The nasal bridle: A useful approach to prevent the dislodgement of feeding tubes

Power, Siobhan; Smyth, Niamh; Duggan, Sinead N.; Roddy, M.F.; Feehan, Sinéad

doi:10.1016/j.eclnm.2009.12.003

Cited by 10 publications

(10 citation statements)

References 8 publications

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“…Five studies (3-5,9,10) compared nasal bridles to adhesive tape while only two (11,12) compared bridling to septal sutures. Nine studies (8,(13)(14)(15)(16)(17)(18)(19)(20) did not specify which method was used for the control group or before nasal bridling was deployed. The meta-analysis (6) compared bridling to adhesive tape only.…”

Section: Characteristics Of Included Studymentioning

confidence: 99%

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A systematic review of the effectiveness and complications of using nasal bridles to secure nasoenteral feeding tubes

Lynch¹,

Tang²,

Jeganathan³

et al. 2018

Aust J Otolaryngol

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Systematic literature review regarding efficacy and complication rates of securing nasoenteral tubes with nasal bridles. Studies included: systematic reviews, randomized controlled trials or comparative studies comparing nasal bridles with one or more other method of securing nasoenteral tubes. No restriction on age, language, year of publication or methodology quality was imposed. 18 studies were included. Data extraction was conducted by one reviewer and verified by another. Outcomes evaluated included: rate of tube dislodgement, rate of tube replacement, tube dwelling time, quantified enteral nutrition, cost, complications, and PEG-related morbidity/mortality. Nasal bridling is associated with lower tube dislodgement rate, lower replacement rate and increased length of time of tube in situ, resulting in better delivery of nutrition via nasoenteral tubes secured with nasal bridles compared to conventional methods. However, there is higher incidence of epistaxis/nasal ulceration with nasal bridling compared to conventional methods. Nasal bridle is an easily inserted device that improves nasoenteral tube dwelling time and, subsequently, ability to deliver optimal nutrition.

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Section: Characteristics Of Included Studymentioning

confidence: 99%

“…Five studies (3,5,17,19,20) reported a higher incidence of self-limiting episodes of epistaxis with bridling, mostly due to insertion of the bridle itself. Seven studies evaluated the incidence of nasal ulceration and other superficial complications.…”

Section: Complicationsmentioning

confidence: 99%

A systematic review of the effectiveness and complications of using nasal bridles to secure nasoenteral feeding tubes

Lynch¹,

Tang²,

Jeganathan³

et al. 2018

Aust J Otolaryngol

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“…2,3,[18][19][20][21] The mean age of patients in these studies ranged from 48-66 years. The nasoenteric tubes ranged from [8][9][10][11][12][13][14][15][16] French in reporting studies. The details of these trials included in the meta-analysis are shown in Table 1.…”

Section: Article Search and Identificationmentioning

confidence: 99%

“…[5][6][7][8][9] Many different types of anchors have been used with varying degrees of success. 2,[10][11][12][13][14][15][16][17][18][19][20][21] In 2009, Gunn et al 18 described a new technique for a nasal bridle using a commercial magnetic retrieval system attached to 1/8-inch umbilical tape to place and secure the nasoenteric tube (Applied Medical Technology, Brecksville, OH). Given a limited number of small studies and a variety of techniques described, 2,3,18-21 this meta-analysis was performed to examine the overall effectiveness of nasal bridles vs the traditional alternative of no bridle, using tape alone for securing nasoenteric tubes.…”

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confidence: 99%

Su1517 Nasal Bridles for Securing Nasoenteric Tubes: a Meta-Analysis

Bechtold

Nguyen

Palmér

et al. 2014

Gastrointestinal Endoscopy

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“…Many different types of anchors have been used with varying degrees of success 2 , 10 – 21 . In 2009, Gunn et al 18 described a new technique for a nasal bridle using a commercial magnetic retrieval system attached to 1/8‐inch umbilical tape to place and secure the nasoenteric tube (Applied Medical Technology, Brecksville, OH).…”

mentioning

confidence: 99%

Nasal Bridles for Securing Nasoenteric Tubes

et al. 2014

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Background Nasoenteric feeding tubes may easily become dislodged due to patient mental status, transfers, or positional changes. Nasal bridles were introduced to provide a better, more reliable system to secure these tubes. This meta-analysis was performed to evaluate the effectiveness of nasal bridles compared with the traditional method of adhesive tape alone in securing enteral feeding tubes. Materials and Methods Multiple databases were searched (October 2013). All studies that evaluated the use of nasal bridles in adult patients were included in the analysis. Meta-analysis for the outcomes from use of a nasal bridle vs the more traditional method of adhesive tape alone for securing nasoenteric tubes was analyzed by calculating pooled estimates of dislodgement, skin complications, and sinusitis. Statistical analysis was performed using RevMan 5.1. Results Six studies (n = 594) met the inclusion criteria. Use of a nasal bridle for securing enteral tubes resulted in a statistically significant reduction in tube dislodgement compared with traditional adhesive tape alone (odds ratio [OR], 0.16; 95% confidence interval [CI], 0.10–0.27; P < .01). The use of nasal bridles was associated with a higher rate of skin complications compared with traditional adhesive tape (OR, 4.27; 95% CI, 1.79–10.23; P < .01). Incidence of sinusitis was no different between the 2 groups (OR, 0.26; 95% CI, 0.03–2.28; P = .22). Conclusion Nasal bridles appear to be more effective at securing nasoenteric tubes and preventing dislodgement than traditional use of tape alone.

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The nasal bridle: A useful approach to prevent the dislodgement of feeding tubes

Cited by 10 publications

References 8 publications

A systematic review of the effectiveness and complications of using nasal bridles to secure nasoenteral feeding tubes

A systematic review of the effectiveness and complications of using nasal bridles to secure nasoenteral feeding tubes

Su1517 Nasal Bridles for Securing Nasoenteric Tubes: a Meta-Analysis

Nasal Bridles for Securing Nasoenteric Tubes

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