# Novel Use of a Tracheostomy Tie String to Secure an Endotracheal Tube in Procedural Areas

## TL;DR

This paper introduces a new method for securing breathing tubes during anesthesia using a tracheostomy tie string instead of traditional tape.

## Contribution

The novel use of a tracheostomy tie string as an alternative to tape for securing endotracheal tubes is introduced.

## Key findings

- Using a tracheostomy tie string is a safe alternative to traditional taping methods.
- The method may be preferable in cases where tape is unsuitable due to allergies or patient anatomy.

## Abstract

While seemingly straightforward, securing an endotracheal tube (ETT) or laryngeal mask airway (LMA) during an anesthetic is nuanced and complex. Most providers use various kinds of tape (silk, paper, or plastic) to secure the airway to the patient’s face to prevent the tube from becoming dislodged during the case, which would threaten the ability to oxygenate, ventilate, and anesthetize the patient safely. Many factors determine how an anesthesia provider chooses to secure the airway, including the patient’s body habitus, allergies, type and location of surgical procedure, and individual provider preference. This technical report describes a novel, safe, and alternative way of securing the ETT or LMA by using the tracheostomy (trach) tie string instead of tape or an industrial securement device.