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Published on: January 17, 2011
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Methods for securing endotracheal tubes in newborn infants.
Melissa Lai1, Garry D T Inglis, Karen Hose
1The UQ Centre for Clinical Research, Perinatal Research Centre, Level 4, Bldg 71/918, Butterfield Street, Herston, Brisbane, Queensland, Australia, 4029.
The Cochrane Database of Systematic Reviews
|August 1, 2014
Summary
Securing endotracheal tubes in neonates lacks evidence-based guidance. Current methods vary, and studies are of poor quality, highlighting the need for better research on safe and effective endotracheal tube fixation in neonatal intensive care units.
Area of Science:
- Neonatal Intensive Care
- Pediatric Critical Care
- Medical Device Security
Background:
- Endotracheal tube (ETT) fixation is crucial for neonatal ventilation and preventing complications.
- Current ETT securing methods lack standardization across neonatal intensive care units (NICUs).
Purpose of the Study:
- To compare ETT securing methods in ventilated neonates.
- To assess the impact of ETT fixation on accidental extubation and other complications.
Main Methods:
- Literature search of MEDLINE, CINAHL, and CENTRAL databases (up to June 2013).
- Included randomized and quasi-randomized controlled trials comparing ETT stabilization techniques in neonates.
- Assessed studies for bias, methodology, and data collection quality.
Main Results:
- Five low-quality randomized controlled trials were reviewed.
- Accidental extubation was the most frequently reported outcome.
- Studies had significant bias, small sample sizes, and dissimilar methods, precluding meta-analysis.
Conclusions:
- There is a lack of high-quality evidence for optimal ETT securing methods in neonates.
- Further well-designed studies are needed to establish safe and effective ETT fixation techniques.
- Current practices for ETT stabilization in NICUs require further investigation.
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