The “marmite” of the enteral world.

marmite

So I was chatting today on the ward and I was asked where the latest blog was and I realised that I missed last week. It is nice to know that people do read it and find it useful.

I decided that I must rectify the situation at once and update the blog.

My next difficulty is what to write it about, I don’t want to be too repetitive and the blog to only focus on one area but I want it to be relevant. So after a few ideas from the staff on the ward (Dan I will get the surgeons to write one on appendicitis) I thought that a topical subject at the moment is nasal bridles.

They are like marmite, you either love them or hate them.

What is a ‘Nasal Bridle’?

Simple it is a system that helps keep a nasal-bridlenasal tube in position without the need for tape.

The indications for use are….

  • with NG / NJ tubes, to prevent inadvertent displacement or removal of the tube.
  • to minimise stress for patients and carers by reducing the need for repeated tube placements
  • to maintain placement of critical tubes (NJ or TAT)
  • to minimises risk of skin damage caused by adhesive tapes

Does it really matter if a tube comes out?

 Repeated tube removal leads to:

  • sub optimal nutrition
  • negative impact on growth and healing
  • patient discomfort and anxiety associated with tube re-insertion
  • increased need for X ray or anaesthetic
  • potential need for parenteral nutrition

How is a bridle placed?

Rather than me explaining it in a load of waffle, the best option is to go to the Enteral UK website and watch the video.

enteral-uk-logo
Bridle videos

They also have some useful support documentation on the use of bridles in both adult and paediatric practice so have a nosy while you’re there.

Once trained anyone can pass a nasal bridle, you don’t have to have a medical degree or wear the ‘blade’ (smurf coloured) uniform. If you can pass an NG  tube you can place a bridle, I am happy to train any one.

At Southampton Children’s Hospital we have used nasal bridles on many children in the last year with very successful outcomes. Sometimes the bridle is only needed for a day or two and in other cases for many weeks.

Please consider, even if you don’t like marmite, that a nasal bridle may be beneficial for your patient.

Karen

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