Endotracheal tube stabilization in the air medical setting

Abstract

Airway control is critical to the preparation and transport of patients by air medical services. Our experience with an endotracheal tube stabilization device employed in all adult orally intubated patients is described. Details of application, types of injury, and characteristics of patient management were reviewed. The stability of the device was determined on the face and the stability of the endotracheal tube was evaluated. Sixty-three intubated, adult patients transported via our air medical team were included in this study. Indications for intubation included burns, inhalation injury, maxillofacial trauma, upper airway obstruction and thoracic trauma. Maxillofacial injuries included scalp/facial lacerations, craniofacial asymmetry, Le Fort III fractures and electrical burns. Maxillofacial injuries and secretions did not compromise device stability. The device could be placed on all patients regardless of condition or climate at time of device application. Use of a standard endotracheal tube stabilization device is recommended in the air medical setting. It protects against accidental extubation, provides stability regardless of craniofacial trauma or secretions, and allows for easy application and consistent positioning of the endotracheal tube relative to holder.