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Non conventional way of securing endotracheal tube in a case of facial burns.

Sadawarte PS, Gadkari CP, Bhure AR, Lande S - J Anaesthesiol Clin Pharmacol (2013)

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesia, NKP SIMS, Nagpur, Maharashtra, India.

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Dear Editor, We read with interest your article about “Non conventional way of securing endotracheal tube in bearded individuals”... She had burns all over her face... Intubation was difficult as she had microstomia due to perioral burns; mouth opening was 1 finger breadth... Temporarily securing the oral endotracheal tube in such a patient with a burned face is a challenge as the adhesive tape, used commonly, cannot stick on such patients... Tying around neck may lead to venous return obstruction in neck veins and it is sometimes not optimal from a surgical standpoint... Orthodontic brackets and dental resin require the patient is at least partially dentulous as well as specialized dental skills for their placement and management... Hence, we used innovative and non-invasive way of fixing the ET tube using IV fluid bottles which are easily available in OT as was published in your esteemed journal for fixation of endotracheal tube in bearded patient... Next, the whole unit consisting of the rectangular piece and tube was secured using the bandage tied to the side holes on the rectangular piece... We made two modifications: Firstly we cut an additional hole for passing suction catheter for intraoral suction [Figure 1]... Secondly, a sterile gauze pad was placed below the rectangular plastic to avoid trauma to the burnt face [Figure 2]... The rectangular shaped plastic served as a smooth surface over the burn area to secure the tube... In summary, by this method dental damage is avoided, tube can be easily adjusted while maintaining a high degree of security and intraoral suction is possible... Only limitation is that perioral debridement is not possible as the area is covered.

No MeSH data available.


Rectangular plastic with holes for endotracheal tube and suction
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Figure 1: Rectangular plastic with holes for endotracheal tube and suction

Mentions: We made two modifications: Firstly we cut an additional hole for passing suction catheter for intraoral suction [Figure 1]. Secondly, a sterile gauze pad was placed below the rectangular plastic to avoid trauma to the burnt face [Figure 2]. The rectangular shaped plastic served as a smooth surface over the burn area to secure the tube.


Non conventional way of securing endotracheal tube in a case of facial burns.

Sadawarte PS, Gadkari CP, Bhure AR, Lande S - J Anaesthesiol Clin Pharmacol (2013)

Rectangular plastic with holes for endotracheal tube and suction
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3713686&req=5

Figure 1: Rectangular plastic with holes for endotracheal tube and suction
Mentions: We made two modifications: Firstly we cut an additional hole for passing suction catheter for intraoral suction [Figure 1]. Secondly, a sterile gauze pad was placed below the rectangular plastic to avoid trauma to the burnt face [Figure 2]. The rectangular shaped plastic served as a smooth surface over the burn area to secure the tube.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesia, NKP SIMS, Nagpur, Maharashtra, India.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Dear Editor, We read with interest your article about “Non conventional way of securing endotracheal tube in bearded individuals”... She had burns all over her face... Intubation was difficult as she had microstomia due to perioral burns; mouth opening was 1 finger breadth... Temporarily securing the oral endotracheal tube in such a patient with a burned face is a challenge as the adhesive tape, used commonly, cannot stick on such patients... Tying around neck may lead to venous return obstruction in neck veins and it is sometimes not optimal from a surgical standpoint... Orthodontic brackets and dental resin require the patient is at least partially dentulous as well as specialized dental skills for their placement and management... Hence, we used innovative and non-invasive way of fixing the ET tube using IV fluid bottles which are easily available in OT as was published in your esteemed journal for fixation of endotracheal tube in bearded patient... Next, the whole unit consisting of the rectangular piece and tube was secured using the bandage tied to the side holes on the rectangular piece... We made two modifications: Firstly we cut an additional hole for passing suction catheter for intraoral suction [Figure 1]... Secondly, a sterile gauze pad was placed below the rectangular plastic to avoid trauma to the burnt face [Figure 2]... The rectangular shaped plastic served as a smooth surface over the burn area to secure the tube... In summary, by this method dental damage is avoided, tube can be easily adjusted while maintaining a high degree of security and intraoral suction is possible... Only limitation is that perioral debridement is not possible as the area is covered.

No MeSH data available.