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

2. 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)

3. Endotracheal Tube CLOVE HITCH KNOT

8. Clove Hitch Knot

9. head chin

11. first loop second loop

13. clove hitch knot

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

15. simple overhand knot

16. first single bow knot

18. second single bow knot LOOP

19. first half bow knot second half bow knot

20. security tape over clove hitch (100%)

22. QUESTIONS?? Let’s start tying!!!