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Updated: Jun 30, 2025
The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
Effect of a self-developed fixation device on preventing endotracheal intubation-related pressure injury: a
Xiaodong Zhang1, Qibing Zhang1, Jiqin You2
1Nanjing Lishui People's Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, 211200, China.
Objective:
To evaluate the effects of our self-developed endotracheal tube fixation device in mechanically ventilated patients.
Methods:
In a dual-centre randomised controlled trial, patients who were expected to require mechanical ventilation for over 48 h were assigned to the observation group (using self-developed device) or the control group (using the traditional device). The primary endpoint was the incidence of endotracheal intubation-related pressure injury (EIRPI).
Results:
Fifty-one patients in the observation group and 54 patients in the control group were analysed. The incidence of EIRPI was 7.8% in the observation group and 33.3% in the control group (p = 0.001). Lip pressure injury (PI) occurred in 0 versus 14 (25.9%) patients in the observation versus control groups (p < 0.001). Both oral-mucosal and facial PIs were similar between the two groups.
Conclusions:
The use of the novel device reduced the incidence of EIRPI, especially lip PI. Trial registration Chinese Clinical Trial Registry ChiCTR2300078132. Registered on 29 November 2023.
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