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Updated: Jul 14, 2026
08:26
The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
Extubation force: tape versus endotracheal tube holders
Jestin Carlson1, James Mayrose, Richard Krause
1State University of New York at Buffalo, Department of Emergency Medicine, Buffalo, NY, USA.
Annals of Emergency Medicine
|June 30, 2007
Summary
Securing endotracheal tubes with tape requires more force to extubate than most commercial holders, though tape is cost-effective and outperforms three tested devices.
Area of Science:
- Medical Devices
- Anesthesiology
- Emergency Medicine
Background:
- Endotracheal tube (ETT) securement is crucial for preventing accidental extubation.
- Tape is the conventional method for ETT fixation.
Purpose of the Study:
- To compare the extubation force of tape versus four commercial ETT holders.
- To evaluate the efficacy of different ETT securement methods.
Main Methods:
- Cadavers were intubated, and ETTs were secured with tape or one of four holders.
- A force-measuring device quantified the force needed for extubation.
- Extubation force was defined as the maximum force recorded before cuff removal.
Main Results:
- Tape required significantly more force for extubation than three of the four tested holders.
- The Thomas Tube Holder demonstrated superior securement compared to tape.
- Tape provided better securement than three other commercial devices.
Conclusions:
- While the Thomas Tube Holder offered the highest holding force, tape proved to be the most economical option.
- Tape outperformed three commercially available ETT holders in terms of securement strength.
- The study highlights tape's cost-effectiveness and competitive performance in ETT securement.
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