A Modified Tie Technique for Securing Endotracheal Tubes

Walters, Huw; Young, Holly; Young, Peter

doi:10.4187/respcare.05655

Cited by 4 publications

(3 citation statements)

References 13 publications

(9 reference statements)

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“…Systematic reviews of fixation methods for tracheal intubation in adults and infants were conducted by Gardner et al (Gardner et al, 2005) and Lai et al (Lai et al, 2014) in 2005 and 2015, respectively, but these studies failed to identify the optimal fixation method for tracheal intubation because of the low quality and heterogeneity of the included literature. With advances in technology, catheter materials and fixation methods have long been updated and new fixation methods have emerged (Walters et al, 2018). Maybe, the optimal technique for fixation of the tracheal tube needs to be further explored.…”

Section: Securing the Tracheal Tube With Suitable Fixation Methodsmentioning

confidence: 99%

Prevention of unplanned endotracheal extubation in intensive care unit: An overview of systematic reviews

Liu

Shen

et al. 2022

Nursing Open

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Aims This study was performed to identify and summarize systematic reviews focusing on the prevention of unplanned endotracheal extubation in the intensive care unit. Design Overview of systematic reviews. Methods This overview was conducted according to the Preferred Reporting Items for Overviews of Systematic Reviews, including the harms checklist. A literature search of PubMed, the Cochrane Library, CINAH, Embase, Web of Science, SINOMED and PROSPERO was performed from January 1, 2005–June 1, 2021. A systematic review focusing on unplanned extubation was included, resulting in an evidence summary. Results Thirteen systematic reviews were included. A summary of evidence on unplanned endotracheal extubation was developed, and the main contents were risk factors, preventive measures and prognosis. The most important nursing measures were restraint, fixation of the tracheal tube, continuous quality improvement, psychological care and use of a root cause analysis for the occurrence of unplanned endotracheal extubation. Conclusions This overview re‐evaluated risk factors and preventive measures for unplanned endotracheal extubation in the intensive care unit, resulting in a summary of evidence for preventing unplanned endotracheal extubation and providing direction for future research. Trial registration details The study was registered on the PROSPERO website.

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Section: Securing the Tracheal Tube With Suitable Fixation Methodsmentioning

confidence: 99%

Prevention of unplanned endotracheal extubation in intensive care unit: An overview of systematic reviews

Liu

Shen

et al. 2022

Nursing Open

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“…It is a typical medical device used to keep the airway open to ensure oxygen, medicine, or anesthetics can be delivered [1][2][3]. It is often used to assist those who have pneumonia, emphysema, heart failure, collapsed lungs, or serious injuries in breathing [4][5][6][7][8]. This tube will be inserted into the patient's nose or mouth and into his trachea.…”

Section: Introductionmentioning

confidence: 99%

“…The uncuffed tubes use is limited to mostly pediatric patients [11][12][13]. According to the medical procedure, endotracheal intubation is the placement of a tube into the trachea (windpipe) in order to maintain an open airway in patients who are unconscious or unable to breathe on their own, as shown in Figure 2 [2,14,15]. There had been some previous research studies on the endotracheal tube and respiratory care, the role of the endotracheal tube cuff in microaspiration, and the management of a severed endotracheal tube [3,4,6,8,9,11].…”

Section: Introductionmentioning

confidence: 99%

Endotracheal Cuff System Performance Enhancement through Product Design and Development Methodologies

Wan Ahmad Yusmawiza,

Aesyah Mohd

2023

ARAM

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Rapid prototyping (RP) is a popular method for product development and design in medical industries. Endotracheal tube (ETT) incubation is a common problem when using medical equipment. Among the difficulties that surgeons face during surgical procedures are the misinsertion of an endotracheal tube into the oesophagus and extubation due to the patient's limited mobility. The aim of this work is to design an innovative endotracheal tube holding model. The survey was carried out in order to identify the most common ETT problems. As a result, quality functional deployment and product design and development methodologies were utilised to select the design for all of the ideas, which were designed based on the demands indicated by the consumers. The concept score matrix was used to evaluate the designs. As a result, concept A is selected as the final design. The overall score for each concept was calculated to discover which concept has the highest rating. Based on the results of the concept scoring and concept screening, concept A is the most likely to be produced. The concept meets the most demanding needs of the users. The selected design was then created on the Fused Deposition Modelling (FDM) machine.

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Design of a flexible endotracheal tube holder device and study of its effect on cutaneous blood flow in the skin using laser Doppler velocimetry

Garg¹,

Bhattacharya²,

Gupta³

2019

Health Monitoring of Structural and Biological Systems XIII

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A Modified Tie Technique for Securing Endotracheal Tubes

Abstract: The new double hitch was superior to all conventional knots tested. It did not slip under any conditions and therefore may be of use to prevent unintentional extubation, particularly in the ICU setting.

Cited by 4 publications

References 13 publications

Prevention of unplanned endotracheal extubation in intensive care unit: An overview of systematic reviews

Prevention of unplanned endotracheal extubation in intensive care unit: An overview of systematic reviews

Endotracheal Cuff System Performance Enhancement through Product Design and Development Methodologies

Design of a flexible endotracheal tube holder device and study of its effect on cutaneous blood flow in the skin using laser Doppler velocimetry

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