Every year, in France, nearly 100,000 patients hospitalized in intensive care more than 48 hours require invasive respiratory assistance via an endotracheal tube. Appropriate tube fixation is essential to ensure effective ventilation while minimizing potential complications such as accidental extubations. However, the fixation system chosen may lead to peribuccal lesions such as bedsores, shearing or cutaneous-mucous tear. These lesions are painful for patients and often unsightly as scar may remain. There are no formal recommendations for the use of any type of fixing system. Thus, systems used to secure the endotracheal tube vary from one ICU to another. The objective of this study is to demonstrate that the fixing strategy by elastic adhesive tape reduces the risk of developing a peribuccal lesion during the time of the endotracheal tube's maintenance.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
768
Securement of Endotracheal tube with Elastic Adhesive Strips
Securement of Endotracheal tube with Lace in A Protective Sheath
Centre Hospitalier d'Angoulême
Angoulême, France
CH Victor Dupouy
Argenteuil, France
Centre Hopitalier La Rochelle
La Rochelle, France
Centre Hospitalier Le Mans
Le Mans, France
Groupe Hospitalier Bretagne Sud
Lorient, France
CHU Nantes Hôtel Dieu
Nantes, France
Centre Hospitalier Régional d'Orléans
Orléans, France
CHI Poissy - Saint-Germain-en-Laye
Poissy, France
CHU de Poitiers
Poitiers, France
Hôpital Nord Laennec
Saint-Herblain, France
...and 3 more locations
Peribuccal lesion
Appearance of at least one peribuccal lesion during the first 10 days of maintaining the endotracheal tube inserted orally. Presence of peribuccal lesion will be validated on picture by an independent review committee. The picture will be taken daily without the visible fixing system (blind maintained for the adjudication committee) from J0 to J10 at the site of the endotracheal tube.
Time frame: up to 10 days after intubation
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