Methods for securing endotracheal tubes in newborn infants

Lai, Melissa; Inglis, Garry; Hose, Karen; Jardine, Luke; Davies, Mark W

doi:10.1002/14651858.cd007805.pub2

Cited by 17 publications

(9 citation statements)

References 17 publications

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“…After full-text review, a further 12 articles did not meet the eligibility criteria. Finally, 13 studies (Ai et al, 2018;da Silva et al, 2017;Gardner et al, 2005;Kiekkas et al, 2013;Lai et al, 2014;Liu et al, 2019;Lucas da Silva & de Carvalho, 2010;Silva et al, 2013;Yan et al, 2016;Zhu et al, 2014) were included in this overview.…”

Section: Search Resultsmentioning

confidence: 99%

“…one was for adults published in 2005 (Gardner et al, 2005) and the other for newborns in 2014 (Lai et al, 2014). Many methods for fixation of tracheal intubation are both local and specific, and there is not enough information to prove which is the best method for tracheal intubation fixation for adults.…”

Section: Ta B L E 1 (Continued)mentioning

confidence: 99%

“…And more randomized controlled trials related to tracheal intubation fixation need to be carried out to evaluate the cost and duration of treatment (Gardner et al, 2005). There is a lack of evidence to determine the most effective and safe method of stabilizing the tracheal tube in ventilated newborns (Lai et al, 2014).…”

Section: Ta B L E 1 (Continued)mentioning

confidence: 99%

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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: Search Resultsmentioning

confidence: 99%

Section: Ta B L E 1 (Continued)mentioning

confidence: 99%

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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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“…A Cochrane review of endotracheal tube securement methods in newborns found a lack of evidence to support the use of any one technique over others. 9 Because of the diverse assortment of techniques that can be used for endotracheal tube stabilization and the lack of evidence, choosing which method to use may be difficult for clinicians. In many cases, the decision is based on familiarity, availability, or institutional guidelines.…”

Section: Discussionmentioning

confidence: 99%

Accidental Ingestion of a NEO-fit Device Component by a Neonate

Uwaifo¹,

Abrigo²

2022

TOJ

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Background: Endotracheal tube securement devices are used to reduce the incidence of unplanned extubation of intubated patients. We describe the ingestion of part of an endotracheal tube securement device by a neonate to bring awareness of the risk of ingestion or aspiration of endotracheal tube securement device components in this population. Case Report: A 13-day-old, former 31-week gestational age female infant was noted on routine radiologic evaluation to have a foreign body in the gastrointestinal tract. The foreign body was thought to be an artifact or an object overlying the radiologic image. However, review of previous imaging showed the object initially in the posterior pharynx with progressive migration into the gastrointestinal tract. The patient did not have any clinical features of gastrointestinal obstruction and had been tolerating enteral feeds. The infant's endotracheal tube securement had been changed from a NEO-fit device (CooperSurgical, Inc.) to a NeoBar device (Neotech Products) on day of life 5. The diagnosis of the foreign body was made 8 days later. The infant was followed with serial imaging per pediatric surgery recommendations. The foreign body was spontaneously passed via the rectum several days later without incident. Pathology identified the foreign body as a piece of the NEO-fit device. Conclusion: Awareness of the possibility of ingestion or aspiration from this endotracheal tube securement device is important for patient safety.

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“…Hence, the fixation of endotracheal tube by securing adhesive tapes is of utmost importance as it not only provides effective ventilation but also minimizes complications due to re-interventions. [12] The desired qualities of these tapes are good quality adhesive material, water-resistant nature, non-toxic, non-irritant, non-allergic material, easy availability and being economical.…”

mentioning

confidence: 99%