Method of endotracheal tube fixation and iatrogenic ear deformities

Abstract

extra vigilance and precautions are required to prevent iatrogenic problems in sick, very prematurely born infants.

Securing endotracheal tubes: Does NeoBar availability improve tube position?

“…A variety of methods used to secure neonatal ETTs are described in the literature 1–11 . There are, however, very few studies clarifying which method is best 1,2 . There are no published randomised controlled trials of acceptable quality examining this issue in neonates 1 …”

“…These may be attached to the baby's hat. Ear deformities have been reported as a complication of ties between ETTs and hats 2 …”

“…[1][2][3][4][5][6][7][8][9][10][11] There are, however, very few studies clarifying which method is best. 1,2 There are no published randomised controlled trials of acceptable quality examining this issue in neonates. 1 Some nurseries secure ETTs with tape alone, but may use tapes cut in an 'H' configuration, rather than a 'Y' shape.…”

“…1 Suturing may also be used to tie the tube to another device, such as an umbilical clamp, 6 or a strip of Elastoplast. 2 Some units insert a safety pin through the ETT and attach tapes to the pin, rather than the tube. 7 Other authors describe the use of a 'holder' 8 or a plastic flange 9 around the tube.…”

“…There are many ways of fixing ETTs in the correct position. [1][2][3][4][5][6][7][8][9][10][11] It is not known which method is most effective.…”