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Nutrición Hospitalaria
versión On-line ISSN 1699-5198versión impresa ISSN 0212-1611
Resumen
NIDDAM-SANCHEZ, Raquel Amalia; ASHBAUGH-ENGUIDANOS, Rosa Ana; BERNAL-ALVAREZ, Mario y ALVAREZ-HERNANDEZ, Julia. Evaluation of the use of nasal bridle in clinical practice. Nutr. Hosp. [online]. 2022, vol.39, n.5, pp.962-970. Epub 19-Dic-2022. ISSN 1699-5198. https://dx.doi.org/10.20960/nh.03781.
Introduction:
the nasal bridle (NB) is one of the strategies to avoid the displacement of tubes for enteral nutrition (EN) used during a nutritional intervention.
Objectives:
to review the efficacy and safety of NB placement in a patient population requiring EN by tube feeding. To analyze their clinical characteristics and identify complications related to this procedure.
Methods:
a retrospective observational study in usual clinical practice including patients admitted to a second-level hospital with EN catheters who required the use of a commercial NB—CORGRIP NG/NI TFEEDING TUBE RETENTION SYSTEM.
Results:
51 patients with a mean age of 73 years (37-96) were analyzed; 64.7 % were men. Oropharyngeal dysphagia (OPD) was the fundamental indication for placement of an EN tube (54.9 %) followed by refusal to ingest (17.6 %), and orotracheal intubation (7.8 %), among others. NB was withdrawn in 7.8 % of cases due to change in digestive access (gastrostomy), in 21.6 % because of transition to the oral route, and in 9.8 % due to ignorance on how to use it. We found significant differences between accidental removal and self-withdrawal of probes before and after BN placement (2.59 ± 1.512 vs 0.24 ± 0.596; p < 0.05). No related complications were recorded except for only one case of skin ulcer.
Conclusions:
NB is a safe and effective retention system for the prevention of probe displacement and withdrawal in patients with a wide variety of pathologies. Training health professionals is essential for proper use.
Palabras clave : Nasal bridle; Enteral nutrition; Tube feeding; Inadvertent feeding tube dislodgement.