Application of Ship - Shaped Adhesive Tape Fixing in Patients Undergoing Tracheal Intubation

Zhejiang University

Status: Completed

Conditions: The Fixation Mainly Plays a Firm Role in the Tracheal Intubation and Reduces the Occurrence of Complications

Treatments: Behavioral: 3M tape ship-shaped combined with strap fixing method

Study type: Interventional

Funder types: Other

Identifiers

NCT04707521

2018-144

Details and patient eligibility

About

In order to evaluate the safety and value of the improved ship-shaped fixing on tracheal intubation patients and provide theoretical basis for clinical therapy, we conducted this research to compare the fixed effectiveness, complications, nursing workload and medical expenses about application of ship-shaped adhesive tape fixation on patient undergoing tracheal intubation.

Full description

the fixed effectiveness：Incidence of catheter displacement，Incidence of unplanned extubation.

complications：Incidence f skin damage，Oral care effect，Incidence of ventilator-associated pneumonia.

nursing workload:Oral care is time-consuming medical expenses :Material economic cost

Enrollment: 134 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with SICU intubation had been intubated for <8h at the time of entry (the interval of oral care was 8h);
• Patients with brain diseases or septic shock caused by abdominal infection;
• There was no pulmonary infection before endotracheal intubation.
• Facial skin integrity;
• Good oral cavity: no odor, no residue, no oral diseases, oral mucosa integrity;
• Informed consent is given by the family members and the informed consent is signed;
• No adhesive tape allergy.

Exclusion criteria

• Oral injury caused by suction;
• Endotracheal intubation time < 48 h;
• In the experiment is not willing to carry on the experiment, quit voluntarily.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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134 participants in 2 patient groups

3M tape ship-shaped combined with strap fixing method

Experimental group

Description:

1. Cutting method of 3M adhesive tape of ship shape: cut a piece of 20cm×3cm elastic adhesive tape, fold it in half to form a rectangle of 10cm×3cm, cut 5cm straight line from the middle point of the crease, cut it at an Angle of 45°, fold and open the 3M elastic adhesive tape in half, which is the adhesive tape required for fixing. The final shape is similar to that of a ship, and it is named as 3M adhesive tape of ship shape. 2. Fixation method: The ship shape with 3M adhesive tape was pasted upward on the opposite cheek (near zygomatic), and the endotracheal intubation was wound around for two rounds and then glued to the near cheek (near zygomatic).Put the tooth pad next to the endotracheal intubation and wrap the tooth pad and catheter together for two turns with a short 3M adhesive tape of 12cm×1.5cm.Finally, fasten it with a lacing.

Treatment:

Behavioral: 3M tape ship-shaped combined with strap fixing method

traditional X-shaped tape and string fixing

No Intervention group

Description:

traditional X-shaped tape and string fixing