title: Outcomes of nasal bridling to secure enteral tubes in burn patients.
abstract: BACKGROUND
  Reliable securement of nasally inserted enteral tubes is a problem in patients with facial burns that make use of traditional adhesive tape ineffective.
  
  
  OBJECTIVE
  To implement the nasal bridle as a way to decrease inadvertent removal of nasally inserted enteral tubes and improve subsequent patient outcomes.
  
  
  METHODS
  The nasal bridle was implemented in the burn unit of the University of Kansas Hospital, Kansas City, Kansas, as a quality improvement project. Outcomes for the calendar year 2010 were measured in patients treated before use of the bridle (prebridle control group) and in patients for whom the bridle was used. The groups were compared on measures of tube insertions per tube day, abdominal radiographs per tube day, and a number of complications.
  
  
  RESULTS
  A total of 50 patients were studied: 33 in the control group and 17 in the bridle group. Baseline characteristics of age and sex did not differ between the groups. The bridle group had significantly fewer tube insertions and abdominal radiographs per tube day than the control group. Although complications were generally less common in the bridle group, the differences were not statistically significant.
  
  
  CONCLUSIONS
  In burn patients, use of a nasal bridle to secure nasally inserted tubes had clinical advantages over securement with traditional adhesive tape.
authors: Burnett Burn Center and the Outpatient Burn and Wound Care Center, Kansas City, KS, USA.
authors: Jennifer
authors: J
authors: Parks
authors: Susan
authors: S
authors: Klaus
authors: Vincent
authors: V
authors: Staggs
authors: Maria
authors: M
authors: Pena
mesh_terms: D002053:Burn Units / Q000592:standards / Q000639:trends; D002056:Burns / Q000628:therapy*; D004750:Enteral Nutrition / Q000295:instrumentation / Q000379:methods*; D005151:Facial Injuries / Q000628:therapy; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D007615:Kansas; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009666:Nose; D017063:Outcome Assessment, Health Care; D010564:Personnel, Hospital / Q000193:education*; D058996:Quality Improvement; D013192:Staff Development / Q000379:methods; D053832:Surgical Tape / Q000009:adverse effects / Q000145:classification / Q000592:standards; D015599:Trauma Severity Indices