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Published in: Critical Care 1/2024

Open Access 01-12-2024 | Brief Report

Effect of a self-developed fixation device on preventing endotracheal intubation-related pressure injury: a randomised controlled trial

Authors: Xiaodong Zhang, Qibing Zhang, Jiqin You, Rong Xu, Zhaojie Zhang, Yunlan Shi, Chunrong Han, Shiyan Zhao, Bangtao Yao, Yan Geng, Songqiao Liu

Published in: Critical Care | Issue 1/2024

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Abstract

Objective

To evaluate the effects of our self-developed endotracheal tube fixation device in mechanically ventilated patients.

Methods

In a dual-centre randomised controlled trial, patients who were expected to require mechanical ventilation for over 48 h were assigned to the observation group (using self-developed device) or the control group (using the traditional device). The primary endpoint was the incidence of endotracheal intubation-related pressure injury (EIRPI).

Results

Fifty-one patients in the observation group and 54 patients in the control group were analysed. The incidence of EIRPI was 7.8% in the observation group and 33.3% in the control group (p = 0.001). Lip pressure injury (PI) occurred in 0 versus 14 (25.9%) patients in the observation versus control groups (p < 0.001). Both oral–mucosal and facial PIs were similar between the two groups.

Conclusions

The use of the novel device reduced the incidence of EIRPI, especially lip PI.
Trial registration Chinese Clinical Trial Registry ChiCTR2300078132. Registered on 29 November 2023
Literature
1.
go back to reference Qian Y, Lu H. Design and clinical application effect analysis of a new type of oral fluid suction device for patients with orotracheal intubation. Contrast Media Mol Imaging. 2022;2022:6057115.CrossRefPubMedPubMedCentral Qian Y, Lu H. Design and clinical application effect analysis of a new type of oral fluid suction device for patients with orotracheal intubation. Contrast Media Mol Imaging. 2022;2022:6057115.CrossRefPubMedPubMedCentral
2.
go back to reference Martin M, Decamps P, Seguin A, Garret C, Crosby L, Zambon O, et al. Nationwide survey on training and device utilization during tracheal intubation in French intensive care units. Ann Intensive Care. 2020;10(1):2.CrossRefPubMedPubMedCentral Martin M, Decamps P, Seguin A, Garret C, Crosby L, Zambon O, et al. Nationwide survey on training and device utilization during tracheal intubation in French intensive care units. Ann Intensive Care. 2020;10(1):2.CrossRefPubMedPubMedCentral
3.
go back to reference Amrani G, Gefen A. Which endotracheal tube location minimises the device-related pressure ulcer risk: The centre or a corner of the mouth. Int Wound J. 2020;17(2):268–76.CrossRefPubMed Amrani G, Gefen A. Which endotracheal tube location minimises the device-related pressure ulcer risk: The centre or a corner of the mouth. Int Wound J. 2020;17(2):268–76.CrossRefPubMed
4.
go back to reference Shimizu T, Mizutani T, Yamashita S, Hagiya K, Tanaka M. Endotracheal tube extubation force: adhesive tape versus endotracheal tube holder. Respir Care. 2011;56(11):1825–9.CrossRefPubMed Shimizu T, Mizutani T, Yamashita S, Hagiya K, Tanaka M. Endotracheal tube extubation force: adhesive tape versus endotracheal tube holder. Respir Care. 2011;56(11):1825–9.CrossRefPubMed
5.
go back to reference Kayser SA, VanGilder CA, Ayello EA, Lachenbruch C. Prevalence and analysis of medical device-related pressure injuries: results from the international pressure ulcer prevalence survey. Adv Skin Wound Care. 2018;31(6):276–85.CrossRefPubMedPubMedCentral Kayser SA, VanGilder CA, Ayello EA, Lachenbruch C. Prevalence and analysis of medical device-related pressure injuries: results from the international pressure ulcer prevalence survey. Adv Skin Wound Care. 2018;31(6):276–85.CrossRefPubMedPubMedCentral
6.
go back to reference Rashvand F, Shamekhi L, Rafiei H, Nosrataghaei M. Incidence and risk factors for medical device-related pressure ulcers: the first report in this regard in Iran. Int Wound J. 2020;17(2):436–42.CrossRefPubMed Rashvand F, Shamekhi L, Rafiei H, Nosrataghaei M. Incidence and risk factors for medical device-related pressure ulcers: the first report in this regard in Iran. Int Wound J. 2020;17(2):436–42.CrossRefPubMed
7.
go back to reference Zhang Y, Wang S, Zhang X, Zhang W, Wang X. Incidence and influencing factors of medical adhesive-related skin injury in critically Ill patients. Adv Skin Wound Care. 2020;33(5):260–6.CrossRefPubMed Zhang Y, Wang S, Zhang X, Zhang W, Wang X. Incidence and influencing factors of medical adhesive-related skin injury in critically Ill patients. Adv Skin Wound Care. 2020;33(5):260–6.CrossRefPubMed
9.
go back to reference Qin L, Yun W, Hang C. Risk factors of endotracheal intubation-related pressure injury among patients admitted to the ICU. Adv Skin Wound Care. 2021;34(3):144–8.CrossRefPubMed Qin L, Yun W, Hang C. Risk factors of endotracheal intubation-related pressure injury among patients admitted to the ICU. Adv Skin Wound Care. 2021;34(3):144–8.CrossRefPubMed
11.
go back to reference Delmore BA, Ayello EA. CE: pressure injuries caused by medical devices and other objects: a clinical update. Am J Nurs. 2017;117(12):36–45.CrossRefPubMed Delmore BA, Ayello EA. CE: pressure injuries caused by medical devices and other objects: a clinical update. Am J Nurs. 2017;117(12):36–45.CrossRefPubMed
12.
13.
go back to reference Orlov A, Gefen A. Differences in prophylactic performance across wound dressing types used to protect from device-related pressure ulcers caused by a continuous positive airway pressure mask. Int Wound J. 2023;20(4):942–60.CrossRefPubMed Orlov A, Gefen A. Differences in prophylactic performance across wound dressing types used to protect from device-related pressure ulcers caused by a continuous positive airway pressure mask. Int Wound J. 2023;20(4):942–60.CrossRefPubMed
14.
go back to reference Arundel L, Irani E, Barkema G. Reducing the incidence of medical device-related pressure injuries from use of cpap/bipap masks: a quality improvement project. J Wound Ostomy Continence Nurs. 2021;48(2):108–14.CrossRefPubMed Arundel L, Irani E, Barkema G. Reducing the incidence of medical device-related pressure injuries from use of cpap/bipap masks: a quality improvement project. J Wound Ostomy Continence Nurs. 2021;48(2):108–14.CrossRefPubMed
15.
go back to reference Hughes MA. Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers. Br J Community Nurs. 2014;19(Suppl6):S46-52.CrossRef Hughes MA. Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers. Br J Community Nurs. 2014;19(Suppl6):S46-52.CrossRef
16.
go back to reference European pressure ulcer advisory Panel (EPUAP), national pressure injury advisoryPanel (NPlAP), Pan pacific pressure injury alliance (PPPlA). In: Prevention andtreatment of pressure ulcers/injuries: clinical practice guideline. Australia:Osborne Park: 2019 European pressure ulcer advisory Panel (EPUAP), national pressure injury advisoryPanel (NPlAP), Pan pacific pressure injury alliance (PPPlA). In: Prevention andtreatment of pressure ulcers/injuries: clinical practice guideline. Australia:Osborne Park: 2019
17.
go back to reference Zhang Q, Zhang X, Han C, You J, Zhao Y, Xu R, et al. Successful treatment of endotracheal intubation-related lip pressure injury using a self-developed fixation device. Crit Care. 2023;27(1):298.CrossRefPubMedPubMedCentral Zhang Q, Zhang X, Han C, You J, Zhao Y, Xu R, et al. Successful treatment of endotracheal intubation-related lip pressure injury using a self-developed fixation device. Crit Care. 2023;27(1):298.CrossRefPubMedPubMedCentral
Metadata
Title
Effect of a self-developed fixation device on preventing endotracheal intubation-related pressure injury: a randomised controlled trial
Authors
Xiaodong Zhang
Qibing Zhang
Jiqin You
Rong Xu
Zhaojie Zhang
Yunlan Shi
Chunrong Han
Shiyan Zhao
Bangtao Yao
Yan Geng
Songqiao Liu
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2024
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-024-04874-7

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