Abstract

Objectives: This study aims to compare two methods of securing an endotracheal tube in adults by tying with a ribbon versus adhesive tape. T Methods: A cross-section study in 40 intubated patients at cardiac ICU on endotracheal tube securement, skin integrity. Group 1: 20 patients secured by tying method. Group 2: 20 patients whose tubes secured by adhesive tape. We had also collected staffs' opinions on these methods. Results: The unplanned extubation and displacement of endotracheal tubes occured at higher rate in group 2 (20%) and (10%). Other complications were statistically significant different between 2 groups: red area of skin (5% vs 15%), pressure ulcer (5% vs 20%) (p < 0.05). 5% of patients in group 2 were infected at local fixation. 100% of staffs were satisfied with the tying fixation method. Conclusions: The tying fixation method minimised tube movement, lower complications when compared with conventional adhesive tape.