Securing medical devices Part A : what’s available for endotracheal tubes?

Coyer, Fiona M., Cook, Jane-Louise, & Gracie, Christopher (2013) Securing medical devices Part A : what’s available for endotracheal tubes? Critical Times, 16(3), pp. 8-12.

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Oral endotracheal tubes (ETTs) and nasogastric tubes (NGT) are common devices used in adult intensive care and numerous options exist for safe and comfortable securement of these devices. The aim of this project was to identify the available range of ETT and NGT securement devices in Australia as a resource for clinicians seeking to explore options for tube stabilisation. This article reports part A of this project: ETT securement options. Part B will report NGT device fixation options.

Securing ETTs to ensure a patent airway with minimal ETT movement, promotion of patient comfort and absence of adverse events such as ETT dislodgement, unplanned extubation and device-related injury1, are essential critical care nursing actions. The ETT requires a fixation method that is robust yet does not traumatise or injure the mucosal tissues of the mouth and soft tissue of the lips.2,3 Choice of a securement apparatus is often determined by product availability in our units or hospitals but is also driven by evidence-based practice and clinician preference. Trying to put this information together can be difficult and time-consuming for the bedside clinician...

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ID Code: 71889
Item Type: Journal Article
Refereed: No
Additional URLs:
Keywords: medical devices, securement, critical care, endotracheal tubes
ISSN: 1445-6753
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 Australian College of Critical Care Nurses (ACCCN) Ltd.
Deposited On: 21 May 2014 23:10
Last Modified: 23 May 2014 06:20

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