KNOTOLOGY The Art of Tying Endotracheal Tubes William E Johnston, MD Department of Anesthesiology Division of Cardiothoracic Anesthesiology

SECURING ENDOTRACHEAL TUBES Tape fast requires tape sort of secure not adjustable clean, dry, smooth surface Tie fast requires a tie secure adjustable universal (beard; mucous; saliva; blood; sweat; dirt; grime)

Endotracheal Tube CLOVE HITCH KNOT

Clove Hitch Knot

head chin

first loop second loop

clove hitch knot

tie simple overhand knot tie bow knot tie two half bow knots SECURING ENDOTRACHEAL TUBES

simple overhand knot

first single bow knot

second single bow knot LOOP

first half bow knot second half bow knot

security tape over clove hitch (100%)

QUESTIONS?? Let’s start tying!!!