Application of Ship - Shaped Adhesive Tape Fixing in Patients Undergoing Tracheal Intubation

Study Overview
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Brief Summary
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In order to evaluate the safety and value of the improved ship-shaped fixing on tracheal intubation patients and provide theoretical basis for clinical therapy, we conducted this research to compare the fixed effectiveness, complications, nursing workload and medical expenses about application of ship-shaped adhesive tape fixation on patient undergoing tracheal intubation.

Detailed Description
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the fixed effectiveness：Incidence of catheter displacement，Incidence of unplanned extubation. complications：Incidence f skin damage，Oral care effect，Incidence of ventilator-associated pneumonia. nursing workload:Oral care is time-consuming medical expenses :Material economic cost

Official Title
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Application of Ship - Shaped Adhesive Tape Fixing in Patients Undergoing Tracheal

Conditions
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The Fixation Mainly Plays a Firm Role in the Tracheal Intubation and Reduces the Occurrence of Complications

Intervention / Treatment
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* Behavioral: 3M tape ship-shaped combined with strap fixing method


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with SICU intubation had been intubated for <8h at the time of entry (the interval of oral care was 8h); Patients with brain diseases or septic shock caused by abdominal infection; There was no pulmonary infection before endotracheal intubation. Facial skin integrity; Good oral cavity: no odor, no residue, no oral diseases, oral mucosa integrity; Informed consent is given by the family members and the informed consent is signed; No adhesive tape allergy. Exclusion Criteria: Oral injury caused by suction; Endotracheal intubation time < 48 h; In the experiment is not willing to carry on the experiment, quit voluntarily.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: 3M tape ship-shaped combined with strap fixing method
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 3M tape ship-shaped combined with strap fixing method<br>Cutting method of 3M adhesive tape of ship shape: cut a piece of 20cm×3cm elastic adhesive tape, fold it in half to form a rectangle of 10cm×3cm, cut 5cm straight line from the middle point of the crease, cut it at an Angle of 45°, fold and open the 3M elastic adhesive tape in half, which is the adhesive tape required for fixing. The final shape is similar to that of a ship, and it is named as 3M adhesive tape of ship shape. Fixation method: The ship shape with 3M adhesive tape was pasted upward on the opposite cheek (near zygomatic), and the endotracheal intubation was wound around for two rounds and then glued to the near cheek (near zygomatic).Put the tooth pad next to the endotracheal intubation and wrap the tooth pad and catheter together for two turns with a short 3M adhesive tape of 12cm×1.5cm.Finally, fasten it with a lacing. | Behavioral: 3M tape ship-shaped combined with strap fixing method<br>* During fixation, the endotracheal intubation and dental pad were located in the center of the mouth, and one end of one piece of medical cloth adhesive was pasted on the patient's cheek near the side. When it reached one side of the mouth, the endotracheal intubation and dental pad were wound around twice, and then the other side of the adhesive tape was pasted on the cheek opposite the side from the other side of the mouth,The other is fixed in reverse with the same sticking method, and the two pieces of adhesive tape are finally crossed and fixed at the corners of the mouth.Finally, fasten it with a lacing<br>|
| No Intervention: traditional X-shaped tape and string fixing<br>traditional X-shaped tape and string fixing | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the fixed effectiveness of endotracheal intubation | The tube displacement rate, | 34 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Complications associated with endotracheal intubation fixation | Unplanned extubation,the occurrence of facial adhesive related skin injury,Effect of oral care | 34 weeks |