Commercial Device Securement

The second category incorporates “commercial devices” specifically designed to secure endotracheal tubes. These devices wrap behind the neck and connect to the endotracheal tube by either a cloth or plastic strip that surrounds the tube, a screw that squeezes the tube, or a channel that the tube goes through. Some commercial devices also utilize adhesive to secure the device to the patient’s face. Device effectiveness is typically measured by the amount of force required to displace the device, ability to hold the endotracheal tube in place, ease of application, degree of pressure damage the device causes to oral mucosa, lips, and facial skin, and patient satisfaction or pain.^20,22