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Anaesthesiology Intensive Therapy
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4/2022
vol. 54
 
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abstract:
Original paper

Durapore vs. Hy-Tape for securing endotracheal tubes during general anaesthesia: a prospective randomised controlled non-inferiority trial

Bardia Bahadori
1
,
Dan Drzymalski
2
,
Natalia Stamas
2
,
Shiu-Chung Au
3
,
Joyce Hoot
4
,
Sandhya Deverapalli
4
,
Andrea L. Tsai
5

  1. Tufts University School of Medicine, Boston, MA, USA
  2. Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Boston, MA, USA
  3. Department of Dermatology, UMass Memorial Health, Leominster, MA, USA
  4. Department of Dermatology, Tufts Medical Center, Boston, MA, USA
  5. Department of Anesthesiology, Lahey Hospital and Medical Center, Burlington, MA, USA
Anaesthesiol Intensive Ther 2022; 54, 4: 290–294
DOI: https://doi.org/10.5114/ait.2022.120640
Online publish date: 2022/11/02
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Introduction
Adhesive tape is commonly used to secure endotracheal tubes (ETT) during general anaesthesia. Although a variety of adhesives are used in practice, few studies have investigated the likelihood of different adhesives in producing facial skin injury. Given that differences in cost exist between adhesives that are often used interchangeably, it would be prudent to use the most economical option.

Material and methods
A single-centre, prospective, randomised controlled non-inferiority trial of patients undergoing general anaesthesia with an ETT was conducted. Patients were randomised in a blinded fashion to use Durapore (DP) on either the right or left side of the face to secure the ETT, with Hy-Tape (HT) on the contralateral side. Skin photographs were taken prior to tape application and following tape removal. These were evaluated by three dermatologists to determine presence or absence of facial skin erythema, scaling, oedema, and tearing. Differences were compared using McNemar’s test. For outcomes analysis, a non-inferiority margin of 20% difference was used with respect to the 95% CI.

Results
Among 112 patients, 33.0% were male, with a mean (SD) age of 55.6 (15.9) years. Comparing DP vs. HT, noninferiority was demonstrated in the patients with skin erythema (1.8% difference, 95% CI: –5.6 to 9.2, P = 0.79), oedema (3.6% difference, 95% CI: –2.8 to 10.0%, P = 0.34), scaling (5.4% difference, 95% CI: –4.1 to 14.8, P = 0.31), and tearing (0.9% difference, 95% CI: –5.2 to 7.3, P > 0.99).

Conclusions
There is a non-inferior difference in the proportion of patients with facial skin erythema after use of DP vs. HT to secure the ETT.

keywords:

general anaesthesia, endotracheal intubation, skin injury, medical adhesives
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