Comparison of Endotracheal Tube Fixation Methods in Prone Position

Diskapi Yildirim Beyazit Training and Research Hospital

Status: Completed

Conditions: Fixation Device; Complications

Treatments: Other: elastic band; Other: thomas fixation; Other: reinforced adhesive tape fixation; Other: normal fixation adhesive tape

Study type: Interventional

Funder types: Other

Identifiers

NCT05643053

18/07/2022 142/05

Details and patient eligibility

About

In particular, prone position surgeries risk potentially life-threatening ET tube dislocation. Failure to place the plaster used for ET tube fixation correctly and adequately in this position may contaminate the patch with body fluids and loosen the weight of the breathing circuit, causing the ET tube to slip and dislodge. Adhesive tape (plaster), bandage (non-adhesive), suturing, or a commercially available tube holding device are recommended for ET tube fixation in patients operated in the prone position. In addition, the adhesive plasters used can be taped on the patient's face to the maxilla, mandible, or both. Because of the urgent and critical settings, a fast, reliable, and easy-to-use method of ET tube fixation is invaluable as it will provide clinicians with greater confidence in the stability of alternative airways and reduce complications from airway maintenance. In our clinic, different fixation methods are used according to the experience and preference of the anesthesiologist. Our study aims to compare other fixation methods using FOB to fix the position of the ET tube with an appropriate method in prone position procedures and ensure that patients have safe airway management throughout the surgery.

Enrollment: 80 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA Physical Status I-II
• Mallampati score I-II

Exclusion criteria

• Patients who did not want to participate in the study
• Restricted mouth opening
• BMI ≥ 35 kg/m2
• Risk of airway malformation and aspiration (gastroesophageal reflux, hiatal -hernia, history of previous gastric surgery, GIS motility disorder)

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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80 participants in 4 patient groups

thomas fixation

Experimental group

Treatment:

Other: thomas fixation

elastic band

Experimental group

Treatment:

Other: elastic band

normal fixation adhesive tape

Experimental group

Treatment:

Other: normal fixation adhesive tape

reinforced adhesive tape fixation

Experimental group

Treatment:

Other: reinforced adhesive tape fixation