Tracheal Tube Securing Strap

Why is tube securing critical after surgical cricothyroidotomy?

After a surgical airway is established, the tracheostomy tube must be reliably secured to prevent displacement during CASEVAC and patient transport. Tube dislodgment after a surgical airway placement is a potentially life-threatening complication — the surgical site begins to close rapidly and reestablishing the airway is significantly harder than the initial procedure. A dedicated tube securing strap provides engineered retention superior to improvised tape or ties in field conditions, especially during rough-terrain transport, vehicle loading, and helicopter evacuation.

Which NAR tubes is this strap designed for?

The NAR Tracheal Tube Securing Strap is designed specifically for the NAR Tracheostomy Tube with Bougie Introducer (SKU: 10-0048). It is compatible with standard 6mm cuffed tracheostomy tubes used in surgical cricothyroidotomy. The strap is included as standard in the NAR BAC-Pack (10-0052) and Tactical CricKit (10-0017), and is available separately as a replacement component.

Is the Tracheal Tube Securing Strap included in the NAR cric kits?

Yes. The Tracheal Tube Securing Strap is a standard component in both the NAR BAC-Pack and the NAR Tactical CricKit. NAR includes it in these kits because tube securing is an integral step in the complete surgical airway procedure — the kit is designed to support the provider through the entire intervention from incision to transport-ready secured airway.

How does the strap attach to the patient?

The Tracheal Tube Securing Strap wraps around the patient's neck and attaches to the flanged tracheostomy tube to hold it firmly in position at the surgical site. This circumferential neck attachment distributes retention forces and resists both accidental dislodgment from tube movement and torque from patient repositioning. The design is optimized for field use with gloved hands.

Can I use this strap with non-NAR tracheostomy tubes?

The strap is designed and optimized for NAR's tracheostomy tube, but it may be compatible with other similarly dimensioned 6mm flanged cuffed tracheostomy tubes. Confirm physical compatibility with the specific tube before operational deployment. When possible, use matched components from the same kit system (NAR tube with NAR strap) to ensure designed fit and retention performance.

Is the Tracheal Tube Securing Strap compatible with all endotracheal tube sizes?

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.

What training addresses tracheal tube securing technique?

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.

Is the Tracheal Tube Securing Strap included in NAR airway kits?

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.

What is the procurement path for the Tracheal Tube Securing Strap?

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.

Can the Tracheal Tube Securing Strap be used for nasogastric tube securing?

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.