Unplanned extubations in general intensive care unit: A nine-year retrospective analysis

Unplanned extubation (UE) in Intensive Care Units (ICU) is an indicator of quality and safety of care. UEs are classified in: accidental extubations, if involuntarily caused during nursing care or medical procedures; self-extubation, if determined by the patient him/herself.  In scientific literatur...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Acta bio-medica : Atenei Parmensis Jg. 89; H. 7-S; S. 25
Hauptverfasser: Lucchini, Alberto, Bambi, Stefano, Galazzi, Alessandro, Elli, Stefano, Negrini, Cristina, Vaccino, Stefania, Triantafillidis, Silvia, Biancardi, Alessandra, Cozzari, Mattia, Fumagalli, Roberto, Foti, Giuseppe
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Italy 07.12.2018
Schlagworte:
Accident Prevention
Accidents - statistics & numerical data
Aged
Airway Extubation - nursing
Airway Extubation - statistics & numerical data
Female
Humans
Incidence
Intensive Care Units
Intubation, Intratracheal - nursing
Male
Middle Aged
Patient Compliance - statistics & numerical data
Quality Indicators, Health Care
Respiration, Artificial - nursing
Retrospective Studies
Risk Factors
Self-Injurious Behavior - epidemiology
Self-Injurious Behavior - nursing
Self-Injurious Behavior - prevention & control
ISSN:2531-6745, 2531-6745
Online-Zugang:Weitere Angaben
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Unplanned extubation (UE) in Intensive Care Units (ICU) is an indicator of quality and safety of care. UEs are classified in: accidental extubations, if involuntarily caused during nursing care or medical procedures; self-extubation, if determined by the patient him/herself.  In scientific literature, the cumulative incidence of UEs varies from 0.3% to 35.8%. The aim of this study is to explore the incidence of UEs in an Italian university general ICU adopting a well-established protocol of tracheal tube nursing management and fixation. retrospective observational study. We enrolled all patients undergone to invasive mechanical ventilation from 1st January 2008 to 31st December 2016. in the studied period 3422 patients underwent to endotracheal intubation. The UEs were 35: 33 self extubations (94%) and 2 accidental extubations (6%). The incidence of UEs calculated on 1497 patients intubated for more than 24 hours was 2.34%. Instead, it was 1.02%, if we consider the whole number of intubated patients. Only in 9 (26%) cases out of 35 UEs the patient was re-intubated. No deaths consequent to UE were recorded. The incidence of UEs in this study showed rates according to the minimal values reported in scientific literature. A standardized program of endotracheal tube management (based on an effective and comfortable fixing system) seems to be a safe and a valid foundation in order to maintain the UE episodes at minimum rates.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ObjectType-Undefined-3
ISSN:2531-6745
2531-6745
DOI:10.23750/abm.v89i7-S.7815