Efficacy of commercial nasal bridle use in reducing feeding tube dislodgements in pediatric patients following double stage laryngotracheoplasty

Mayes, Theresa; Brumbaugh, Cheryl; Vitolo, S; Buchert, Melissa; Tabangin, Meredith E.; Myer, Charles M.

doi:10.1016/j.ijporl.2020.109979

Cited by 3 publications

(11 citation statements)

References 18 publications

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“…A more recent study by Mayes et al (2020) included 67 pediatric patients with a median age of 6.5 years for the patients with tube securement devices and 3.2 years for the group without the securement device. The incidence rate for dislodgement in the tube securement device group was 0 and 9.4% in the group without the tube securement device (Mayes et al, 2020). Mayes et al (2020) noted that the increased rate of feeding tube reinsertion resulted in increases in sedation requirements, patient discomfort, and parent/ patient anxiety.…”

Section: Discussionmentioning

confidence: 99%

Nasal Tube Securement

McNeely

Quackenbush

Bothwell

et al. 2022

Rehabilitation Nursing

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Purpose: The aim of this study was to compare accidental dislodgement rates of nasal gastric tubes secured with standard methods or a nasal tube securement device in pediatric patients. Design: A randomized controlled trial was conducted. Methods: Participants (n = 43) were randomized into standard securement or nasal tube securement device using block randomization to control for age and diagnosis. Surveys were collected from staff and caregivers on device ease of use and satisfaction. Results: There were a similar number of tube dislodgements for patients in the nasal tube securement device group (n = 6) and the standard practice group (n = 7). The median hospital length of stay was higher for the standard practice group (13 days vs. 9 days). Conclusion: Use of the nasal tube securement device did not significantly decrease the rate of tube dislodgements compared with standard practice. Clinical Relevance to Rehabilitation Nursing: The study provides information for pediatric rehabilitation nurses in choosing securement options for nasal gastric tubes.

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Section: Discussionmentioning

confidence: 99%

Nasal Tube Securement

McNeely

Quackenbush

Bothwell

et al. 2022

Rehabilitation Nursing

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“…[1][2][3][4][5][6][7] Children with complex medical concerns may have NGTs for weeks or months, which are managed across a variety of disciplines. 3,5,[7][8][9][10][11] Children who are discharged home with NGTs often experience tube dislodgment [10][11][12][13][14] that requires families to seek medical assistance for accurate replacement, which may involve additional radiological exposure and increased healthcare costs. 11 Children requiring enteral nutrition support through NGTs pose specific challenges to prevent the tube from being dislodged.…”

Section: Introductionmentioning

confidence: 99%

“…3,5,[7][8][9][10][11] Children who are discharged home with NGTs often experience tube dislodgment [10][11][12][13][14] that requires families to seek medical assistance for accurate replacement, which may involve additional radiological exposure and increased healthcare costs. 11 Children requiring enteral nutrition support through NGTs pose specific challenges to prevent the tube from being dislodged. 10,11,14,15 The incidence of NGT dislodgment across all age groups, including adults, has been reported to be 40%-68%.…”

Section: Introductionmentioning

confidence: 99%

“…11 Children requiring enteral nutrition support through NGTs pose specific challenges to prevent the tube from being dislodged. 10,11,14,15 The incidence of NGT dislodgment across all age groups, including adults, has been reported to be 40%-68%. [16][17][18][19] Hospitals are often hesitant to send infants home with NGTs owing to the 40%-50% likelihood of inadvertent removal, [13][14][15] resulting in increased gastrostomy tube (GT) placement or longer hospital stay for patients trying to achieve full oral intake.…”

Section: Introductionmentioning

confidence: 99%

“…Nasogastric tubes (NGTs) are commonly used to provide temporary enteral nutrition support and/or are used before placement of a durable tube 1–7 . Children with complex medical concerns may have NGTs for weeks or months, which are managed across a variety of disciplines 3,5,7–11 . Children who are discharged home with NGTs often experience tube dislodgment 10–14 that requires families to seek medical assistance for accurate replacement, which may involve additional radiological exposure and increased healthcare costs 11 .…”

Section: Introductionmentioning

confidence: 99%

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Nasogastric bridles are associated with improved tube‐related outcomes in children

Lavoie

Schindler

Garnier‐Villareal

et al. 2022

J Parenter Enteral Nutr

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Objective To compare tube‐related outcomes in children with standard tape vs nasal bridle securement of nasogastric tubes (NGTs). Study Design This was a single‐center, retrospective, correlational study of outcomes from the time of NGT placement until full oral feeds or durable‐tube placement. Outcomes of interest included NGT dislodgments, length of stay, emergency department (ED) encounters, radiographic exposures, and adverse skin outcomes. Negative binomial regression and logistic regression were used to analyze differences between groups. Results Five hundred eighty‐two children had NGTs secured traditionally (43% female; age at therapy initiation of 2.6 months [SD 8.1]), and 173 received nasal bridles (55.5% female; age at therapy initiation of 8.4 months [SD 11.8]). Children with bridled NGTs were 16.67 times less likely to experience one or more dislodgments (odds ratio [OR] = 0.06; 95% CI, 0.04–0.09); 2.5 times less likely to have one more ED visit (OR = 0.4; 95% CI, 0.19–0.82), and 4.76 times less likely to require one more radiographic exposure (OR = 0.21; 95% CI, 0.14–0.33) than unbridled children (all P values < 0.02). The mean initial hospital length of stay was 28 and 54 days in the bridled‐NGT and standard‐care groups, respectively (P < 0.001). Overall, 62.4% children with bridled NGTs and 77.1% children with unbridled NGTs progressed to full oral feedings and discontinued therapy (P < 0.001). Adverse skin outcomes were rare in both groups. Conclusion Children with bridled NGTs experienced fewer dislodgments, hospital days, ED encounters, and radiographic exposures than unbridled NGTs. Most children in both groups progressed to full oral feedings.

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