Endotracheal tube, securing - Intensive Care & Coordination ...

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St Vincent’s Hospital Intensive Care Services Page 4 of 16 Securing an ETT: Intensive Care Clinical Practice Manual, Policy / Procedure R 4.1 7.0 APPLICATION OF PRINCIPLES PLEASE NOTE THAT THE ETT MUST BE SECURED BY HAND BY A DEDICATED NURSE OR DOCTOR WHEN THE TUBE IS BEING TIED OR RE- TIED. FOR THE SAKE OF CLARITY ALL THE FOLOWING ILLUSTRATIONS DO NOT SHOW THE ASSISTANT’S HAND. 7.1 EQUIPMENT REQUIRED FOR TRACHY TAPE METHOD Trachy tape (long enough to pass around the neck and tie several knots). Scissors Two foam pads. 7.2 PROCEDURE FOR TRACHY TAPE METHOD . Pass the tape around the neck and then tie it firmly between the nose and tube with a Surgeon’s knot (i.e. an initial double throw of the tape so that the correct tension can be maintained). Securing an ETT Policy / Procedure R 4.1 Page 4 of 16 ICU Clinical Practice Manual Implemented July 2006, Review July 2009.
St Vincent’s Hospital Intensive Care Services Page 5 of 16 Securing an ETT: Intensive Care Clinical Practice Manual, Policy / Procedure R 4.1 ii. Follow this with a single locking throw. (Don’t tie this knot between the tube and chin as it predisposes to the tube slipping over receding chins.) iii. Tie a very firm reef knot (left over right then right over left) around the tube so that the tube cannot slip up or down. Securing an ETT Policy / Procedure R 4.1 Page 5 of 16 ICU Clinical Practice Manual Implemented July 2006, Review July 2009.
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