Unplanned endotracheal extubation in the intensive care unit

Christie, Joan M.; Dethlefsen, Michaela; Cane, Roy D.

doi:10.1016/0952-8180(96)00037-2

Cited by 68 publications

(48 citation statements)

References 12 publications

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“…2,5,7 In addition, medical patients have a higher risk for UE than surgical or other critical care patients because of the longer length of mechanical ventilation (MV). 2,3,8,9,10 However, little is known about the incidence, circumstances, and outcome of UE in the medical ICU (MICU). In fact, potentially predisposing factors such as those related to ICU patterns still constitute an area under discussion as studies with conflicting results have been published.…”

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Unplanned extubation in orally intubated medical patients in the intensive care unit: A prospective cohort study

et al. 2007

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mentioning

confidence: 99%

Unplanned extubation in orally intubated medical patients in the intensive care unit: A prospective cohort study

et al. 2007

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“…www.kan.or.kr 조영신·여정희 그러나 기관 내 삽관 환자의 튜브는 의료진의 계획과 관계없이 발 관되기도 하는데 이를 비계획적인 발관이라고 한다 [7]. 비계획적 발 관율은 국외의 경우 3-22.4% [8][9][10], 국내는 7.6-18.1% [1,11,12] …”

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Risk Factors for Deliberate Self-extubation

Cho

Yeo

2014

J Korean Acad Nurs

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Purpose:This study was conducted to analyze intubation survival rates according to characteristics and to identify the risk factors affecting deliberate self-extubation. Methods: Data were collected from patients' electronic medical reports from one hospital in B city. Participants were 450 patients with endotracheal intubation being treated in intensive care units. The collected data were analyzed using Kaplan-Meier estimation, Log rank test, and Cox's proportional hazards model. Results: Over 15 months thirty-two (7.1%) of the 450 intubation patients intentionally extubated themselves. The patients who had experienced high level of consciousness, agitation. use of sedative, application of restraints, and day and night shift had significantly lower intubation survival rates. Risk factors for deliberate self-extubation were age (60 years and over), unit (neurological intensive care), level of consciousness (higher), agitation, application of restraints, shift (night), and nurse-to-patient ratio (one nurse caring for two or more patients). Conclusion: Appropriate use of sedative drugs, effective treatment to reduce agitation, sufficient nurse-to-patient ratio, and no restraints for patients should be the focus to diminish the number of deliberate self-extubations. If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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“…Antes da implementação do guia a taxa foi de 8,33% extubações acidentais ocasionadas pela equipe de enfermagem reduzindo para 2,85% eventos.Em relação às taxas de extubações acidentais encontradas, na revisão feita por Yeh et al (1) , estudos de 1994 a 2002 indicam que a incidência de extubação não planejada varia de 3% a 14% (4,(6)(7)(8)(9)(10)(11)(12) . Destes casos de extubação não planejada, 77.9 a 87% foram auto-extubações e 13 a 22,1% foram acidentais (7,8) .…”

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Ações de enfermagem para a prevenção da extubação acidental

Castellões

Silva

2009

Rev. Bras. Enferm.

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RESUMO RESUMO RESUMO RESUMO RESUMOResumo: Objetivo foi apresentar os resultados parciais da incidência da extubação acidental associada ao cuidado de enfermagem. Método: estudo observacional retrospectivo, de intervenção prospectiva, medindo antes e depois da implantação de um guia as extubações acidentais A população de 142 pacientes,sendo 72 pacientes na fase retrospectiva e 70 na fase prospectiva,totalizando 3771 dias de ventilação. Dados coletados de prontuários.Resultados: 52,78% usavam tubo traqueal e 62% tinham entre 71 e 90 anos com média de dias de ventilação de 26,5 dias,. Ocorreram seis (3,27) extubações antes e duas (1,03) após a implantação do guia.Conclusões, houve diminuição da incidência da extubação acidental no período estudado, mas não se pode atribuir ao guia esta diferença pois são necessários outros estudos. Descritores: Descritores: Descritores: Descritores: Descritores: Enfermagem; Cuidados intensivos; Ventilação mecânica. ABSTRACT ABSTRACT ABSTRACT ABSTRACT ABSTRACTThe objective was to analyze results of the incidence of accidental extubation associated with nursing care. Method: Retrospective observational study, the intervention ahead, measured before and after the deployment of a guide extubations accidental The population of 142 patients, 72 patients in the retrospective phase and 70 in phase ahead, totaling 3771 days of ventilation. Data collected from prontuários.Results: 52.78% used tracheal tube and 62% were between 71 and 90 years with an average of days of ventilation of 26.5 days,. There were six (3.27) extubations before and two (1.03) after the deployment of guia. Conclusion, there was a decrease in the incidence of accidental extubation in the period studied, but one can not attribute this difference to the guide because other studies are needed. Descriptors: Descriptors: Descriptors: Descriptors: Descriptors: Nursing; Intensive care; Respiration, artificial. RESUMEN RESUMEN RESUMEN RESUMEN RESUMENObjetivo: presentar los resultados parciales de la incidencia de la extubación accidental relacionada al cuidado de Enfermería.Método: estudio observacional retrospectivo de intervención prospectiva, midiendo antes y después de un protocolo las extubaciones accidentales. LA población fue de 142 pacientes, siendo 72 en el periodo retrospectivo y 70 en el prospectivo, haciendo 3771 días de ventilación. Datos colectados de prontuarios. Resultados : 52,78% usavam tubo traqueal y 62% tenian entre 71 y 90 anos com 26,5 média de dias de ventilación. Ocurrieron seis (3,27) extubaciones antes y dos (1,03) después de la implantación del protocolo. Conclusiones, hubo disminución de la incidencia de la extubación accidental en el período estudiado, pero no se pode atribuir al guía esta diferenza pues son necesarios otros estudios.

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Unplanned endotracheal extubation in the intensive care unit

Cited by 68 publications

References 12 publications

Unplanned extubation in orally intubated medical patients in the intensive care unit: A prospective cohort study

Unplanned extubation in orally intubated medical patients in the intensive care unit: A prospective cohort study

Risk Factors for Deliberate Self-extubation

Ações de enfermagem para a prevenção da extubação acidental

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