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.


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