The Fixation Mainly Plays a Firm Role in the Tracheal Intubation and Reduces the Occurrence of Complications
Conditions
Brief summary
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
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
Interventions
BEHAVIORAL3M tape ship-shaped combined with strap fixing method
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
Sponsors
Second Affiliated Hospital, School of Medicine, Zhejiang University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Caregiver, Investigator)
Intervention model description
3M tape ship-shaped combined with strap fixing method
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the fixed effectiveness of endotracheal intubation | 34 weeks | The tube displacement rate, |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complications associated with endotracheal intubation fixation | 34 weeks | Unplanned extubation,the occurrence of facial adhesive related skin injury,Effect of oral care |
Other
| Measure | Time frame | Description |
|---|---|---|
| Economic indicators | 34 weeks | The cost of the tape required for the fixation |
| Nursing workload | 34 weeks | Oral care takes a few minutes |
Countries
China
Outcome results
None listed