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Taping methods and tape types for securing oral endotracheal tubes
N Patel1, C E Smith, A C Pinchak
1Department of Anesthesiology, Case Western Reserve University, Cleveland, Ohio 44109, USA.
Summary
Curity tape provided the strongest hold for endotracheal tubes (ETTs) in simulated testing. Specific taping methods significantly influenced ETT dislodgement force, highlighting the importance of technique.
Area of Science:
- Medical Devices
- Biomaterials Science
- Mechanical Engineering
Background:
- Endotracheal tubes (ETTs) are critical for airway management.
- Securement of ETTs is essential to prevent accidental dislodgement.
- Variability in tape types and application methods may affect ETT stability.
Purpose of the Study:
- To determine the minimum force required to dislodge endotracheal tubes (ETTs).
- To compare the efficacy of different tape types and securement methods for ETTs.
Main Methods:
- A simulated face model with a PVC pipe was used to represent the oral cavity.
- Five tape types (Curity, Leukosilk, Hy.tape, Leukopore, Transpore) were tested.
- Seven distinct taping methods, varying in tape width and application technique, were evaluated across 2100 pullout tests in three directions.
Main Results:
- Curity tape demonstrated significantly higher minimum dislodgement forces (135 ± 75 N) compared to other tapes.
- The most effective securement involved circumferential application of 2.5 cm wide Curity tape, reinforced longitudinally.
- Taping methods involving splitting the tape longitudinally reduced securement strength when force was applied laterally.
Conclusions:
- Significant differences exist in the pullout forces required to dislodge ETTs based on tape type and application method.
- Curity tape and specific circumferential/longitudinal securement techniques offer superior ETT stability.
- Optimizing ETT securement is crucial for patient safety and preventing complications.