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This study evaluates the use of tape to secure nasogastric tubes compared to securement with a nasal bridle device.
Patients who need to have a tube placed through their nose and into their stomach for medical treatments will sometimes have it accidentally removed. A nasal bridle is a device where a magnetic is used to attach a small piece of cloth tape that loops around the nasal septum bone and secures to the nasal gastric tube to prevent it from being pulled out accidentally.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nasogastric tube standard securement | No Intervention | Standard securement of nasogastric tube with adhesive tape | |
| Nasogastric Tube Nasal Bridle Securement | Experimental | Securement of NG with AMT Micro Bridle |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nasal Bridle | Device | Nasal bridle placement and securement of the tube. Instead of taping the tube to the patient's face, nose or upper lip the bridle is a device whereby a magnetic retrieval system is attached to 1/8 inch umbilical tape which is inserted via the nares, looping around the nasal septum and vomer bone and ending with both ends of the bridle (umbilical tape) secured together and to the feeding tube just outside the nose. |
| Measure | Description | Time Frame |
|---|---|---|
| Tube dislodgment | Compare the rate/percent of nasogastric tube dislodgement utilizing standard tube securement practice vs. nasal bridle (micro bridle) tube securement device in pediatric hospitalized patients. | Up to 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Device usability | Ease of use of the nasal bridle device | Up to 4 weeks |
| Radiation exposure | Number of X-rays to confirm tube placement. |
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Inclusion Criteria:
Admitted to Children's Hospital Colorado to:
Require a nasogastric or transpyloric tube (Corpak tube or clear feeding tube) for feeding or bowel cleanout.
Predicted length of use is at least 48 hours.
Newborn up to 21 years of age
Have a completed consent for enrollment into the study.
Exclusion Criteria:
Burn patients because standard for placement is the nasal bridle;
Patients with contraindications for bridle placement , such as
Any tubes placed for decompression (i.e. Salem Sump tubes)
Nasally intubated, or
With CPAP/BiPAP.
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| Name | Affiliation | Role |
|---|---|---|
| Ashley Banks (Taubert-Dupey), BSN | Children's Hospital Colorado | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25606648 | Result | Bechtold ML, Nguyen DL, Palmer LB, Kiraly LN, Martindale RG, McClave SA. Nasal bridles for securing nasoenteric tubes: a meta-analysis. Nutr Clin Pract. 2014 Oct;29(5):667-71. doi: 10.1177/0884533614536737. | |
| 24440003 | Result | Brugnolli A, Ambrosi E, Canzan F, Saiani L; Naso-gastric Tube Group. Securing of naso-gastric tubes in adult patients: a review. Int J Nurs Stud. 2014 Jun;51(6):943-50. doi: 10.1016/j.ijnurstu.2013.12.002. Epub 2013 Dec 25. |
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| ID | Term |
|---|---|
| D005183 | Failure to Thrive |
| D044342 | Malnutrition |
| D003248 | Constipation |
| D007415 | Intestinal Obstruction |
| D001068 | Feeding and Eating Disorders |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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Evaluate the securement of the Nasogastric tube either by standard securement or using a Nasal Bridal securement method.
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|
|
| Up to 4 weeks |
| Cost | Average costs among groups related to naso-gastric (NG) tube placement and replacement | Up to 4 weeks |
| Restraint use | Use of restraints for the purpose of tube protection. | Up to 4 weeks |
| Skin integrity | Skin integrity: complications/issues | Up to 4 weeks |
| Patient/Caregiver Satisfaction | Patient/caregiver satisfaction with bridle. | Up to 4 weeks |
| 18827069 | Result | Gunn SR, Early BJ, Zenati MS, Ochoa JB. Use of a nasal bridle prevents accidental nasoenteral feeding tube removal. JPEN J Parenter Enteral Nutr. 2009 Jan-Feb;33(1):50-4. doi: 10.1177/0148607108321704. Epub 2008 Sep 30. |
| 23455863 | Result | Parks J, Klaus S, Staggs V, Pena M. Outcomes of nasal bridling to secure enteral tubes in burn patients. Am J Crit Care. 2013 Mar;22(2):136-42. doi: 10.4037/ajcc2013105. |
| D012817 | Signs and Symptoms, Digestive |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D001523 | Mental Disorders |