Background Self-extubation is a problem in pediatric intensive care unit (PICU) and can be harmful for children. Level of sedation is a determining factor for self-extubation. The aim of this study was to compare thr rate of self-extubation and duration of ventilation following different sedative modalities. Materials and Methods This prospective and randomized study was done in Mofid Children ...

BACKGROUND AND PURPOSE Self-extubation is a potentially life-threatening event, but may also provide an opportunity to wean patients who should have been extubated earlier. The purpose of this study was to determine the risk factors for re-intubation after self-extubation. METHODS The medical charts of 69 self-extubated patients treated in Shin Kong Hospital, Taipei, from September 1996 throu...

Background: Tracheal intubation is a life-saving measure in patients poisoned acutely with opioid, and when naloxone treatment is inadequate. This study determined the risk factors for early unplanned extubation in these patients and evaluated the effects on the clinical outcomes. Methods: At a poisoning center in Tehran, Iran, 165 opioid overdose patients who were admitted to the intensive ca...

BACKGROUND The authors prospectively evaluated the occurrence and outcomes of unplanned extubations (self-extubation and accidental extubation) and reintubation after weaning, and examined the hypothesis that these events may differ regarding their influence on the risk of nosocomial pneumonia. METHODS Data were taken from a prospective, 2-yr database including 750 mechanically ventilated pat...

OBJECTIVE To identify factors associated with the occurrence of deliberate self-extubation and to describe associated patient outcomes. DESIGN Case-control study. SETTING ICUs of a national referral, tertiary medical center. PARTICIPANTS Fifty adult, intubated patients who had self-extubated from mechanical ventilatory support. Two control subjects who had not self-extubated were matched ...

To the Editor: We read with great interest the article by Tripathi et al1 recently published in RESPIRATORY CARE assessing the impact of a quality-improvement project on the incidence of unplanned extubations. By carrying out this quality-improvement project, they were able to decrease the rate of unplanned extubations from 3.55 to 2.59 per 100 intubation days. The study opens debate regarding ...

Results Out of 680 intubations, 73(11%) patients [46 (63%) male] had failed extubations. Average age was 60(21-88) years. Average time to re-intubation was 22.1(1-72) hours, 45(62%) being re-intubated at≤24 hours. Average time intubated was 2.2 days with 3 patients intubated for >7 days. Fifteen(21%) patients had had no sedation within 4 hours of extubation. All others had one or more of fentan...

Indian Journal of Anaesthesia | Vol. 60 | Issue 10 | Oct 2016 778 airway obstruction in adults.[4] Minor drawbacks include delay in extubation time by 10–15 minutes and accommodating another tube inside the pharynx. Though laryngeal oedema is mostly transient and self‐limiting, clinically significant post‐extubation laryngeal oedema occurs in up to 30% patients, with 4% needing reintubation.[3]...