Two-year study of the prevention of unintentional extubation

Crit Care Nurs Q. 1994 Nov;17(3):35-9. doi: 10.1097/00002727-199411000-00006.

Abstract

Unintentional or accidental extubation is an undesirable complication in the mechanically ventilated patient. This is particularly dangerous in high-risk patients who are on neuromuscular blocking agents or positive end-expiratory pressure or are difficult to reintubate. This article identifies some of the factors resulting in intentional extubation as well as measures taken to prevent them. A protocol was developed and utilized in Catholic Medical Center. The results of a two-year study reveal a reduction of the incidence from an initial 12% to 5% and a reduction of high-risk extubations from five to an incidence of three. The investigator also assembled an airway system consisting of low pressure cuff endotracheal tube with a pressure monitoring device and several adapters along with a tube fixation system.

MeSH terms

  • Clinical Nursing Research
  • Clinical Protocols
  • Equipment Failure
  • Humans
  • Incidence
  • Intubation, Intratracheal / adverse effects*
  • Intubation, Intratracheal / nursing*
  • Intubation, Intratracheal / statistics & numerical data
  • Quality Assurance, Health Care
  • Respiration, Artificial / adverse effects*
  • Respiration, Artificial / instrumentation
  • Respiration, Artificial / nursing*
  • Respiration, Artificial / statistics & numerical data
  • Risk Factors