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How do you determine a safe placement of a Nasogastric/Naoenteric tube , and its complications

Nasogastric feeding tubes should be placed in a secure manner to avoid injury or even death. The latest technology and methods may lessen the risk of complications. Find out more.

Eliminating the issues related to nasoenteric tubing
The secure placement of a nasogastric , or nasoenteric tube requires a trained medical professional and the highest level of precision. Nasogastric or Nasoenteric tubes (NGT/NET) are flexible devices that can pass through the nose distally into the stomach or small bowel (respectively) which allows an adequate diet and medical care for seriously ill or surgically treated patients. These tubes can cause complications, a Brazilian study suggests.


The prompt application of NGT/NET could lower the chance of contracting an infection and preserve the integrity of the gut mucosa and enhance gastrointestinal motility.


NGT/NET may also positively impact patient outcomes, improve wound healing, reduce the severity of illness and complications reduce the duration of hospitalization in the ICU and may even lower the mortality rate. They can be beneficial for elderly patients at the end-of-life.

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

Two major complications can be found with the malposition of feeding tubes. They are comparable to other problems that tube-related issues can cause..


Aspiration pneumonia: The risk of developing aspiration pneumonia is increased when there is NGT/NET inside the stomach or in the esophagus for patients who require feedings for small bowels. As of today, 28% of tube malpositions result in pneumonia.
Inadvertently placed lungs: 2-5% of NGT/NET can accidentally enter the lung. It can result in an increase of 30% that the lung could collapse (pneumothorax). Very rarely, misplacement causes death.
Healthcare professionals must be aware of risks and ensure that patients are safe and receiving high-quality medical care.

This article will explain the signs and risks of misplaced or misplaced feed tubes. https://www.facebook.com/ENvizionMed/?locale=hi_IN It also provides a method to determine the that the tube is in its proper location. The ENvue system is a revolutionary technology that lets medical personnel to navigate a tube without risk and to avoid complications.

What are the Signs and Symptoms of a Lost NGT/NET
A variety of signs, including increased breathing rate or blood pressure, asthma, coughs, heart rate elevations and decreased oxygen saturation could all be signs the feeding tube may be wrongly located.

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



The greatest risk of malposition is from blind feeding tube placement. post pyloric feeding tube place For optimal patient safety and ease of use, tube verification is vital.

To avoid further complications Practitioners must stop immediately feeding the tube if they suspect that the tube is not in the correct place. There are numerous ways to determine the proper placement of the tube. Every technique's efficacy must be evaluated in light of the individual patient.

How to verify safe tube placement for the feeding of the enteral tube
An evidence-based approach must be utilized to confirm that the correct positioning of NGT/NET tubes is confirmed before EN can be initiated. There are a variety of reliable verification methods available that can be used, such as radiography, pH reading as well as capnography (ultrasound) and fluoroscopy.

A radiograph of the abdomen can be utilized to determine the position of a nasogastric tube. The tube's complete course through the digestive system is visible.


According to the Pennsylvania Patient Safety Reporting System (January 2017 - June 2020) The use of an x-ray machine and pH aspirates were reported in 90.8 percent of reports. In addition, 9.2% of the reports indicated they utilized non-recommended verification methods (e.g. inserting of air bolus or auscultation). It is worth noting that these verifications take place only after the tube has been already in place.


Today, there are a variety of innovative devices that aid clinicians in the placement of feeding tubes. small bowel feeding tube Advanced navigation methods are used to quickly place feeding tubes and securely. https://www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm Certain devices are equipped with sensors as well as body mapping. These provide greater assistance to medical staff in the procedure.

New Technology for NGT/NET Navigation by ENvizion Medical
The ENvue (r) NGT/NET placement system has been on market for a while. It assists clinicians in inserting a feeding tube without risk in the small intestinal tract.

The ENvue navigation system comprises an electromagnetic (EM) field generator that emits EM waves that cover the thorax and stomach of the patient's tract. The EM field generator in combination with other EM sensors make a body map for the patient, and also provide accurate illustrations even when a patient moves.

There is an additional sensor embedded in the tube's distal tip , which activates when it is in the vicinity of electromagnetic waves.


The ENvue system monitors the tube sensor throughout the gastrointestinal tract, and displays the relative tip direction and location during placement.


ENvue records show that each procedure begins by registering anatomical landmarks. This aligns the patient to the navigation systems and guarantees exact navigation.

The intuitive screen of ENvue allows for multiple views simultaneously (Frontal Axial and Lateral). The screen shows the outline of the patient as well as the direction and orientation of the tube sensor in real time without delay. Furthermore, the ENvue system warns patients when the feeding tube is not correctly directed to the airways, which may cause them to pull it back and reinsert the tube.

ENvue offers a unique way to evaluate the precise position of NGT/NET. There are many applications available. It is a revolutionary technology that combines the body map and built-in sensors and continuous guidance. These capabilities have made the process more efficient.


Homepage: https://www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm