How should you secure a cricothyrotomy tube?

• A. Tape only
• B. Tie, then tape
• C. Tie, don't tape
• D. Suture only

Answer: (C)

Anchoring a cricothyrotomy tube with a tie around the neck provides a secure, mechanical restraint that remains reliable during movement, coughing, suctioning, and secretions. Tape alone can loosen, peel, or fail under moisture and skin movement, increasing the risk of dislodgement or airway loss. By tying the tube first, you create a durable attachment to the neck tissues, which helps maintain tube position and patency. Regular checks for patency and skin integrity are still essential, but this method is the most dependable way to prevent accidental decannulation in the field.