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Updated: Jun 11, 2026

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
Published on: December 5, 2025
Comparative effectiveness of various intubation fixation devices for patients undergoing tracheal intubation in the
Zexi Huang1,2, Nianqi Cui1, Yanmin Zheng1,2
1School of Nursing, Kunming Medical University, Kunming, China.
Objectives:
This study aimed to compare and rank the efficiency of various devices used for intubation fixation in patients undergoing orotracheal intubation in the ICU.
Methods:
A comprehensive search of pertinent databases was conducted, encompassing all available records from their inception until March 2025. The databases included PubMed, Embase, Web of Science, the Cochrane Library, China Knowledge Resource Integrated Database (CNKI), Wanfang Databases, Chinese Biomedical Databases disc (CBM disc), and VIP Database. The review concentrated on randomized controlled trials (RCTs) that examined various intubation fixation devices for patients with tracheostomy in the ICU. A network meta-analysis was then performed to compare and rank the efficacy of these devices, with catheter displacement, facial pressure injuries, and patient-reported pain as the primary outcomes, by evaluating the odds ratios (ORs) and rank probabilities.
Results:
This network meta-analysis synthesized data from 16 RCTs assessing five different intubation fixation devices. No significant differences were found among devices regarding catheter displacement or facial pressure injuries. However, hybrid fixation (using adhesive tapes and straps) provided significantly better pain relief than dental pad fixation (OR = 16.27, 95 %CI: 3.56, 74.30) and had the highest ranking probability (78 %) for minimizing pain.
Conclusions:
While no single device was superior across all outcomes, hybrid fixation demonstrated a significant advantage in reducing patient pain. Future high-quality RCTs with standardized outcomes are needed to strengthen these findings and inform clinical guidelines.
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