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- W1969201352 abstract "To the Editor: Unplanned tracheal extubation may be life threatening, particularly in children in the prone position. Various methods of endotracheal tube (ETT) fixation have been described, including stitching the ETT, placing a transparent dressing over the face to secure the ETT, and intranasal threading of an infant feeding tube to tie over the ETT (1–3). We secure nasal ETTs using a 5-cm segment from a polyvinyl chloride ETT. As shown in Figures 1 and 2, a horizontal slit through both walls is made in the middle of this 5-cm tube with a scalpel (Fig. 1A). A silk thread is passed through the tube and a loop of thread is pulled out through one of the slits with forceps (Fig. 1A). After nasal intubation, the ETT circuit connector is removed (Fig. 1B) and the 5-cm tube, along with thread and loop, is glided over the proximal end of the ETT (Fig. 1C). A double loop of silk thread is made and passed over the ETT. Both the ends of the silk thread are pulled, firmly griping the ETT. The ends of thread are fixed to the face with adhesive plaster (Figs. 1D and 2).Figure 1.: Nasotracheal tube fixation technique in pediatric patients undergoing a neurosurgical procedure in the prone position.Figure 2.: The total assembly in situ before fixation with adhesive tape.Lovett et al. (4) described fourcomponents of ETT fixation. The present technique has all the four components of ETT fixation. We have been using this technique for last 6 months in more than 30 patients without complication. ACKNOWLEDGMENTS Authors thank Mr. Anil Kumar (senior artist, SGPGIMS, Lucknow, INDIA) for hand-made sketches. Devendra Gupta, MD Anil Agarwal, MD Sandeep Sahu, MD Prabhat K. Singh, MD Department of Anesthesia SGPGIMS Lucknow, India [email protected]" @default.
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- W1969201352 date "2007-02-01" @default.
- W1969201352 modified "2023-09-23" @default.
- W1969201352 title "A Novel Method of Nasotracheal Tube Fixation in Pediatric Patients Undergoing Neurosurgical Procedure in the Prone Position" @default.
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- W1969201352 doi "https://doi.org/10.1213/01.ane.0000253587.01560.ac" @default.
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