Preventing extubation failures in a pediatric intensive care unit

Susan Bankhead; Kolea Chong; Sally Kamai

doi:10.1016/j.cnur.2014.05.006

Preventing extubation failures in a pediatric intensive care unit

Nurs Clin North Am. 2014 Sep;49(3):321-8. doi: 10.1016/j.cnur.2014.05.006.

Authors

Susan Bankhead¹, Kolea Chong², Sally Kamai³

Affiliations

¹ Pediatric Intensive Care Unit, Kapiolani Medical Center for Women & Children, 1319 Punahou Street, Honolulu, HI 96826, USA; Eastern Idaho Regional Medical Center, 3100 Channing Way, Idaho Falls, ID 83404, USA. Electronic address: Susan.bankheaddnp@gmail.com.
² Pediatric Intensive Care Unit, Kapiolani Medical Center for Women & Children, 1319 Punahou Street, Honolulu, HI 96826, USA.
³ Clinical Improvement, Hawaii Pacific Health, 55 Merchant Street 26th Floor, Honolulu, HI 96813, USA.

PMID: 25155532
DOI: 10.1016/j.cnur.2014.05.006

Abstract

The objective of this project was to reduce the number of failed extubations in the pediatric intensive care unit. This article describes extubation failures in the pediatric intensive care unit and the development and implementation of an extubation readiness protocol using the Iowa Model for Evidence-based Practice as a guideline. The Iowa Model consists of processes for implementing evidence into practice, such as critiquing and synthesizing the literature, identifying stakeholders, and recognizing triggers. The extubation protocol was developed excluding children with previous lung injury and/or neuromuscular conditions, which contribute to an increased risk and complexity of planned extubations.

Keywords: Extubation; Iowa Model for Evidence-based Practice; Mechanical ventilation; PICU.

MeSH terms

Adolescent
Adult
Airway Extubation*
Child
Child, Preschool
Evidence-Based Practice
Humans
Infant
Infant, Newborn
Intensive Care Units, Pediatric*
Young Adult