• Jonathan J Gamble, William P McKay, Andrew Peeling, Christopher Durr, Trevor Krysak, Rachel Guo, Tanner Lange, Jayden Cowen, and Jagmeet S Bajwa.
• Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Saskatchewan, Saskatoon, SK, Canada. jonathan.gamble@saskhealthauthority.ca.
• Can J Anaesth. 2021 May 1; 68 (5): 645-652.

BackgroundEndotracheal intubation is a common lifesaving procedure. An in situ endotracheal tube (ETT) must be secured in position to avoid displacement and potentially life-threatening complications. Adhesive tapes form the most common intraoperative ETT stabilization methods. Limited published data are available to guide the clinical decision regarding ETT taping method. We performed an interventional study aiming to establish which of many commonly employed ETT tape/supplementary adhesive methods provides the most resistance to ETT distraction.MethodsAn experiment was undertaken to measure the force required to distract an ETT secured to a live dermal model with 24 different ETT securing methods comprising six types of tape alone and in combination with one of three supplementary adhesives. The primary measurement was the peak force (Newtons) required to distract a secured ETT 3 cm.ResultsA total of 1,164 measurements were made. The mean force required to distract the ETT ranged from 7.8 to 21.8 Newtons. The combination of Cloth Adhesive™ + Mastisol® had the greatest observed mean distraction force, as well as the greatest estimated lower and upper confidence limits.ConclusionsThere are significant differences in force required to distract an ETT based on taping methods.

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