الفهرس 
Title : Factors Affecting Fixation of Endotracheal Tube among Children in Intensive Care Units
AbstractOnly 14 pages are availabe for public view
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Abstract
Background: Correct positioning and proper fixation of the endotracheal tube (ETT) among children can be challenging in pediatric intensive care units (PICUs) and improper fixation may be associated with higher rates of complications. Aim: The study aimed to explore factors affecting fixation of ETT among children in ICU. Methods: A descriptive exploratory design was utilized. Setting: The study was conducted at pediatric intensive care units in two Pediatric University Hospitals affiliated to Cairo University hospitals.Sample: A Convenient sample of 101 intubated children in ICUs enrolled in the study.Tools: The required data was collected by using personal data questionnaire for child, assessment sheet of factors affecting ETT fixation in PICU and observational checklist of securing an endotracheal tube. Results: The current study results revealed that, 45.5% of children had improperly fixed ETT, 54.5% of them had properly fixed ETT and 52.5% were less than one year old. Conclusion: Absence of salivary secretions in child mouth was the most frequent finding in children with properly fixed ETT followed by appropriate MV circuit position, appropriate child position in bed, experience of assigned nurse more than two years in PICU, passive movement of child, no traction of ETT and appropriate handling of child. On the other hand, ETT fixation with adhesive tape without tube holder was the most frequent finding in children with improperly fixed ETT followed by no documentation of ETT card, uncuffed ETT, morning shift, stay in PICU more than 2 weeks, MV days more than one week and nurses experiences in PICU less than two years. Recommendations: Standard method of fixation of ETT should be used in all children by adhesive tape with tube holder, also ETT position should be checked and documented with every nursing shift