Nasal Tube Securement: Randomized Controlled Trial in Pediatric Hospitalized Patients

Area of Science:

• Pediatric Nursing
• Medical Device Evaluation
• Patient Safety

Background:

• Nasal gastric tubes are essential for nutritional support in pediatric patients.
• Accidental dislodgement of these tubes can lead to complications and prolonged hospital stays.
• Effective securement methods are crucial for maintaining tube placement and patient well-being.

Purpose of the Study:

• To compare the accidental dislodgement rates of nasal gastric tubes secured with a novel device versus standard methods in pediatric patients.
• To evaluate the impact of a nasal tube securement device on patient outcomes and healthcare provider satisfaction.

Main Methods:

• A randomized controlled trial involving 43 pediatric patients was conducted.
• Participants were randomized to either standard securement or a nasal tube securement device group.
• Surveys assessed ease of use and satisfaction among staff and caregivers.

Main Results:

• No significant difference in tube dislodgement rates was observed between the nasal tube securement device group (6 events) and the standard practice group (7 events).
• Patients using the standard practice method had a longer median hospital stay (13 days) compared to those with the securement device (9 days).

Conclusions:

• The nasal tube securement device did not demonstrate a significant reduction in accidental dislodgments compared to standard securement techniques.
• While not reducing dislodgments, the device was associated with a shorter hospital stay, suggesting potential benefits that warrant further investigation.