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HOW TO EVALUATE A SAFE PLACEMENT FOR AN NASOGASTRIC TUBE OR NASOENTERIC TUBE,
AND ITS COMPLICATIONS

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Nasogastric tubes have to be placed safely to avoid injury or even death. Lung
collapse feeding tube Innovative technology and techniques could lessen the risk
of complications. Find out more.

The prevention of problems that are caused by nasoenteric tube
Secure placement of a nasal or Nasoenteric tube requires the knowledge of a
qualified medical professional and high-quality accuracy. Nasogastric and
nasoenteric tubes (NGT/NET) are flexible devices that pass through the nose and
distally into the small bowel or stomach (respectively), allowing adequate
nutrition as well as medical care for patients who are critically ill or
undergoing surgery. The tubes could cause complications, a Brazilian study
illustrates.


https://www.sciencetimes.com/articles/43002/20230327/how-to-safely-place-a-post-pyloric-feeding-tube.htm
The earlier introduction of NGT/NET may minimize the risk of infection as well
as preserve the integrity of gut mucosa and increase gastrointestinal mobility.


Lung collapse feeding tube
https://spacecoastdaily.com/2023/03/ensuring-patient-safety-while-positioning-an-ng-tube/
NGT/NET can also have a positive impact on patient outcomes and wound healing,
as well as complications and severity, and may also help in reducing the ICU
duration and reducing mortality rate. They can be beneficial for elderly
patients at the death.

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The feeding tubes for NG/NE can be introduced using various methods including
blind insertion guidance devices for placement, endoscopy, and fluoroscopy, and
are utilized for gastric decompression, medication administration and enteral
nutrition (EN) and, occasionally to facilitate gastric lavage.

There are two major complications that are associated with malpositioning of the
feeding tube, which are similar to other issues with tubes:


Aspiration pneumonia: The possibility of developing aspiration pneumonia is
elevated by the presence NGT/NET in the stomach or in the esophagus of patients
who require small bowel feedings. At present, 28% of tube malpositions result in
pneumonia.
Inadvertently misplaced lung 2.5% of NGT/NET are accidentally placed in the
lungs. This results in 30% of collapsed lung (pneumothorax). In rare instances,
inadvertently placing NGT/NET into the wrong place can lead to death.
Healthcare professionals need to evaluate the risks and make sure patients are
secure and receive top-quality healthcare.

This article will discuss the warning signs of tube misplacement, risk, and
techniques for location verification. The ENvue system is a cutting-edge
technology that allows medical personnel to navigate a tube in a safe manner and
avoid any complications.

safe nasogastric tube placement What are the signs and Symptoms of an Incomplete
NGT/NET
Numerous signs like increased blood pressure or respiratory rate, coughs, asthma
as well as heart rate rises and lower oxygen saturation could all be signs the
feeding tube may be incorrectly placed.

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



The greatest risk of misplaced feeding is due to blind tube placement. To ensure
patient safety and satisfaction, tube verification is essential.

If doctors suspect the tube is misplaced The doctor should stop feeding it. A
variety of techniques can help determine the proper tube placement. Each
technique's efficiency must be evaluated in relation to the specific patient's
circumstance.

https://www.natureworldnews.com/articles/55740/20230307/the-importance-of-safe-post-pyloric-feeding-tube-placement.htm
How can you verify the safety of Enteral Feeding Tube Use
Before beginning EN, confirmation of correct NGT/NET tube positioning must be
established using an evidence-based process. There are numerous verifiable
methods of verification available which include radiography, pH readings as well
as capnography (ultrasound) and fluoroscopy.

A abdominal radiograph is the "gold standard" for verifying the location of a
nasogastric or nasoenteric feeding tube. This allows you to see the entire
course of the tube as it travels through your digestive system.


Based on the Pennsylvania Patient Safety Reporting System (January 2017 to June
2020), 90.8% of reports reported the use of pH aspirates as well as x-rays. 9.2%
of the reports mentioned that they had used non-recommended verification
methods, such as the insertion of an air bolus or auscultation.
https://www.healthworkscollective.com/how-assess-safe-placement-of-nasogastric-nasoenteric-tube-complications/
This verification can only be performed when the tube is inserted.


Today, there are a variety of innovative devices that aid clinicians in placing
feeding tubes. Advanced navigation methods are used to place feeding tubes
quickly and safely. Certain devices include sensors and body mapping. These
devices provide more assistance to medical professionals.

New Technology for NGT/NET Navigation by ENvizion Medical
In recent times, a promising NGT/NET placement device known as ENvue(r) was
launched on the market. It allows clinicians to securely introduce a feeding
tube into the small intestinal.

The ENvue navigation system is comprised of an electromagnetic (EM) field
generator which emits EM waves covering the patient's thorax as well as the
digestive tract. The EM field generator along with a range of EM sensors combine
to create a patient's body map. They also provide accurate images, even when the
patient moves.

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


The ENvue system follows the tube's sensor through the digestive tract and shows
the position of the tip and placement pathway during placement.


According to ENvue's data Each procedure starts with a simple registration
utilizing anatomical landmarks to align the patient with the navigation system.
This ensures the most precise navigation.

The intuitive screen of ENvue offers multiple views simultaneously (Frontal
Axial as well as Lateral). The screen displays a patient's body contour, along
with the direction and direction of the sensor, in real-time with no lagging.
Additionally the ENvue system alerts users whenever the tube's feed is not
correctly directed to the airways, which may prompt them to withdraw and
re-insert the tube.

While there are a variety of instruments available to assess NGT/NET placement
accurately, ENvue is different. It incorporates cutting-edge technology with
precise body maps, sensors and continuous visual guidance. The features have
revolutionized the method.

Lung collapse feeding tube


Public Last updated: 2023-04-09 12:34:18 PM

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