Clinical and Economic Comparison of 2 Methods of Intubation Tube Fixation : AnchorFastTM Versus Current Cord Fixation

The aim of this study is to assess the benefits of using the Anchorfast device in reducing complications associated with intubation tube fixation, in terms of the rate of pressure ulcer development, the rate of intubation tube mobilization and the rate of VAP occurrence. If the hypothesis is confirmed, this project would enable the caregivers to optimize the current practice in the interests of both patients and caregivers. That's why the investigators have designed a real-life study, and will also be looking at the effect of care load on and caregiver satisfaction.

Inclusion Criteria: * Patient over 18 years old, * Patient with orotracheal intubation, * Patient intubated no more than 24 hours previously, * Oral consent from patient, trusted support person or relative if unable to consent * Membership of a French health insurance scheme. Exclusion Criteria: * Pre-existing facial, labial or auricular skin lesions, * Pre-existing mucositis, * Patients extubated for more than 24 hours whose condition requires a new intubation tube * Nasotracheal intubation, * Planned early tracheotomy, * Patient with occipital craniectomy, * Patient in ventral position, * Pregnant or breast-feeding woman, * Patient deprived of liberty or under guardianship.