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How do you determine if it is safe? placement for Nasogastric or Nasoenteric Tube? Nasogastric or Nasoenteric Tube and Its Complications

Nasogastric feeding tubes need to be placed safely to avoid harm or death. safe nasogastric tube placement Innovative techniques and the latest technology might reduce complications.Read more to find out how this might be the case.

The prevention of problems associated with Nasoenteric Tubes
Secure placement of a nasal or Nasoenteric tube requires experience of a medical professional and high accuracy. Flexible devices known as nasogastric or the nasoenteric (NGT/NET), which pass through the nose into the stomach (or small bowel) permit proper nutrition as well as medical care for severely sick patients, or those who are undergoing surgery. They can also cause complications, a Brazilian study illustrates.


The timely deployment of NGT/NET will decrease the chance of getting infections and preserve the integrity of the gut mucosa and enhance gastrointestinal motility.


NGT/NET can also have a positive impact on the outcome of patients, wound healing, diseases severity and complications and may also help in reducing the ICU stay and reducing the mortality rate. They are helpful for older patients who are at end-of-life.

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NG/NE feeding tubes are available in a myriad of ways such as blind insertions, guidance placing devices, fluoroscopy as well as endoscopy. They can be used for decompression of the gastrointestinal tract and medication administration.

Two major issues are connected with feeding tube malposition. They are similar to other problems that tube-related issues can cause..


Aspiration pneumonia: The risk of developing aspiration-related pneumonia is enhanced by the presence of NGT/NET in the stomach , or in the esophagus of patients that require small bowel feedings. In the current time, 28% malpositions of the tube can lead to pneumonia.
Inadvertently placed lungs 2.5% of NGT/NET accidentally get in the lungs. This could result in a 30% chance that the lung will collapse (pneumothorax). In rare instances, an incorrect placement of NGT/NET could cause death.
Healthcare professionals must therefore evaluate the risks and implement patients' safety and high-quality care methods.

This article will discuss the symptoms of feeding tube loss, the risks and techniques for location verification. This article will also explain the ENvue technology that assists medical personnel in navigating a feeding tube to avoid complications.

What are the signs and Symptoms of a Missplaced NGT/NET
A problem with the feeding tube may be indicated by a variety of symptoms, including coughing and high blood pressure, the heart beating and respiratory rate and decreased oxygen saturation and elevated blood pressure.

Healthcare workers must be able to identify hazards and develop safety procedures.



The most significant risk of improper feeding results from blind tube placement. Lung collapse feeding tube Tube verification is necessary to ensure patient safety.

If doctors suspect the tube is not in the correct place, doctors should immediately stop feeding through it. https://worldfinancialreview.com/how-small-bowel-feeding-tube-devices-benefit-hospitals/ The correct placement of the tube may be determined using many techniques. However, each technique's efficacy should be considered in relation to the specific patient's needs.

How can you verify the safety of Enteral Feeding Tube Placement
Before initiating EN the correct NGT/NET tube placement has to be proven using an evidence-based approach. There are several reliable verification methods including: x-ray(radiography) pH reading, capnography, ultrasound, and fluoroscopy.

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


As per the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020), the use of the x-ray and pH aspirates was identified in 90.8% of the reports. 9.2 percent of reports indicated that they used unapproved methods of verification (e.g. Auscultation/injection of air bolus). These verifications should only be carried out after the tube is been placed.


Nowadays, there are new systems that assist clinicians in placing feeding tubes. Innovative navigation techniques are utilized to quickly place feeding tubes and safely. https://www.envizionmed.com/resources/articles/how-to-assess-a-safe-placement-of-a-nasogastric-or-nasoenteric-tube-and-its-complications/ Certain devices include sensors as well as body mapping. They also provide assistance for medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation
In the last few years, a promising NGT/NET system, known as ENvue(r) was made available for sale. It permits clinicians to place a safe feeding tube in the small intestinal tract.

The ENvue navigation device is fitted with an electromagnetic (EM-) field generator, which emits EM waves that penetrate the thorax area of the patient as well as their gastrointestinal tract. The EM field generator along with other EM sensors create a specific patient's body map and provide precise images even when a patient moves.

The distal portion of a feeding tube has an embedded sensor which activates when electromagnetic waves pass through it.


The ENvue system tracks the tube sensor throughout the gastrointestinal tract and it displays the location of the tip and placement route during the process of placement.


ENvue records show that each procedure starts with anatomical landmarks registration. This allows the patient to be aligned to the navigation systems, and allows for accurate navigation.

Envue's intuitive screen provides multiple simultaneous views (Frontal Axial, Frontal, and Lateral). In real-time, the screen displays the patient's anatomy and the direction of the tube sensor. There is no lagging. Additionally, the ENvue system alerts users when the tube's feeding is misdirected into the airways, which could prompt them to withdraw and re-insert the tube.

There are numerous tools to precisely assess the NGT/NET position. ENvue, however, is exclusive. Through its innovative technology, it combines a highly accurate body map, sensors built-in and continuous visual guidance. The features have revolutionized the process.


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