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What is the best way to determine a safe placement of a Nasogastric/Naoenteric tube , and its complications

To ensure that there is no risk of injury or death, naogastric feeding tubes should be safely placed. https://www.envizionmed.com/resources/articles/feeding-tube-insertion-and-the-risk-of-lung-collapse/ There are many ways to minimize the risk of the risk of complications. Find out more.

Beware of the Issues of Nasoenteric Tubes
A qualified medical professional is required to ensure the safe placement of the nasogastric or nasoenteric tube. Also, they must be exact. Flexible devices, nasogastric and Nasoenteric (NGT/NET) which are inserted through the nose and into the stomach (or small bowel) enable proper nutrition medical treatment for seriously ill patients, or those who are undergoing surgery. These tubes can lead to problems, a Brazilian study illustrates.


The early placement of NGT/NET can reduce the chance of getting infections maintain the integrity of the mucosa in the gut and enhance gastrointestinal motility.


NGT/NET also can positively affect the patient's outcomes, aid in healing of wounds, decrease disease severity and complications also, reducing the length of stay in the ICU and can even lower mortality rate. They are beneficial for older patients in their final years.

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NG/NE feeding tubes are introduced using various methods such as blind insertion endoscopy, guidance devices, and fluoroscopy, and are utilized for stomach decompression, medication administration or enteral nutrition (EN) and, occasionally for gastric lavage.

The malposition of the feeding tube can result in two major issues, similar to the issues that are typical with other tubes. .


Aspiration pneumonia: The possibility of developing aspiration pneumonia is greatly increased when there is NGT/NET inside the stomach or in the esophagus of patients that require small bowel feedings. Today, 28% malposition of tubes can cause pneumonia.
Accidental lung misplacement. 2-5% of NGT/NET can be placed into the lungs by accident which can lead to a 30% chance for a collapsed lung (pneumothorax). In some rare cases, the inadvertently placing NGT/NET into the wrong place can cause death.
Thus, healthcare professionals must evaluate risks and implement patient safety and quality of healthcare methods.

This article will present the indicators of feeding tube loss, the risks and techniques for location verification. The ENvue system is a new technology that lets medical personnel to navigate the feeding tube in a safe manner and avoid any complications.

What are the warning signs and symptoms of a lost NGT/NET
A variety of signs, like coughs, increased blood pressure and heart rate, as well as a higher breathing rate, or lower oxygen saturation, can indicate the existence of a feeding tube that is not properly placed. [1]

Healthcare professionals must regularly examine the dangers and establish safety-related procedures for patients.



The greatest risk of malposition comes from blind feeding tube placement. Therefore, tube verification is necessary to ensure the safety of patients and satisfaction.

https://www.healthcarebusinesstoday.com/patient-safety-week-safe-nasogastric-tube-placement/ The doctor must stop feeding through the tube right away should they suspect that it's not placed correctly. This will avoid the possibility of problems. Many techniques can determine the proper tube placement. However, the effectiveness of every technique should be evaluated according to a patient's situation.

How can you confirm safe tube placement for feed through the stomach
Prior to initiating EN the correct NGT/NET tube positioning must be proven using an evidence-based process. https://www.techtimes.com/articles/288061/20230222/the-safe-placement-of-a-nasogastric-feeding-tube-complications-and-verification-methods.htm You can use a variety of reliable verification methods, for example, x-ray(radiography) or pH capnography , and ultrasound.

An abdominal radiograph is the best method to determine the location of feeding tube. It allows you to view the entire course of the tube through the digestive system.


Per the Pennsylvania Patient Safety Reporting System (January 2017 to June 2020) The use of an x-ray machine and pH aspirates were identified in 90.8 percent of reports. However, 9.2% of the reports indicated they utilized non-recommended verification methods (e.g. the insertion of an air bolus or auscultation). These verifications should only be performed after the tube has been inserted.


safe nasogastric tube placement Today, there are innovative technologies that aid clinicians with placing feeding tubes. These devices utilize advanced navigation techniques, including sensors as well as body mapping, to ensure secure and swift tube placement. These devices are more helpful for medical personnel.

ENvizion Medical introduces new technology for NGT/NET Navigation
In recent years, a promising NGT/NET placement system known as ENvue(r) was released on the market. This system aids clinicians to properly place a feeding tube in the small intestinal.

The ENvue Navigation System consists of an electromagnetic field generator. It produces EM wave that covers the patient's thoraxand gastrointestinal tract and lung. The EM field generator, working in combination with other EM sensors, generates the bodymap of the specific patient and produces accurate and detailed illustrations when a person moves.

The distal portion of a feeding tube is an embedded sensor, which is activated when electromagnetic waves penetrate it.


The ENvue system follows the tube's sensors through the digestive tract and displays the relative tip position and the path to placement during placement.


Based on ENvue's reports Each procedure starts by registering the patient using anatomical landmarks to align the patient to the navigation system and provides exact navigation.

The intuitive screen of ENvue gives you multiple perspectives simultaneously (Frontal Axial as well as Lateral). In real-time, the screen shows patients' contours as well as the direction of the tube sensor. There's no lagging. The ENvue system also warns users when feeding tubes are misdirected into the lungs. This could cause them to remove the tube and then re-insert it.

There are many instruments available for assessing the precise placement of NGT/NET, ENvue is different. small bowel feeding tube It is a cutting-edge tool that offers a very precise body map, sensors built-in and continuous guidance from a visual perspective. These capabilities have revolutionized the way people use their devices.


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