Twill Group Position Paper

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• Twill Group: While one of the researcher holds the ETT in place, another researcher removes the old tape from around the patient's ETT. Two nurses must always be present to change the method of securing the endotracheal tube, one nurse changes the tapes while the other holds the ETT in position [13]. Place the C-sponge around the patient's mouth before tying the Twill tape (C-sponge is C-shaped foam piece that fits around the patient's mouth and lips to provide pressure relief from Twill tape). The used 12 mm width cotton tape took the shape (T) and was folded in half and looped around the ETT and avoided securing the pilot balloon to ETT. The ends were brought through this loop and then tightened by pulling the ends. The one was passed…show more content…
Oral hygiene was performed every 12 hours and oral moistening was performed every 2 hours based on policy of ICUs. According to Santhosh et al. [24], ETT securing method should be renewed at least once every 24 hours to prevent sustained pressure on a single point.
Time taken for application of ETT fixation method was calculated from the time fixation of ETT was started to the time was stably fixed (in seconds). As well, time taken for removal of ETT fixation method was calculated from time of starting of removal fixation from ETT to the time of complete removal of fixation method (in seconds), using a hand watch with seconds. The same watch was used for all the patients in the three techniques to avoid errors in time measurement.
A scale was used to measure the degree of ETT slippage within the method of fixation. The measurement was done with a ruler scale in cm2. Movement of ETT was recorded and compared with relative to incisor teeth (point of
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Quantitative continuous data were compared using ANOVA test for comparisons among more than two groups. When normal distribution of the data could not be assumed, the non-parametric Kruskal-Wallis test was used instead. Qualitative variables were compared using chi-square test. Statistical significance was considered at p-value < 0.001 for each). It is obvious that the simple bow group had longer time taken for application of fixation method (140.3±0.7 seconds), with more time taken for removal (40.1±0.6 seconds) compared to the other groups. As for time taken for application of fixation methods , Twill and adhesive groups were (120.2±0.2seconds) and (122.4±0.1seconds) respectively. For time taken for removal of fixation method, Twill and adhesive groups were 20.7±0.1 and 31.9±0.2 seconds,

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