Magnitude and associated factors of unplanned extubation in intensive care unit: A multi-center prospective observational study

Minda, Zewdu; Samuel, Hirbo; Aweke, Senayit; Mekete, Getachew; Seid, Abdurehman; Eshetie, Denberu

doi:10.1016/j.amsu.2022.103936

Cited by 6 publications

(7 citation statements)

References 22 publications

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“…Nurses who work the night shift may spend time during the day doing other work and become exhausted at night. Patients who sleep at night may be disturbed by the ventilator monitoring, causing patient to wake up, so that the nurse becomes sleepy because they have to meet the patient who is awake (Minda et al, 2022).…”

Section: Resultsmentioning

confidence: 99%

“…This can result in the ETT dislodging itself. Patients treated by junior medical personnel are more at risk of experiencing UE compared to senior medical personnel, because junior medical personnel are still learning and have less skills in managing awake patients (Minda et al, 2022).…”

Section: Protocol For Moving the Patient (Patient Transportation)mentioning

confidence: 99%

“…EU prevention efforts include implementing standard ETT safety procedures, maintaining vigilance regarding ETT installation so that it does not move position, staff education, maintaining an adequate nurse/patient ratio and implementing standard care practices and/or protocols (Minda et al, 2022) (Hu et al, 2017) monitor intubated patients, ETT management and restraint (Jayawardena et al, 2021). Healthcare professionals must identify cases at high risk of UE, identify causes of UE, and utilize appropriate interventions to prevent UE.…”

Section: Introductionmentioning

confidence: 99%

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

Mariyam,

Rumambo Pandin,

Fitriani

2023

Preprint

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Protocol For Moving the Patient (Patient Transportation)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Mariyam,

Rumambo Pandin,

Fitriani

2023

Preprint

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“…35 Additionally, a higher incidence of UE was reported during the night shift. 13,[35][36][37] A few factors can explain this observation. Night shift nursing staff can be nursing load, experience, or exhaustion and vigilance level to the biological sleep-wake cycle, and effect of shift work.…”

Section: Clinical Outcomes After Unplanned Extubationmentioning

confidence: 97%

“…The nighttime effect of alarms and other sleep disruptors can also affect patients and precipitate agitation or delirium. 2,12,19,[35][36][37] Patient Characteristics. Medical ICUs traditionally have the highest rates of UE.…”

Section: Clinical Outcomes After Unplanned Extubationmentioning

confidence: 99%

Analytical Review of Unplanned Extubation in Intensive Care Units and Recommendation on Multidisciplinary Preventive Approaches

Anis,

Patel,

Tanios

2023

J Intensive Care Med

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Unplanned extubations (UE) frequently occur in critical care units. These events are precipitated by many risk factors and are associated with adverse outcomes for patients. We reviewed the current literature to examine factors related to UE and presented the analysis of 41 articles critical to the topic. Our review has identified specific risk factors that we discuss in this review, such as sedation strategies, physical restraints, endotracheal tube position, and specific nursing care aspects associated with an increased incidence of UE. We recommend interventions to reduce the risk of UE. However, we recommend that bundled rather than a single intervention is likely to yield higher success, given the heterogeneity of factors contributing to increasing the risk of UE.

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A health systems approach to critical care delivery in low-resource settings: a narrative review

et al. 2023

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There is a high burden of critical illness in low-income countries (LICs), adding pressure to already strained health systems. Over the next decade, the need for critical care is expected to grow due to ageing populations with increasing medical complexity; limited access to primary care; climate change; natural disasters; and conflict. In 2019, the 72nd World Health Assembly emphasised that an essential part of universal health coverage is improved access to effective emergency and critical care and to “ensure the timely and effective delivery of life-saving health care services to those in need”. In this narrative review, we examine critical care capacity building in LICs from a health systems perspective. We conducted a systematic literature search, using the World Heath Organisation (WHO) health systems framework to structure findings within six core components or “building blocks”: (1) service delivery; (2) health workforce; (3) health information systems; (4) access to essential medicines and equipment; (5) financing; and (6) leadership and governance. We provide recommendations using this framework, derived from the literature identified in our review. These recommendations are useful for policy makers, health service researchers and healthcare workers to inform critical care capacity building in low-resource settings. Supplementary Information The online version contains supplementary material available at 10.1007/s00134-023-07136-2.

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Magnitude and associated factors of unplanned extubation in intensive care unit: A multi-center prospective observational study

Cited by 6 publications

References 22 publications

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

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

Analytical Review of Unplanned Extubation in Intensive Care Units and Recommendation on Multidisciplinary Preventive Approaches

A health systems approach to critical care delivery in low-resource settings: a narrative review

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