title: [Effects of rotated endotracheal tube fixation method on unplanned extubation, oral mucosa and facial skin integrity in ICU patients].
abstract: OBJECTIVE
  The study was done to compare effects of two endotracheal tube (ET tube) fixation methods (rotated fixation versus conventional) on unplanned extubation and skin integrity for orally intubated patients in intensive care units.
  
  
  METHODS
  The research design was a non-equivalent control group with repeated measures design. Participants were 80 patients; 40 participants assigned to each group. ET tube for the experimental participants fixed with rotated method every morning. Unplanned extubation was assessed by bedside nurses using the unplanned extubation report form. Oral mucosa and facial skin integrity were assessed using oral assessment guide and facial skin integrity assessment guide at day 3, 7, 10 and 14.
  
  
  RESULTS
  There was no difference in the unplanned extubation rate between the two groups. Oral mucosa impairment scores for the rotated fixation method were significantly lower at day 7 (p=.044), 10 (p=.048) and day 14 (p=.037). Also facial skin integrity impairment scores for the same group were significantly lower at day 7 (p=.010), 10 (p=.003), and 14 (p=.002).
  
  
  CONCLUSIONS
  Results of the study suggest that the rotated fixation method is effective for these patients, to prevent impairment of oral mucosa and facial skin integrity. Further research is needed to prevent unplanned extubation.
authors.affiliation: Gangneung Asan Hospital, Doctoral Student, Department of Nursing, Kangwon National University, Chuncheon, Korea.
authors.forename: Young Soon
authors.initials: YS
authors.lastname: Choi
authors.forename: Young Ran
authors.initials: YR
authors.lastname: Chae
mesh_terms: D000328:Adult; D000368:Aged; D060666:Airway Extubation; D005145:Face / Q000473:pathology*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D007442:Intubation, Intratracheal; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000473:pathology*; D012121:Respiration, Artificial; D012720:Severity of Illness Index