Once a surgical airway is established, securing the tube is the step that keeps the patient alive through transport. An unsecured tube dislodges on rough terrain or a platform transfer — and re-establishing a surgical airway is far harder than the first attempt.
What keeps the tube in after the airway is in?
The NAR Tracheal Tube Securing Strap is a dedicated, engineered solution for that step. Sized to the NAR tracheostomy tube's dimensions and attachment points rather than improvised tape, it anchors the tube around the neck and distributes retention force to resist dislodgment without overloading the surgical site. It's a standard component of both the NAR BAC-Pack and Tactical CricKit, and is offered standalone as a replacement when one's been used or lost from a complete kit.
Why a Dedicated Strap
Engineered Fit
Matched to the NAR tracheostomy tube's dimensions and attachment points — not improvised tape or ties.
Holds Through Transport
Reliable retention across the rough-terrain, multi-platform movement of CASEVAC.
Balanced Retention
Anchors the tube while distributing force to avoid excess pressure on the surgical site.
Kit-Standard Component
Ships in the NAR BAC-Pack and Tactical CricKit; available standalone as a replacement.
Provider Scope
A surgical airway and its securing are advanced interventions reserved for credentialed providers operating within their scope of practice, training, and local protocol. This strap is a post-procedure retention accessory — it is offered as equipment for qualified providers and is not a substitute for formal surgical-airway training. No procedural technique is provided here.
Who Carries It
Credentialed providers — post-cric tube retention within scope
Tactical & CASEVAC teams — airway security through transport
Kit builders — replacement for BAC-Pack / CricKit
Complete the Airway System
The strap is the final link in a surgical-airway sequence.
Tracheal Tube Securing Strap
Secure the Airway. Keep It.
Genuine North American Rescue, shipped from a clinician-founded, veteran-led team.
Genuine North American Rescue
Sourced direct from North American Rescue.
Specifications
| Manufacturer | North American Rescue |
| Function | Secures the tracheostomy tube after surgical airway placement |
| Compatibility | NAR Tracheostomy Tube with Bougie Introducer; standard 6 mm cuffed trach tubes |
| Weight | 4 oz |
| Included In | NAR BAC-Pack (10-0052) and Tactical CricKit (10-0017) |
| Use | Single-use; post-surgical-airway tube securing |
When to Deploy Tracheal Tube Securing Strap
- Post-intubation tube security: Secures an endotracheal or surgical airway tube after placement, preventing accidental extubation during patient movement, packaging, and MEDEVAC.
- TCFC (Tactical Field Care) tube management: After cric or intubation in the field, securing the tube before moving the casualty is critical — the strap provides a reliable, hands-free method.
- MEDEVAC and air evacuation: Tube security is essential during rotary-wing evacuation where vibration and movement create continuous extubation risk for an intubated casualty.
- Surgical airway post-procedure: After cricothyrotomy, use the securing strap to hold the airway tube in position without requiring a provider to manually maintain tube placement.
- Critical care resupply kits: A low-weight, low-bulk component that belongs in any kit with an endotracheal tube or tracheostomy device to enable proper post-placement management.
Best Practice: Best practice: secure the tracheal tube immediately after confirming placement with waveform capnography or colorimetric CO₂ detection. Do not move the casualty until the tube is secured.
How Tracheal Tube Securing Strap Compares
Tracheal Tube Securing Strap vs improvised tape: Improvised tube securing with surgical tape or tying material fails at moisture, blood, and rapid-movement events. The purpose-built strap provides consistent, repeatable security regardless of environmental conditions. See Tracheal Hook.
Dedicated strap vs tube-holder devices: Rigid tube-holder devices add bulk and require pre-sizing; a flexible securing strap works across tube sizes and patient anatomies without a separate fit step. Browse Airway Management.
Strap vs suturing the tube: Suturing an airway tube in place is not practical in a field setting and can cause tissue damage with tube movement. The strap provides circumferential tube security without suturing.
NAR securing strap vs improvised cloth ties: Cloth ties can migrate, loosen with moisture, or inadvertently apply pressure to neck vasculature. The NAR strap is designed to hold tube position without vascular compression.
Frequently Asked Questions — Tracheal Tube Securing Strap
Q: Is the Tracheal Tube Securing Strap compatible with all endotracheal tube sizes?
A: The NAR Tracheal Tube Securing Strap is designed to accommodate standard endotracheal tube sizes used in both adult and pediatric surgical airway applications. Confirm fit on the specific tube and patient anatomy at point of use.
Q: What training addresses tracheal tube securing technique?
A: Tube securing is taught as part of any surgical airway or advanced intubation curriculum — SOCM, 18D, paramedic programs, and TECC courses that include airway management labs. Confirm your tube securing protocol with your unit or agency medical director.
Q: Is the Tracheal Tube Securing Strap included in NAR airway kits?
A: The securing strap is a component of select NAR advanced airway kits. It is also available as a standalone resupply item for units that want to add tube securing capability to existing airway kit configurations.
Q: What is the procurement path for the Tracheal Tube Securing Strap?
A: The Tracheal Tube Securing Strap is a North American Rescue product. Contact MED-TAC International for NSN, CAGE code, and DLA/GSA ordering information for government procurement.
Q: Can the Tracheal Tube Securing Strap be used for nasogastric tube securing?
A: The strap is designed and marketed for tracheal tube securing. Use with other tube types (NG, OG) should be evaluated by a qualified medical provider. Consult your unit medical director before using for non-indicated applications.
Related searches: NAR tracheal tube securing strap, tracheostomy tube strap, surgical airway tube retention, BAC-Pack component, Tactical CricKit strap, North American Rescue trach strap
All products sourced direct from North American Rescue. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Specifications coming soon. Contact us for detailed product information.
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