Revisiting unplanned extubation in the pediatric intensive care unit: What's new?

Revisiting unplanned extubation in the pediatric intensive care unit: What's new?

Author Lucas da Silva, Paulo Sergio Google Scholar
Farah, Daniela Autor UNIFESP Google Scholar
Machado Fonseca, Marcelo Cunio Autor UNIFESP Google Scholar
Abstract In 2010, recommendations for preventing unplanned extubations (UEs) in pediatric patients were published based on a literature review. Since then, there have been an increasing number of publications related to UE focusing on children. If the introduction of care bundles and larger body of evidence on UE had impact on UE occurrence, this would have important implications on clinical practice. We searched for relevant publications published between Jan 1, 2010 and Jun 30, 2016 in the MEDLINE, EMBASE, and Cochrane systems. Eight articles were eligible for data abstraction. Three studies were of high methodological quality. The mean contemporaneous incidence of UEs was 1.19 UEs/100 intubation days. The primary risk factors were as follows: caregiver bedside procedures/manipulation, agitation, and endotracheal tube care. The ideal incidence of UEs remains unknown. Key areas identified in the current review may be amenable to changes in unit processes by implementing a care bundle strategy. (C) 2017 Elsevier Inc. All rights reserved.
Keywords Children
Intubation
Pediatric intensive care unit
Respiratory failure
Unplanned extubation
xmlui.dri2xhtml.METS-1.0.item-coverage New York
Language English
Date 2017
Published in Heart & Lung. New York, v. 46, n. 6, p. 444-451, 2017.
ISSN 0147-9563 (Sherpa/Romeo, impact factor)
Publisher Mosby-Elsevier
Extent 444-451
Origin http://dx.doi.org/10.1016/j.hrtlng.2017.08.006
Access rights Closed access
Type Article
Web of Science ID WOS:000415278500007
URI https://repositorio.unifesp.br/handle/11600/58265

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