), The screen displays the person's body contour as well as the direction and direction of the tube sensor, in real-time , with no lags. The ENvue system also alerts users when feeding tubes are not properly directed into the lungs. This could cause them to take the tube out and then insert it back in.

ENvue is a revolutionary method to determine the exact position of NGT/NET. There are many tools available. It combines innovative technology with an accurate body map, sensors and continuous visual guidance. These capabilities have made the process much more efficient.


Website: https://www.transtats.bts.gov/exit.asp?url=https://www.healthcarebusinesstoday.com/patient-safety-week-safe-nasogastric-tube-placement/