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… Click to show full abstract
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 NB was withdrawn in 7.8 % of cases due to change in digestive access (gastrostomy), in 21.6 % because of transition to the oral route, and in 9.8 % due to ignorance on how to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.
               
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