Unplanned extubation in the ICU: a marker of quality assurance of mechanical ventilation
نویسندگان
چکیده
One of the most frequent complications associated with endotracheal intubation itself in intensive care units is unplanned extubation, which represents a potentially serious complication given that many patients may need reintubation while in poor condition. This scenario may account for an increase in morbidity and even in mortality. To be able to compare the rates of unplanned extubation in clinical practice, unplanned extubation should be expressed as incidence density of days at risk. Also, this complication (unplanned extubation and reintubation rates) may be used as a marker of quality of weaning care in intensive care units.
منابع مشابه
Effect of Stabilizing Endotracheal Tube on Quality of Airway Management in Patients Hospitalized in ICU
Background: The unplanned departure of endotracheal tube is one of the main complications for endotracheal intubation. In addition to endotracheal extubation, its movement can also lead to damage to the oral cavity. Stabilizing endotracheal tube is the most important factor that can prevent unplanned departure of endotracheal tube as well as its movement. The current study was done with the aim...
متن کاملبررسی شیوع خروج بدون برنامه لوله تراشه در بخش مراقبتهای ویژه
Aim and background : One of the problems that may occur in Intensive care units is unplanned extubation, which has major potential for complications and mortality and is an important complication of endotracheal intubation. Methods and Materials : This prospective analytical study was performed on 150 patients admitted to intensive care unit at Urmia Imam Khomeini hospital who all needed mechan...
متن کاملMultidisciplinary interventions and continuous quality improvement to reduce unplanned extubation in adult intensive care units
We conduct a retrospective study of patients with unplanned extubation (UE) in adult intensive care units (ICU) at a medical center. In 2001, a multidisciplinary team of intensivists, senior residents, nurses, and respiratory therapists was established at Chi Mei Medical Center. The improvement interventions, implemented between 2001 and 2015, were organized around 8 key areas: standardizing pr...
متن کاملUnplanned Extubation in a Mixed Intensive Care Unit
Background Identifying risk factors for unplanned extubation in patients receiving mechanical ventilation can help guide prevention strategies. Objective To assess the risk of unplanned extubation with different sedation strategies. Methods A 36-month quality improvement study in a 33-bed intensive care unit at a tertiary-care center. Results A total of 92 unplanned extubations occurred (7.5 ev...
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BACKGROUND Identifying risk factors for unplanned extubation in patients receiving mechanical ventilation can help guide prevention strategies. OBJECTIVE To assess the risk of unplanned extubation with different sedation strategies. METHODS A 36-month quality improvement study in a 33-bed intensive care unit at a tertiary-care center. RESULTS A total of 92 unplanned extubations occurred (...
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