Securing Endotracheal Tube in Pediatric Neurosurgical Patients Operated in Prone Position—A Novel Technique
Introduction The purpose of the present study relates to prevention of accidental extubation (AE) of pediatric patients in prone position. The control of endotracheal tube (ETT) in prone position becomes very difficult and an AE often occurs. This is more so deleterious in this age group because of...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-05-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1721204 |
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| author | Samir Kumar Kalra |
| author_facet | Samir Kumar Kalra |
| author_sort | Samir Kumar Kalra |
| collection | DOAJ |
| description | Introduction The purpose of the present study relates to prevention of accidental extubation (AE) of pediatric patients in prone position. The control of endotracheal tube (ETT) in prone position becomes very difficult and an AE often occurs. This is more so deleterious in this age group because of the shallow respiratory reserves in children as well as the common use of noncuffed endotracheal tubes. The accidental tube exit may be a life-threatening event and its prevention is extremely important.
Case Description Using the used plastic bottle of intravenous fluids, a rectangular piece is cut, foam pasted and wrapped on itself and stout threads are attached. This attachment is used for securing the ETT by wrapping it. The technical details are described in the text. The AE is a potentially disastrous event and its occurrence in pediatric patients is even more dangerous. Many techniques have been developed over the years for prevention of such an event.
Conclusions The present technique uses all the principles of ETT fixation without leading to adding any significant technical difficulties. The method is safe, cost-effective and easily reproducible way of securement of ETT in pediatric neurosurgical patients operated in the prone position. |
| format | Article |
| id | doaj-art-f5ea9c66c91d4a56a3b45807a5a30d5c |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2021-05-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-f5ea9c66c91d4a56a3b45807a5a30d5c2025-08-20T02:04:45ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672021-05-01100324124310.1055/s-0040-1721204Securing Endotracheal Tube in Pediatric Neurosurgical Patients Operated in Prone Position—A Novel TechniqueSamir Kumar Kalra0Sir Ganga Ram Hospital & Ganga Ram Institute of Medical Education & Research, New Delhi, IndiaIntroduction The purpose of the present study relates to prevention of accidental extubation (AE) of pediatric patients in prone position. The control of endotracheal tube (ETT) in prone position becomes very difficult and an AE often occurs. This is more so deleterious in this age group because of the shallow respiratory reserves in children as well as the common use of noncuffed endotracheal tubes. The accidental tube exit may be a life-threatening event and its prevention is extremely important. Case Description Using the used plastic bottle of intravenous fluids, a rectangular piece is cut, foam pasted and wrapped on itself and stout threads are attached. This attachment is used for securing the ETT by wrapping it. The technical details are described in the text. The AE is a potentially disastrous event and its occurrence in pediatric patients is even more dangerous. Many techniques have been developed over the years for prevention of such an event. Conclusions The present technique uses all the principles of ETT fixation without leading to adding any significant technical difficulties. The method is safe, cost-effective and easily reproducible way of securement of ETT in pediatric neurosurgical patients operated in the prone position.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1721204endotracheal tubepronepediatric |
| spellingShingle | Samir Kumar Kalra Securing Endotracheal Tube in Pediatric Neurosurgical Patients Operated in Prone Position—A Novel Technique Indian Journal of Neurosurgery endotracheal tube prone pediatric |
| title | Securing Endotracheal Tube in Pediatric Neurosurgical Patients Operated in Prone Position—A Novel Technique |
| title_full | Securing Endotracheal Tube in Pediatric Neurosurgical Patients Operated in Prone Position—A Novel Technique |
| title_fullStr | Securing Endotracheal Tube in Pediatric Neurosurgical Patients Operated in Prone Position—A Novel Technique |
| title_full_unstemmed | Securing Endotracheal Tube in Pediatric Neurosurgical Patients Operated in Prone Position—A Novel Technique |
| title_short | Securing Endotracheal Tube in Pediatric Neurosurgical Patients Operated in Prone Position—A Novel Technique |
| title_sort | securing endotracheal tube in pediatric neurosurgical patients operated in prone position a novel technique |
| topic | endotracheal tube prone pediatric |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1721204 |
| work_keys_str_mv | AT samirkumarkalra securingendotrachealtubeinpediatricneurosurgicalpatientsoperatedinpronepositionanoveltechnique |