"Comparison of Two Methods of Securing Endotracheal Tubes in Intensive Care : Elastic Adhesive Strips vs Lace In A Protective Sheath."

Not Applicable

Completed

• Conditions: Intubation Complication

• Registration Number: NCT04819425
• Lead Sponsor: Centre Hospitalier Departemental Vendee

Brief Summary

Every year, in France, nearly 100,000 patients hospitalized in intensive care more than 48 hours require invasive respiratory assistance via an endotracheal tube.

Appropriate tube fixation is essential to ensure effective ventilation while minimizing potential complications such as accidental extubations. However, the fixation system chosen may lead to peribuccal lesions such as bedsores, shearing or cutaneous-mucous tear. These lesions are painful for patients and often unsightly as scar may remain.

There are no formal recommendations for the use of any type of fixing system. Thus, systems used to secure the endotracheal tube vary from one ICU to another.

The objective of this study is to demonstrate that the fixing strategy by elastic adhesive tape reduces the risk of developing a peribuccal lesion during the time of the endotracheal tube's maintenance.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-03-19
• Study First Submitted QC: 2021-03-25
• Study First Posted: 2021-03-29
• Study Start: 2021-06-28
• Primary Completion: 2023-08-10
• Study Completion: 2023-08-10
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-21
• Last Update Posted: 2023-11-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 768

Inclusion Criteria

• Patient hospitalized in Intensive Care Unit
• Age over 18
• Intubation for estimated duration > 48h
• Patient treated with vasopressors
• Patient or relative who received the information and are not opposed to study participation or patient included under the emergency procedure in the absence of contactable family members.

Exclusion Criteria

• Pre-existing face lesions at ICU admission along the path of the endotracheal tube fixing.
• Admitted patient already intubated upon transfer from another ICU
• Nasotracheal intubation
• Patient in isolation for suspected COVID or clinically proven COVID
• Admitted tracheotomized patient
• Pregnant, nursing, parturient woman
• Lack of social security affiliation
• Moribund
• Incapable major (under guardianship, curatorship)
• Patient deprived of liberty by court order

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Primary Outcome Measures

Name	Time	Method
Peribuccal lesion	up to 10 days after intubation	Appearance of at least one peribuccal lesion during the first 10 days of maintaining the endotracheal tube inserted orally.; Presence of peribuccal lesion will be validated on picture by an independent review committee.; The picture will be taken daily without the visible fixing system (blind maintained for the adjudication committee) from J0 to J10 at the site of the endotracheal tube.

Trial Locations

Locations (13)

Centre Hospitalier d'Angoulême; 🇫🇷 Angoulême, France

CH Victor Dupouy; 🇫🇷 Argenteuil, France

Centre Hopitalier La Rochelle; 🇫🇷 La Rochelle, France

Centre Hospitalier Le Mans; 🇫🇷 Le Mans, France

Groupe Hospitalier Bretagne Sud; 🇫🇷 Lorient, France

CHU Nantes Hôtel Dieu; 🇫🇷 Nantes, France

Centre Hospitalier Régional d'Orléans; 🇫🇷 Orléans, France

CHI Poissy - Saint-Germain-en-Laye; 🇫🇷 Poissy, France

CHU de Poitiers; 🇫🇷 Poitiers, France

Hôpital Nord Laennec; 🇫🇷 Saint-Herblain, France

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