title: How I do it: securing tracheostomy tubes.
abstract: Securing a tracheostomy tube after insertion is essential to prevent accidental decannulation. Although this is uncommon, its associated mortality is high. Common practice involves suturing the lateral edges of the tube flanges to the skin. This can allow movement along the axis of the flanges. We describe a modification of the suture placement, which provides a more robust fixation.
authors: Department of Otorhinolaryngology, Head and Neck Surgery, Guy's Hospital, St. Thomas Street, SE1 9RT, London, UK. lennyliew@hotmail.com
authors: Leonard
authors: L
authors: Liew
authors: Nicholas
authors: N
authors: Gibbins
authors: Manuel
authors: M
authors: Oyarzabal
mesh_terms: D006801:Humans; D013536:Suture Techniques; D014139:Tracheostomy / Q000295:instrumentation* / Q000379:methods