Literature Review on Interventions for Prevention of Unplanned Extubation in Nicu Picu: A Philosophy of Nursing Science

Abstract

IntroductionOne of the complications of endotracheal tube (ETT) installation is unplanned extubation (UE). UE is an initial inappropriate removal of an ETT by a patient or medical personnel. This literature review are to describe interventions to prevent unplanned extubation in NICU and PICU.MethodLiterature review searches using Sciencedirect, Google Scholar and Pubmed. The keywords used in searching articles were unplanned extubation PICU NICU. The search criteria were publication year 2017-2023, quasi-experimental design and full text.ResultThe results show that actions that can reduce the incidence of UE are standardization interventions for ETT safety, protocols for moving patients (patient transportation), and collaborative interventions for providing sedation.Conclusionstandardization of ETT safety, protocols for moving patients (patient transport), and collaboration in providing sedation can be used to reduce unplanned extubation.