*Based on Clinical Feedback

 

Research Publications

 

“In conclusion, we found that, by using this unique bridle that can be placed by a nurse instead of a physician as a routine tube fixation strategy, we significantly reduced the proportion and rate of accidental tube remove and found an increased tube ‘survival’.”

“…use of the bridle would result in use of 275 fewer tubes, 330 less radiographs, and 45 fewer nurse days.”

  • Gunn SR, Early BJ, Zenati MS, Ochoa JB. Use of a Nasal Bridle Prevents Accidental Nasoenteral Feeding Tube Removal. JPEN J of Parenteral and Enteral Nutrition 2009; 33(1):50-54

 


 

“Although, we have reported saving more that $4,000 by implementation of routine bridling, the true valve of the bridle is not its economic benefit. Staff time required for tube replacement, radiation exposure from confirming X-rays and fluoroscopy, and sedation requirements are reduced by decreasing dislodgement.”

  • Seder CW, Janczy R. The Routine Bridling of Nasojejunal Tubes is Safe and Effective Method of Reducing Dislodgement in the Intensive Care Unit. NCP Nutrition in Clinical Practice. 2008-2009:23(6) 651-654

 


 

“The perception that the nasal bridle causes patient discomfort has kept some clinicians from adopting its use. On the contrary, it has been our subjective observation that bridled patients do not suffer more nasal discomfort than unbridled patients. The most uncomfortable aspect of having a nasoenteric feeding tube seems to be the placement of the tube itself, the occurrence of which is reduced by the use of a nasal bridle.”

“In addition, the nasal bridle does not seem to increase the rate of sinusitis, as the only patients diagnosed with sinusitis were in the unbridled group.”

“Our data suggest that bridling of nasoenteric feeding tubes in critically ill patients is a low-morbidity practice that reduces the rate of unintentional tube dislodgement, nasal bridling is likely to minimize the rate of procedural complications, staff and material utilization, and caloric energy debt. This randomized, controlled trial provides support for the routine bridling of nasoenteric feeding tubes in critically ill patients.”

  • Seder CW, Stockdale W. Nasal bridling decreases feeding tube dislodgement and may increase caloric intake in the surgical intensive care unit: A randomized, controlled trial. CCM Critical Care Medicine. 2010: 38(3) 797-801

 


 

“When considering the results of Seder et al, in concert with the previous investigations, it seems intuitive that an economic benefit for nasoenteric feeding tube bridling may follow from the clear clinical advantage of improved caloric delivery efficiency. These clinicoeconomic benefits, now additionally enhanced by the ease of bridle insertion using magnet-guided placement [AMT Bridle}, may lead to more routine use of umbilical tape bridles. Perhaps critical care practitioners who are avid in ensuring efficient enteral nutrition will come to embrace this advance in bridling technology as a path to improving nutritional supplementation for their patients.”

  • Popvich, Marc J. MD, FCCM, Surgical Intensive Care Unit/Anesthesiology Institute, Cleveland Clinic. EDITORIAL – The Bridle: Path to improved enteral nutrition efficiency CCM Critical Care Medicine 2010: 38(3) 984-985

 


 

“Overall the bridle appears to be an efficient way of preventing recurrent NGT/NJT displacements while promoting higher caloric delivery than NGT alone. A nasal bridle also prevents the discomfort and trauma or repeated nasal tube reinsertion, unnecessary radiation from repeat x-ray confirmation or fluoro tube placement, decrease sedative usage, improve utilization of physician and nurse’s labor, and ultimately be cost effective over time. The use of a nasal bridle may potentially decrease the need for early PEG placement and thereby decrease the early 30-day and possibly 6 month mortality or poor outcomes [for PEG is the critically ill]. The bridle has many promising features and deserves a closer look.”

  • Gurram, Krishna C. MD, Gastroenterology and Hepatology Fellow, University of Virginia, Charlottesville, VA. Nasal Bridle: Married to Your Tube. Practical Gastroenterology January 2011: 91 27-34

 

“An umbilical tape bridle… is a safe and effective method to prevent the accidental removal of nasoenteric feeding tubes in critically ill patients. We recommend its use in confused or uncooperative patients, or when the risk of unintentional feeding tube removal is high.”

  • Popvich, Marc J. MD, Lockrem, John D. MD, Zivot, Joel B. MD. Nasal bridle revisited: An improvement in the technique to prevent unintentional removal of small-bore nasoenteric feeding tubes. Crit Care Med 1996; 24(3) 429-431.

 


 

“We suggest that the nasal bridle is a successful, safe, cost-effective method of securing enteral feeding tubes and recommend its use in patients at risk of inadvertent tube dislodgement.”

  • Siobhán, P, et al., The nasal bridle: A useful approach to prevent the dislodgement of feeding tubes, e-SPEN, the Europen e-Journal of Clinical Nutrition and Metabolism (2010), doi:10.1016/j.eclnm.2009.12.003

 


 

“The feeding tube bridle… is a safe and helpful tool in the clinical setting when properly placed and carefully maintained… The feeding tube bridle is one way to reduce restraint use, cost, use of valuable staff time, and patient discomfort related to feeding tube removal and replacement.”

  • McGinnis, C., MS, RN, CNS, CNSN, Sanford USD Medicla Center, Sioux Falls, South Dakota. The Feeding Tube Bridle: One Inexpensive, Safe, and Effective Method to Prevent Inadvertent Feeding Tube Dislodgement. NCP Nutrition in Clinical Practice. 2011:26(1) 70-77

 


 

“The use of nasal bridles to secure nasoenteric tubes resulted in fewer tube dislodgements than traditional use of adhesive tape alone.”

  • Bechtold, Matthew L., MD, et al., Nasal Bridles for Securing Nasenteric Tubes: A Meta-Analysis. NCP Nutrition in Clinical Practice. 2014:29(5) 667-671