Nasal bridles for securing nasoenteric tubes

A meta-analysis

Matthew L. Bechtold, Douglas L. Nguyen, Lena B. Palmer, Laszlo N. Kiraly, Robert Martindale, Stephen A. McClave

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

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

Original languageEnglish (US)
Pages (from-to)667-671
Number of pages5
JournalNutrition in Clinical Practice
Volume29
Issue number5
DOIs
StatePublished - Oct 1 2014

Fingerprint

Nose
Meta-Analysis
Adhesives
Enteral Nutrition
Sinusitis
Mentally Ill Persons
Small Intestine
Odds Ratio
Databases
Confidence Intervals
Skin

Keywords

  • enteral nutrition
  • feeding tubes
  • nasal bridles
  • nasogastric
  • nasojejunal

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Nasal bridles for securing nasoenteric tubes : A meta-analysis. / Bechtold, Matthew L.; Nguyen, Douglas L.; Palmer, Lena B.; Kiraly, Laszlo N.; Martindale, Robert; McClave, Stephen A.

In: Nutrition in Clinical Practice, Vol. 29, No. 5, 01.10.2014, p. 667-671.

Research output: Contribution to journalArticle

Bechtold, Matthew L. ; Nguyen, Douglas L. ; Palmer, Lena B. ; Kiraly, Laszlo N. ; Martindale, Robert ; McClave, Stephen A. / Nasal bridles for securing nasoenteric tubes : A meta-analysis. In: Nutrition in Clinical Practice. 2014 ; Vol. 29, No. 5. pp. 667-671.
@article{8200f2355f3e481da22ddbd5cfb27cdb,
title = "Nasal bridles for securing nasoenteric tubes: A meta-analysis",
abstract = "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",
keywords = "enteral nutrition, feeding tubes, nasal bridles, nasogastric, nasojejunal",
author = "Bechtold, {Matthew L.} and Nguyen, {Douglas L.} and Palmer, {Lena B.} and Kiraly, {Laszlo N.} and Robert Martindale and McClave, {Stephen A.}",
year = "2014",
month = "10",
day = "1",
doi = "10.1177/0884533614536737",
language = "English (US)",
volume = "29",
pages = "667--671",
journal = "Nutrition in Clinical Practice",
issn = "0884-5336",
publisher = "SAGE Publications Ltd",
number = "5",

}

TY - JOUR

T1 - Nasal bridles for securing nasoenteric tubes

T2 - A meta-analysis

AU - Bechtold, Matthew L.

AU - Nguyen, Douglas L.

AU - Palmer, Lena B.

AU - Kiraly, Laszlo N.

AU - Martindale, Robert

AU - McClave, Stephen A.

PY - 2014/10/1

Y1 - 2014/10/1

N2 - 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

AB - 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

KW - enteral nutrition

KW - feeding tubes

KW - nasal bridles

KW - nasogastric

KW - nasojejunal

UR - http://www.scopus.com/inward/record.url?scp=84907512615&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84907512615&partnerID=8YFLogxK

U2 - 10.1177/0884533614536737

DO - 10.1177/0884533614536737

M3 - Article

VL - 29

SP - 667

EP - 671

JO - Nutrition in Clinical Practice

JF - Nutrition in Clinical Practice

SN - 0884-5336

IS - 5

ER -