Endotracheal Tube Fixation Via a Modified Ivy Loop in a Pediatric Patient with Facial Burns: A Technical Note

Securing an endotracheal tube in a child with a facial burn is crucial but often challenging. The traditional method of using a facial apparatus or tape tied around the lower face is not suitable in the setting of open facial wounds as it limits wound care and, if necessary, skin grafting. We describe a simple, quick method to secure the endotracheal tube by means of a modified ivy loop in a pediatric patient.