Comparison of Endotracheal Tube Fixation Methods in Prone Position

Study Overview
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Brief Summary
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In particular, prone position surgeries risk potentially life-threatening ET tube dislocation. Failure to place the plaster used for ET tube fixation correctly and adequately in this position may contaminate the patch with body fluids and loosen the weight of the breathing circuit, causing the ET tube to slip and dislodge. Adhesive tape (plaster), bandage (non-adhesive), suturing, or a commercially available tube holding device are recommended for ET tube fixation in patients operated in the prone position. In addition, the adhesive plasters used can be taped on the patient's face to the maxilla, mandible, or both. Because of the urgent and critical settings, a fast, reliable, and easy-to-use method of ET tube fixation is invaluable as it will provide clinicians with greater confidence in the stability of alternative airways and reduce complications from airway maintenance. In our clinic, different fixation methods are used according to the experience and preference of the anesthesiologist. Our study aims to compare other fixation methods using FOB to fix the position of the ET tube with an appropriate method in prone position procedures and ensure that patients have safe airway management throughout the surgery.

Official Title
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Impact of Endotracheal Tube Fixation Methods on Tube Displacement During Pron Position

Conditions
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Fixation Device; Complications

Intervention / Treatment
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* Other: thomas fixation
* Other: elastic band
* Other: normal fixation adhesive tape
* Other: reinforced adhesive tape fixation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ASA Physical Status I-III Mallampati score I-II Exclusion Criteria: Patients who did not want to participate in the study Restricted mouth opening BMI ≥ 35 kg/m2 Risk of airway malformation and aspiration (gastroesophageal reflux, hiatal -hernia, history of previous gastric surgery, GIS motility disorder)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: thomas fixation<br> | Other: thomas fixation<br>* Use of the thomas tube holder for endotracheal tube fixation in patients operated in the prone position<br>|
| Experimental: elastic band<br> | Other: elastic band<br>* Use of the elastic band for endotracheal tube fixation in patients operated in the prone position<br>|
| Experimental: normal fixation adhesive tape<br> | Other: normal fixation adhesive tape<br>* Use of the adhesive tape for endotracheal tube fixation in patients operated in the prone position<br>|
| Experimental: reinforced adhesive tape fixation<br> | Other: reinforced adhesive tape fixation<br>* Use of the reinforced adhesive tape fixation for endotracheal tube fixation in patients operated in the prone position<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correct placement and subsequent fixation of the endotracheal tube in the prone patient |  | periopeative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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endotracheal tube fixation, fiberoptic bronchoscopy, prone position