Securing an Endotracheal Tube

Best Method for Securing an Endotracheal Tube.

CEN, CFRN, CPEN, and Tom Pietrantonio, BSRT, RRT-RCP, reply: In a study published in Respiratory Care, Shimizu et al3 concluded that the conventional adhesive tape methods had greater extubation force than the 2 endotracheal tube holders and that extubation force varies considerably depending on the width, length, and type of adhesive tape used. Mohammed and Hassan4 studied endotracheal tube sl...

Comparison of commercial and noncommercial endotracheal tube-securing devices.

BACKGROUND Tracheal intubation is used to establish a secure airway in patients who require mechanical ventilation. Unexpected extubation can have serious complications, including airway trauma and death. Various methods and devices have been developed to maintain endotracheal tube (ETT) security. Associated complications include pressure ulcers due to decreased tissue perfusion. Device conside...

Securing an endotracheal tube in the presence of facial burns or instability.

Securing the endotracheal tube with adhesive tape: an integrative literature review.

The practice of securing the endotracheal tube with adhesive tape appears to be benign. However, evidence-based research suggests it is a high-risk practice. Common elements for the taping practice include the tape, anesthesia gas machine, and anesthesia provider. Researchers have found that adhesive tape outside its original packaging became contaminated with pathogens. The bacteria found on t...

Endotracheal tube extubation force: adhesive tape versus endotracheal tube holder.

BACKGROUND Adhesive tape is commonly used to secure the endotracheal tube (ETT) in anesthesia and intensive-care settings. OBJECTIVE To determine the force required to extubate when the ETT is secured with adhesive tape or commercially available ETT holders. METHODS We orally intubated a simulation manikin with a standard 8.0-mm inner-diameter ETT, inflated the cuff to 20 cm H(2)O, and mea...