'The head wrap'

INDICATIONS

This technique applies to the securing of a nasal RAE tube.


EQUIPMENT

You will need two bits of 'equipment' to use this method: Wide adhesive tape (2 to 3 inches is ideal), and a small piece of foam (a small stack of sterile gauze can be used as well). The foam on disposable surgical handwashing brushes is the perfect size.


TECHNIQUE

 

This method has two main advantages:

  • It does not rely on any tape around the nose, which could peel off if exposed to facial skin prep.
  • The 'head wrap' tends to push the ET tube downwards and thereby avoids it pulling on the alar at the nostril where it could cause serious pressure sores.

Note that the tape should cover the patient's occiput to prevent it from slipping upwards. The tape should also cover at least the top of the ears.