Application of a novel fixation method of endotracheal tube for digestive endoscopy procedures in lateral position under general anesthesia

FU Zihui; JIANG Ming; SHI Changxi; ZHANG Mingming; FU Qun; ZHANG Xiaokun; GE Jing; ZHANG Yiyang

doi:10.3969/j.issn.2096-2681.2024.05.003

Abstract：Objective To explore the reliability and safety of a novel method of endotracheal tube fixation in lateral position during digestive endoscopic treatment.Methods Eighty patients,44 males and 36 females,aged 20-45 years,weighing 50～76 kg,ASA Ⅰor Ⅱ,who underwent endoscopic treatment under general anesthesia at the Digestive Endoscopy Center of Nanjing Gulou Hospital Affiliated to Nanjing University Medical College from March 2022 to August 2022 were randomly divided into the control group(n=40)and the observation group(n=40).The control group used traditional medical adhesive tape to fix the tracheal duct,with the adhesive tape fixed on the upper cheek in a"＞"shape,and a 3M transparent film was applied to the adhesive tape.The observation group used a new type of endotracheal tube fixation method and the clinical effects were observed and compared between the two kinds of fixation methods.Results The incidence of endotracheal tube displacement in the observation group was 5％,and the incidence of oral,mouth corner,and facial skin injuries was 6.7％,all of which were lower than those in the control group,and the differences were statistically significant(P＜0.05).The proportion of comfort scores＜3 points for patients in the observation group was 72.5％,and＜6 points was 97.5％,both lower than those in the control group,and the difference was statistically significant(P＜0.05).Conclusion In patients undergoing endoscopic treatment in a lateral position,the use of a novel method of endotracheal tube fixation can significantly reduce the displacement and detachment rate of the endotracheal tube,and significantly reduce the incidence of related adverse reactions.The method is easy and quick to operate,and the material is easy to obtain.Therefore,it can be used routinely in clinical practice.