A novel technique for securing supra-glottic airway device t
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Fixing of supra-glottic airway device with adhesive tape after proper placement may not be adequate. Many times, traction, weight of the tubes, heat and moisture exchange filter and unanticipated extubation force can displace a properly placed supra-glottic device. Different methods are used, i.e. Thomas' tube holder, adhesive tape, Micropore™, Leucoplast™, quill tape and suture to fix endotracheal tubes.Similar techniques are also used for securing supra-glottic devices on tube holder, bed, shoulder, etc, but they are cumbersome and may displace during movement. Supra-glottic devices thus need to be secured properly to prevent malposition.We have devised a very easy and simple technique for their effective fixation. We place the two limbs of the circle system tubings (inspiratory and expiratory) on either side of the head, bringing the 'Y' connector and distal part of the circle system tube to sit comfortably on the chest. Then, we connect the supra-glottic device with an angle connector. Thus, weight of the tube, HME filter and shaft of a supra-glottic device can be balanced and chance of displacement minimised...

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