Best practice in stabilisation of oral endotracheal tubes : a systematic review

Gardner, Anne, Hughes, Dot, Cook, Robert, Henson, Rachael, Osborne, Sonya and Gardner, Glenn 2005, Best practice in stabilisation of oral endotracheal tubes : a systematic review, Australian critical care, vol. 18, no. 4, pp. 159-165, doi: 10.1016/S1036-7314(05)80029-3.

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Title Best practice in stabilisation of oral endotracheal tubes : a systematic review
Author(s) Gardner, Anne
Hughes, Dot
Cook, Robert
Henson, Rachael
Osborne, Sonya
Gardner, Glenn
Journal name Australian critical care
Volume number 18
Issue number 4
Start page 159
End page 165
Publisher Elsevier B.V.
Place of publication Amsterdam, The Netherlands
Publication date 2005-11
ISSN 1036-7314
Keyword(s) endotracheal tube
clinical nursing research
cost benefit analysis
Summary Mechanical ventilation of patients in intensive care units is common practice. Artificial airways are utilised to facilitate ventilation and the endotracheal tube (ETT) is most commonly used for this purpose. The ETT must be stabilised to optimise ventilation and avoid displacement or unplanned extubation. Tube movement is a major factor in causing airway trauma. A destabilised tube can cause fatal complications. A systematic review was conducted to identify and analyse the best available evidence on ETT stabilisation to determine which stabilisation method resulted in reduced tube displacement and the least amount of unplanned or accidental extubations. The types of stabilisations included one or a combination of the following methods: twill or cotton tape, adhesive tape, gauze, or a manufactured device. All relevant randomised controlled and quasi-experimental studies of ETT stabilisation practices, identified through electronic and hand searching, were assessed for inclusion in the study. One published randomised controlled trial and six published quasi-experimental studies met the inclusion and exclusion criteria and were retrieved. Data were extracted independently by two reviewers. Results of the systematic review showed that no single method of ETT stabilisation could be identified as superior for minimising tube displacement and unplanned or accidental extubations. Rigorous randomised controlled trials with clearly identified and described ETT stabilisation methods are required to establish best practice. In addition, comparative research to evaluate cost effectiveness and nursing time requirements would also be of significant benefit to critical care nursing practice.
Language eng
DOI 10.1016/S1036-7314(05)80029-3
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2005, Elsevier B. V.
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Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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