Document Detail


Taping methods and tape types for securing oral endotracheal tubes.
MedLine Citation:
PMID:  9067056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate tapes and taping methods with respect to the minimum force required to dislodge endotracheal tubes (ETTs). METHODS: A simulated face model consisting of a section of PVC pipe was used. The ETT was attached to a piezo-electric force transducer and pullout force was manually applied in a vertical, right or left direction. Five tape types were tested: Curity, Leukosilk, Hy.tape, Leukopore, and Transpore, Seven taping methods were used to secure the ETT. The methods differed with respect to tape width and whether the tape was split along its longitudinal axis. Each taping condition was replicated 20 times (7 methods x 5 tapes x 3 directions) for a total of 2100 pullout tests. RESULTS: Minimum forces to dislodge ETTs were higher (P < 0.05) with Curity tape (mean +/- SD; 135 +/- 75 N) than with the other tapes (Leukosilk: 93 +/- 51 N, Hy.tape: 78 +/- 34 N, Leukopore: 47 +/- 32, and Transpore: 37 +/- 23 N). The most secure taping method was achieved by taping the ETT, using 2.5 cm wide Curity tape, in a circumferential fashion to both the upper and lower borders of the simulated mouth opening, and reinforcing these tapes with two strips applied longitudinally across the borders of the mouth opening (method 7). Taping methods which involved splitting the tape along its longitudinal axis resulted in lower minimal pullout forces whenever the pullout force was directed towards the side of attachment (P < 0.05 vs right and vertical direction). CONCLUSION: There are differences in ETT pullout forces and mechanisms of dislodgement depending on taping method and tape type.
Authors:
N Patel; C E Smith; A C Pinchak; D E Hancock
Related Documents :
45116 - Abnormalities of the vas deferens and epididymis in cryptorchid boys with congenital ru...
23153626 - Development of a large commercial camel embryo transfer program: 20 years of scientific...
17594926 - Prulifloxacin versus levofloxacin in the treatment of chronic bacterial prostatitis: a ...
15669386 - Efficacy studies of vectobac 12as and teknar hp-d larvicides against 3rd-instar ochlero...
3042556 - Succenturiate placenta diagnosed by ultrasound.
18382866 - Serum visfatin levels in late pregnancy and pre-eclampsia.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  44     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-05-21     Completed Date:  1997-05-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  330-6     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Case Western Reserve University, Cleveland, Ohio 44109, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Humans
Intubation, Intratracheal / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Critical care management of the obstetric patient.
Next Document:  Epidemiology of schizophrenia.