JA Lavoie et al. JPEN 2022; https://doi.org/10.1002/jpen.2409. Nasogastric Bridles are Associated with Improved Tube-Related Outcomes in Children
Retrospective study: 582 children had NGTs secured traditionally and 173 received nasal bridles
Key findings:
Children with bridled NGTs were compared to their non-bridled NGT counterparts (all results below with p values <0.02):
- 16.67 times less likely to experience ≥1 dislodgement (OR=0.06)
- 2.5 times less likely to have one more ED visit (OR=0.4)
- 4.76 times less likely to require one more radiographic exposure (OR=0.21)
My take: After learning about bridles at N2U in 2015 (thanks Praveen Goday), they quickly became popular in our institution. They improve NG/NJ outcomes.
Related blog posts:
- Impact of NG Feeding Program for NICU Graduates
- N2U -Part 2: Poor Growth and Short Bowel Syndrome
- Nutrition Symposium Georgia AAP (Part 3) | gutsandgrowth
- Bridle Link –Youtube: AMT Bridle (~3 minutes with adult model). Bridle can be placed with NG or NJ in place.
- AMT bridle website -includes full length video, family brochure, and at length description

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