oa Southern African Journal of Anaesthesia and Analgesia - A novel method of fixation of endotracheal tube in a bearded patient : letters to the editor

Volume 16, Issue 3
  • ISSN : 2220-1181
  • E-ISSN: 2220-1173



Securing of the endotracheal tube in situ is essential for the conduction of safe anaesthesia during surgical procedures. In the operative setting, adhesive tape is commonly used to secure the endotracheal tube (ETT). However, this technique may not adequately secure the ETT in patients with facial hair. In such patients, bandage may be tied around the neck to secure the tube. Tied bandage around the neck can cause obstruction of venous return, leading to complications such as raised intracranial pressure in susceptible patients, as well as compromised access to the internal or external jugular veins. Moreover this technique is not feasible in patients who are undergoing posterior fossa craniotomies or cervical spine surgery via the posterior approach.

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