Carlson Jestin, Mayrose James, Krause Richard, Jehle Dietrich
State University of New York at Buffalo, Department of Emergency Medicine, Buffalo, NY, USA.
Ann Emerg Med. 2007 Dec;50(6):686-91. doi: 10.1016/j.annemergmed.2007.05.013. Epub 2007 Jun 27.
Tape is the standard method for securing endotracheal tubes to prevent extubation. This study examines the force required to extubate endotracheal tubes from cadavers with either tape or one of 4 commercially available endotracheal tube holders.
Newly deceased, unembalmed cadavers were intubated with standard tracheal intubation techniques. The endotracheal tube was secured with either tape or one of 4 commercially available endotracheal tube holders. The endotracheal tube was then connected to a force-measuring device and pulled until the cuff was removed from the trachea. The largest force recorded on the device was then marked as the "extubation force" for that trial.
When tape was used to secure the endotracheal tube, it required a significantly larger force to extubate than 3 of 4 off-the-shelf endotracheal tube holders. Only the Thomas Tube Holder secured the endotracheal tube better than tape.
Although the Thomas Tube Holder had the greatest holding force in this study, tape was shown to be the least expensive and outperformed 3 other commercially available devices used to secure endotracheal tubes.
胶布是固定气管导管以防止脱管的标准方法。本研究考察了从尸体上拔除用胶布或4种市售气管导管固定器之一固定的气管导管所需的力量。
采用标准气管插管技术对刚死亡、未防腐处理的尸体进行插管。气管导管用胶布或4种市售气管导管固定器之一固定。然后将气管导管连接到测力装置上并拉动，直到套囊从气管中拔出。该装置记录的最大力量随后被标记为该试验的“拔管力”。
当用胶布固定气管导管时，与4种市售气管导管固定器中的3种相比，拔管所需的力量明显更大。只有托马斯气管导管固定器固定气管导管比胶布更好。
尽管在本研究中托马斯气管导管固定器的固定力最大，但胶布是最便宜的，并且比用于固定气管导管的其他3种市售装置表现更好。
