Securing the Oral Endotracheal Tube in Patients With Facial Burns: A Critical Care Clinician Technique.

Annals of burns and fire disasters Pub Date : 2022-12-31 eCollection Date: 2022-12-01
E Ross, B J Wilson
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Abstract

Securing an endotracheal tube (ETT) in a patient with facial burns poses many challenges. There is no standard practice and the existing literature provides solutions to this problem with limited detail outlining the specifics of their techniques. The teeth offer a rigid point of fixation and are an adaptable method to secure the ETT. For their dental insight, oral and maxillofacial surgeons are often tasked with the procedure of fixing the ETT to the dentition. The aim of this technical note is to review the previously published methods of securing an ETT in burns patients and to present a logical technique to secure the ETT to the dentition for critical care clinicians without dental experience.

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固定面部烧伤患者的口腔气管插管:重症监护临床医师技术。
为面部烧伤患者固定气管插管(ETT)是一项挑战。目前还没有标准的做法,现有文献提供了解决这一问题的方法,但对其技术的具体细节概述有限。牙齿提供了一个刚性固定点,是固定 ETT 的一种适应性很强的方法。口腔颌面外科医生对牙科有深入的了解,他们通常负责将 ETT 固定在牙齿上。本技术说明的目的是回顾之前公布的烧伤患者固定 ETT 的方法,并为没有牙科经验的重症监护临床医生介绍一种将 ETT 固定在牙槽骨上的合理技术。
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