Respiratory Depression, Respiratory Failure, Ventilatory Depression
Conditions
Brief summary
Assessment of AnchorFast Guard Oral Endotracheal Tube Fastener on Patients Intubated with Oral Endotracheal Tubes with Subglottic Suction
Detailed description
Endotracheal intubation is the trans laryngeal placement of a tube into the trachea via the nose or mouth. Subglottic suctioning, during endotracheal tube securement, is important for mechanically-ventilated patients to allow for the clearance of secretions that may accumulate during intubation. This protocol examines an enhancement to the current AnchorFast Guard device in order for the device to hold a subglottic suctioning lumen in addition to the intubation tube.
Interventions
The AnchorFast Guard oral endotracheal tube fastener provides a convenient means to hold an oral endotracheal tube securely in place without the use of adhesive tape. The oral endotracheal tube fastener allows repositioning of the tube in either direction along the track without removal of the device.
Sponsors
Study design
Eligibility
Inclusion criteria
* Is 18 years of age or older and requires oral tracheal intubation * Has intact skin on application site * Is qualified to participate in the opinion of the Investigator including the requirement for endotracheal tube with subglottic suction
Exclusion criteria
* Has an existing neck injury * Has protruding upper teeth, is without teeth or is unable to wear upper dentures * Has facial hair * Has clinically significant skin damage, condition or disease on the application site which may contraindicate participation * Has a known or stated allergy to adhesive bandages, or any of the product types being tested * Uses of topical drugs, lotions, creams or oils on the application site * Is participating in any clinical testing which may affect performance of this device * AnchorFast Guard Oral Endotracheal Tube Fastener does not fit subject's face
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Participants on Which the Test Product Protected the Subglottic Suction Lumen | Typical wear time of endotracheal tube fastener up to one week | Assessed by the proportion of yes/no researcher responses |
| Proportion of Participants on Which Test Product Allowed for Proper Placement of the Subglottic Suction Lumen | Typical wear time of endotracheal tube fastener up to one week | Assessed by the proportion of yes/no researcher responses |
| Proportion of Participants on Which the Subglottic Suction Lumen Was Easy to Place Into the Tract With the Tube Protection Sleeve | Typical wear time of endotracheal tube fastener up to one week | Assessed by the proportion of researcher responses that equal agree (4) plus strongly agree (5) on a five point scale that includes strongly disagree (1) disagree (2) and no opinion (3) |
| Proportion of Participants on Which the Test Product Allowed the Subglottic Suction Lumen to Remain Within the Subglottic Suction Lumen Tract | Typical wear time of endotracheal tube fastener up to one week | Assessed by the proportion of yes/no researcher responses |
| Proportion of Participants on Which the Test Product Allowed for Effective Subglottic Suctioning | Typical wear time of endotracheal tube fastener up to one week | Assessed by the proportion of yes/no researcher responses |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Endotracheal Tube Fastener The intervention administered is a revised commercially available endotracheal tube holder with a tract to accommodate a subglottic suction lumen of an oral endotracheal tube.
Endotracheal Tube Fastener: The AnchorFast Guard oral endotracheal tube fastener provides a convenient means to hold an oral endotracheal tube securely in place without the use of adhesive tape. The oral endotracheal tube fastener allows repositioning of the tube in either direction along the track without removal of the device. | 4 |
| Total | 4 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Tube Slippage from Device | 1 |
Baseline characteristics
| Characteristic | Endotracheal Tube Fastener |
|---|---|
| Age, Continuous | 47 years STANDARD_DEVIATION 18 |
| Race/Ethnicity, Customized Race/Ethic Heritage Asian or Pacific Islander | 1 Participants |
| Race/Ethnicity, Customized Race/Ethic Heritage White (not of Hispanic origin) | 3 Participants |
| Region of Enrollment United States | 4 Participants |
| Sex: Female, Male Female | 2 Participants |
| Sex: Female, Male Male | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 4 |
| other Total, other adverse events | 2 / 4 |
| serious Total, serious adverse events | 0 / 4 |
Outcome results
Proportion of Participants on Which Test Product Allowed for Proper Placement of the Subglottic Suction Lumen
Assessed by the proportion of yes/no researcher responses
Time frame: Typical wear time of endotracheal tube fastener up to one week
Population: Intent-to-Treat
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Endotracheal Tube Fastener | Proportion of Participants on Which Test Product Allowed for Proper Placement of the Subglottic Suction Lumen | 4 Participants |
Proportion of Participants on Which the Subglottic Suction Lumen Was Easy to Place Into the Tract With the Tube Protection Sleeve
Assessed by the proportion of researcher responses that equal agree (4) plus strongly agree (5) on a five point scale that includes strongly disagree (1) disagree (2) and no opinion (3)
Time frame: Typical wear time of endotracheal tube fastener up to one week
Population: Intent-to-Treat
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Endotracheal Tube Fastener | Proportion of Participants on Which the Subglottic Suction Lumen Was Easy to Place Into the Tract With the Tube Protection Sleeve | Strongly Agree | Agree | 3 Participants |
| Endotracheal Tube Fastener | Proportion of Participants on Which the Subglottic Suction Lumen Was Easy to Place Into the Tract With the Tube Protection Sleeve | Strongly Disagree | Disagree | No opinion | 1 Participants |
Proportion of Participants on Which the Test Product Allowed for Effective Subglottic Suctioning
Assessed by the proportion of yes/no researcher responses
Time frame: Typical wear time of endotracheal tube fastener up to one week
Population: Intent-to-Treat
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Endotracheal Tube Fastener | Proportion of Participants on Which the Test Product Allowed for Effective Subglottic Suctioning | Yes | 3 Participants |
| Endotracheal Tube Fastener | Proportion of Participants on Which the Test Product Allowed for Effective Subglottic Suctioning | No (Thick secretions) | 1 Participants |
Proportion of Participants on Which the Test Product Allowed the Subglottic Suction Lumen to Remain Within the Subglottic Suction Lumen Tract
Assessed by the proportion of yes/no researcher responses
Time frame: Typical wear time of endotracheal tube fastener up to one week
Population: Intent-to-Treat
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Endotracheal Tube Fastener | Proportion of Participants on Which the Test Product Allowed the Subglottic Suction Lumen to Remain Within the Subglottic Suction Lumen Tract | Yes | 3 Participants |
| Endotracheal Tube Fastener | Proportion of Participants on Which the Test Product Allowed the Subglottic Suction Lumen to Remain Within the Subglottic Suction Lumen Tract | No (Thick secretions) | 1 Participants |
Proportion of Participants on Which the Test Product Protected the Subglottic Suction Lumen
Assessed by the proportion of yes/no researcher responses
Time frame: Typical wear time of endotracheal tube fastener up to one week
Population: Intent-to-Treat
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Endotracheal Tube Fastener | Proportion of Participants on Which the Test Product Protected the Subglottic Suction Lumen | Yes | 3 Participants |
| Endotracheal Tube Fastener | Proportion of Participants on Which the Test Product Protected the Subglottic Suction Lumen | No (Removed with thick secretions) | 1 Participants |