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Comparison of Endotracheal Tube Fixation Methods in Prone Position

D

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

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

Trial contacts and locations

1

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Central trial contact

Funda Atar, MD

Data sourced from clinicaltrials.gov

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