An unplanned extubation occurs when a patient is on mechanical ventilation and their endotracheal tube is removed when it was not supposed to be. If the patient themselves intentionally removes their own tube, this is known as self-extubation or deliberate unplanned extubation, whereas if the tube is removed by health professionals, or a patient removes it by accident, it is referred to as accidental extubation.[1][2] Estimates of the incidence of unplanned extubation among patients in intensive care units range from 3.4% to 22.5%.[3] Unplanned extubation can increase the amount of time a patient must remain on mechanical ventilation, the duration of the patient's hospital stay, and the patient's medical costs. It is also estimated that 60% of patients who experience an unplanned extubation require re-intubation, which may increase the risk of ventilator-associated pneumonia.[4]
References
edit- ^ Gao, Fan; Yang, Li-Hong; He, Hai-Rong; Ma, Xian-Cang; Lu, Jun; Zhai, Ya-Jing; Guo, Li-Tao; Wang, Xue; Zheng, Jie (July 2016). "The effect of reintubation on ventilator-associated pneumonia and mortality among mechanically ventilated patients with intubation: A systematic review and meta-analysis". Heart & Lung. 45 (4): 363–371. doi:10.1016/j.hrtlng.2016.04.006. PMID 27377334.
- ^ da Silva, Paulo Sérgio Lucas; Farah, Daniela; Fonseca, Marcelo Cunio Machado (November 2017). "Revisiting unplanned extubation in the pediatric intensive care unit: What's new?". Heart & Lung. 46 (6): 444–451. doi:10.1016/j.hrtlng.2017.08.006. PMID 28912056.
- ^ Heavey, Elizabeth (2011-08-24). Statistics for Nursing. Jones & Bartlett Learning. pp. 212. ISBN 9780763774844.
- ^ Ai, Zhong-Ping; Gao, Xiao-Lan; Zhao, Xiao-Lei (August 2018). "Factors associated with unplanned extubation in the Intensive Care Unit for adult patients: A systematic review and meta-analysis". Intensive and Critical Care Nursing. 47: 62–68. doi:10.1016/j.iccn.2018.03.008. PMID 29653888.
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