Effect of "工" type adhesive tape fixation method on tracheal tube fixation in children's adenoids and tonsils surgery / 中国医师进修杂志

ABSTRACT

Objective@#To investigate the effect of "工" type adhesive tape fixation method on tracheal tube fixation in children′s adenoids and tonsils surgery.@*Methods@#Eighty children who underwent selective adenoids and tonsils surgery from January to June 2019 in Shengjing Hospital of China Medical University were selected. The children were divided into control group and experimental group by random digits table method with 40 cases each. The tracheal tube of control group was fixed by traditional double-adhesive tape fixation method, and the tracheal tube of experimental group was fixed by "工" type adhesive tape fixation method. The distance between tracheal tube and right corner of mouth at the time of tracheal tube fixation, mouth opener insertion and the end of surgery by a soft ruler were recorded as an index of tracheal tube displacement. The detubation and skin damage were also recorded.@*Results@#The displacement distances of tracheal tube from tracheal tube fixation to mouth opener insertion and from tracheal tube fixation to the end of surgery in experimental group were significantly smaller than those in control group (0.38 ± 0.16) cm vs. (0.74 ± 0.25) cm and (0.51 ± 0.20) cm vs. (1.69 ± 0.51) cm, and there were statistical differences (t = 7.67 and 13.62, P<0.05). There was no statistical difference in the incidence of detubation between 2 groups (P>0.05). The pressure ulcers did not occur in 2 groups; there was no statistical difference in the incidence of breakage between 2 groups (P>0.05); the incidences of redness and total skin damage in experimental group were significantly lower than those in control group 20.0% (8/40) vs. 55.0% (22/40) and 20.0% (8/40) vs. 62.5% (25/40), and there were statistical differences (χ2 = 13.07 and 14.90, P<0.01).@*Conclusions@#The "工" type adhesive tape fixation method is used for the fixation of tracheal tube in adenoids and tonsils surgery in children, which is easy to operate and fixes firmly, and can effectively reduce the displacement of tracheal tube and reduce the degree of skin damage. It is worthy of clinical application.