title: Reduction of Pressure-Related Complications With an Improved Method of Securing Endotracheal Tubes in Burn Patients With Facial Burns.
abstract: Facial burns are extremely common in the burn population, as is the need for endotracheal intubation. However, securing the endotracheal tube in these patients can be difficult. Our institution's historically preferred method of securing tubes with twill tape was effective but had a high rate of device-related pressure ulcers. The introduction of new silicone pressure-reducing strips for use in conjunction with twill tape was effective in reducing the incidence of pressure ulcers in this patient population from 21% to 5% (P = .032).
authors.affiliation: Hennepin County Medical Center, Minneapolis, Minnesota.
authors.forename: Angela B
authors.initials: AB
authors.lastname: Whitley
authors.affiliation: Hennepin County Medical Center, Minneapolis, Minnesota.
authors.forename: Rachel M
authors.initials: RM
authors.lastname: Nygaard
authors.affiliation: Hennepin County Medical Center, Minneapolis, Minnesota.
authors.forename: Frederick W
authors.initials: FW
authors.lastname: Endorf
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005151:Facial Injuries / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000453:epidemiology / Q000517:prevention & control*; D012189:Retrospective Studies; D012828:Silicones; D053832:Surgical Tape / Q000009:adverse effects; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D012828:Silicones