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Explore Clinical Insights and Educational Resources to Enhance Airway Management

Paper-May-30-2024-06-10-06-7259-PM

There are 121,000 unplanned extubations in the U.S. every year, risking serious clinical complications such as aspiration pneumonia, brain damage, and cardia arrest. 33,000 result in preventable deaths. 

Patients in respiratory distress and emergent procedures currently have their life-sustaining breathing tubes secured with flimsy tape.

The combined impact of unplanned extubations and medical device-related pressure injuries imposes a substantial financial burden on health systems, amounting to approximately $8.4 billion annually.

- American Association of Critical-Care Nurses, 2020

A Rising Need for Airway Management

The 3Cs: Conflict, COVID-19, and Chronic Illnesses

  1. Conflict
    Increase in global conflict, surgeries, and emergency treatments—exportable to international markets.
  2. COVID-19
    The Tripledemic, including Flu and RSV, driving the prevalence of respiratory illnesses.
  3. Chronic Illnesses
    Contributing to increased hospitalizations and breathing problems, especially in aging populations.

Unplanned Extubation in the Perioperative Environment (2022)

by Lauren Berkow, MD, FASA, and Arthur Kanowitz, MD, FACEP

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Endotracheal Tube Fastening Device-Related Facial Pressure Ulcers (2021)

by Vaibhav Rastogi and Abraham J. Layon

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Facial Scars Due to Prone Position Pressure Ulcers: Underestimated Sequelae in COVID-19 Survivors? (2021)

by Rutger M. Schols, MD, PhD, Melissa de Henau, MD, Carlo Colla, CPO, Eric van den Kerckhove, PhD, Stefania M. H. Tuinder, MD, PhD, René R. W. J. van der Hulst, MD, PhD, and Andrzej A. Piatkowski, MD, PhD

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Endotracheal Tube Care and Oral Care Practices for Ventilated and Non-ventilated Patients (2021)

by Kathleen Vollman, Mary Lou Sole, and Barbara Quinn

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Under (less) pressure - Facial pressure ulcer development in ventilated ICU patients: A prospective comparative study comparing two types of endotracheal tube fixations (2020)

by Michael Kuniavsky, Evgeny Vilenchik, and Alina Lubanetz

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Medical Device–Related Pressure Injuries During the COVID-19 Pandemic (2020)

by Tanya Martel and Dennis P. Orgill

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The effect of adhesive tape versus endotracheal tube fastener in critically ill adults: the endotracheal tube securement (ETTS) randomized controlled trial (2019)

by Janna S. Landsperger, Jesse M. Byram, Bradley D. Lloyd, Todd W. Rice, and for the Pragmatic Critical Care Research Group

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Guidelines for the management of tracheal intubation in critically ill adults (2018)

by A. Higgs, B.A. McGrath, C. Goddard, J. Rangasami, G. Suntharalingam, R. Gale, T. M. Cook, Difficult Airway Society, Intensive Care Society, Faculty of Intensive Care Medicine, and Royal College of Anaesthetists

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Ivy Loop Wiring: A Useful Form of Endotracheal Tube Stabilization in Burn Patients (2017)

by Matthew W. T. Curran, MD and Edward E. Tredget, MD, MSc, FRCS

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Unplanned extubations in Intensive Care Unit: evidences for risk factors. A literature review (2017)

by Chiara Cosentino, Mattia Fama, Chiara Foà, Giorgia Bromuri, Serena Giannini, Marco Saraceno, Angela Spagnoletta, Mbemo Tenkue, Elena Trevisi, and Leopoldo Sarli

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Medical device related pressure ulcers in hospitalized patients (2010)

by Joyce M. Black, Janet E. Cuddigan, Maralyn A. Walko, L. Alan Didier, Maria J. Lander, and Maureen R. Kelpe

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Airway Managementand Smoke Inhalation Injury in the Burn Patient (2009)

by Leopoldo C. Cancio, MD, FACS

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