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This study is looking for a better way to secure breathing tubes for obese patients who need them. For patients with obesity, a short neck and extra tissue can make it difficult to keep a breathing tube in the correct position. When a tube moves, it can cause serious problems.
Researchers want to compare a new, personalized breathing tube holder with the standard methods currently used.
Participants in this study will be randomly assigned to one of two groups: The Intervention Group will use a new tube holder made with a 3D printer. This holder is custom-designed to fit the specific shape of the patient's face. The Control Group will use the standard methods to secure the breathing tube, such as a conventional holder or medical tape.
Researchers will check things like how well the tube stays in place, the condition of the patient's skin around the mouth, and the comfort of the patient. The goal is to see if the new 3D-printed device is safer, more secure, and more comfortable for obese patients with a breathing tube. The study will include 66 adult patients who are obese and require a breathing tube.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 3D-Printed Personalized Fixation Device | Experimental | This arm uses a personalized artificial airway fixation device for obese patients, developed with 3D printing technology, to secure the endotracheal tube. |
|
| Conventional Fixation Methods | Active Comparator | For Orotracheally Intubated Patients: The standard method involves passing the endotracheal tube through a conventional fixer, tightening the screw cap, and fastening a strap around the neck. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 3D-Printed Personalized Artificial Airway Fixation Device | Device | This study uses a personalized artificial airway fixation device for obese patients, developed with 3D printing technology, to secure the endotracheal tube.For Orotracheally Intubated Patients: A fixation device is personalized based on the patient's head and facial contour data. The device is integrally printed with medical-grade silicone-like soft and hard resin, featuring a soft skin-friendly inner side, a rigid movable dual-track structural design, and antimicrobial material on the inner wall. |
| Measure | Description | Time Frame |
|---|---|---|
| Endotracheal Tube Displacement or Dislodgement Grade | The stability of the endotracheal tube is assessed using a 5-point grading scale. Grade 1: No displacement. Grade 2: Mild displacement (change of <1 cm). Grade 3: Moderate displacement (change of 1-2 cm). Grade 4: Severe displacement (change of >2 cm). Grade 5: Unplanned extubation (tube is completely dislodged). | From intubation through extubation, an average of 7 days. |
| Local Skin Integrity | The contact area was inspected daily and recorded for skin irritation or allergic reaction, categorized as "Yes" or "No". | Daily from intubation through extubation, up to 14 days. |
| Airway Management Safety Indicators | Safety indicators are measured during each nursing procedure (oral care and replacement of the fixation device), including: â‘ Irritative Cough Duration: The duration (in seconds) of a patient's continuous coughing or choking is recorded. â‘¡Heart Rate and SpOâ‚‚ Fluctuation: Heart rate (beats/minute) and peripheral oxygen saturation (SpOâ‚‚) are monitored and recorded before and after each procedure to assess changes. | Average of measurements taken during each oral care procedure from intubation through extubation (an average of 7 days) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tangdu Hospital | Xi'an | Shaanxi | 710038 | China |
All de-identified individual participant data collected during the study will be shared.
The de-identified individual participant data will be publicly shared within 6 months after the first publication of the main research results. The data will remain available for a minimum of 5 years.
Data will be made available for use by the scientific research community. Access will be provided through a data application and sharing mechanism via the ResMan platform. All shared data will be de-identified to protect participant privacy .
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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|
| Conventional Fixation Methods | Other | For Orotracheally Intubated Patients: The standard method involves passing the endotracheal tube through a conventional fixer, tightening the screw cap, and fastening a strap around the neck. |
|
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |