Burnett Burn Center and the Outpatient Burn and Wound Care Center, Kansas City, KS, USA.
Am J Crit Care. 2013 Mar;22(2):136-42. doi: 10.4037/ajcc2013105.
Reliable securement of nasally inserted enteral tubes is a problem in patients with facial burns that make use of traditional adhesive tape ineffective.
To implement the nasal bridle as a way to decrease inadvertent removal of nasally inserted enteral tubes and improve subsequent patient outcomes.
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.
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.
In burn patients, use of a nasal bridle to secure nasally inserted tubes had clinical advantages over securement with traditional adhesive tape.
面部烧伤患者使用传统胶带固定鼻饲管不可靠，这是一个问题。
使用鼻环作为减少意外拔出鼻饲管的方法，并改善后续患者的结果。
鼻环作为一项质量改进项目，在堪萨斯州堪萨斯城堪萨斯大学医院的烧伤病房中实施。在使用鼻环之前（预环控制组）和使用鼻环的患者中，测量了 2010 年的日历年度的结果。比较了两组患者的每日管插入次数、每日管腹部 X 光片数以及并发症的数量。
共研究了 50 名患者：对照组 33 例，鼻环组 17 例。两组患者的年龄和性别基线特征无差异。与对照组相比，鼻环组的每日管插入次数和腹部 X 光片数明显减少。尽管鼻环组的并发症通常较少，但差异无统计学意义。
在烧伤患者中，使用鼻环固定鼻饲管比使用传统胶带更具临床优势。
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