Extubation failure in pediatric intensive care incidence and outcomes

Pediatric Critical Care Medicine

Volumn 6, Issue 3, 2005, Pages 312-318

  Baisch, Steven D ^a,c   Wheeler, William B ^a   Kurachek, Stephen C ^a   Cornfield, David N ^b  

^a CHILDREN S HOSPITALS AND CLINICS OF MINNESOTA   (United States)

^b UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

^c Department of Children's Respiratory and Critical Care ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; CHILD; CONGENITAL HEART DISEASE; CRITICAL ILLNESS; DEATH; EXTUBATION; FEMALE; HUMAN; INCIDENCE; INFANT; INJURY; INTENSIVE CARE; INTUBATION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OUTCOMES RESEARCH; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK ASSESSMENT; TREATMENT FAILURE;

CHILD, PRESCHOOL; CRITICAL ILLNESS; FEMALE; HEART DEFECTS, CONGENITAL; HUMANS; INCIDENCE; INFANT; INTENSIVE CARE UNITS, PEDIATRIC; INTUBATION, INTRATRACHEAL; LENGTH OF STAY; MALE; RESPIRATION, ARTIFICIAL; RETROSPECTIVE STUDIES; RISK FACTORS; TREATMENT FAILURE; WOUNDS AND INJURIES;

EID: 19444378700     PISSN: 15297535     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.PCC.0000161119.05076.91     Document Type: Article

References (49)

1. Khan N, Brown A, Venkataraman ST: Predictors of extubation success and failure in mechanically ventilated infants and children. Crit Care Med 1996; 24:1568-1579
2. Hubble CL, Gentile MA, Tripp DS, et al: Deadspace to tidal volume ratio predicts successful extubation in infants and children. Crit Care Med 2000; 28:2034-2040
3. Baumeister BL, El-Khatib M, Smith PG, et al: Evaluation of predictors of weaning from mechanical ventilation in pediatric patients. Pediatr Pulmonol 1997; 24:344-352
4. Randolph A, Wypij D, Venkataraman S, et al: Effect of mechanical ventilator weaning protocols on respiratory outcomes in infants and children. JAMA 2002; 288:2561-2668
5. Frank BS, Lewis RJ: Experience with intubated patients does not affect the accidental extubation rate in pediatric intensive care units and intensive care nurseries. Pediatr Pulmonol 1997; 23:424-428
6. Stambouly JJ, McLaughlin LL, Mandel FS, et al: Complications of care in a pediatric intensive care unit: A prospective study. Intensive Care Med 1996; 22:1098-1104
7. Farias JA, Alia I, Esteban A, et al: Weaning from mechanical ventilation in pediatric intensive care patients. Intensive Care Med 1998; 24:1070-1075
8. Thiagarajan RR, Bratton SL, Martin LD, et al: Predictors of successful extubation in children. Am J Respir Crit Care Med 1999; 160: 1562-1566
9. El-Khatib MF, Baumeister B, Smith PG, et al: Inspiratory pressure/maximal Inspiratory pressure: Does it predict successful extubation in critically ill infants and children? Intensive Care Med 1996; 22:264-268
10. Farias JA, Retta A, Alia I, et al: A comparison of two methods to perform a breathing trial before extubation in pediatric intensive care patients. Intensive Care Med 2001; 27: 1649-1654
11. Venkataraman ST, Khan N, Brown A: Validation of predictors of extubation success and failure in mechanically ventilated infants and children. Crit Care Med 2000; 28:2991-2996
12. Uusaro A, Chittock DR, Russell JA, et al: Stress test and gastric-arterial PCO2 measurement improve prediction of successful extubation. Crit Care Med 2000; 28: 2313-2319
13. Khamiees M, Raju P, DeGirolamo A, et al: Predictors of extubation outcome in patients who have successfully completed a spontaneous breathing trial. Chest 2001; 120: 1262-1270
14. Bruton A: A pilot study to investigate any relationship between sustained maximal inspiratory pressure and extubation outcome. Heart Lung 2002; 31:141-149
15. Butler R, Keenan SP, Inman KJ, et al: Is there a preferred technique for weaning the difficult-to-wean patient? A systematic review of the literature. Crit Care Med 2000; 27:2331-2336
16. Brochard L, Rauss A, Benito S, et al: Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994; 150:896-903
17. Epstein SK: Etiology of extubation failure and the predictive value of the rapid shallow breathing index. Am J Respir Crit Care Med 1995; 152:545-549
18. Epstein SK: Decision to extubate. Intensive Care Med 2002; 28:535-546
19. Manczur T, Greenough A, Pryor D, et al: Comparison of predictors of extubation from mechanical ventilation in children. Pediatr Crit Care Med 2000; 1:28-32
20. Manczur T, Greenough A, Pryor D, et al: Assessment of respiratory drive and muscle function in the pediatric intensive care unit and prediction of extubation failure. Pediatr Crit Care Med 2000; 1:124-126
21. Kurachek SC, Newth CJ, Quasney MW, et al: Extubation failure in pediatric intensive care: A multiple-center study of risk factors and outcomes. Crit Care Med 2003; 31: 2657-2664
22. Edmunds S, Weiss I, Harrison R: Extubation failure in a large pediatric ICU population. Chest 2001; 119:897-900
23. Torres A, Gatell JM, Aznar E, et al: Reintubation increases the risk of nosocomial pneumonia in patients needing mechanical ventilation. Am J Respir Crit Care Med 1995; 152:137-141
24. Epstein SK, Ciubotaru RL, Wong JB: Effect of failed extubation on the outcome of mechanical ventilation. Chest 1997; 112: 186-192
25. Esteban A, Inmaculada A, Gordo F, et al: Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. Am J Respir Crit Care Med 1997; 156:459-465
26. Beckmann U, Gillies DM: Factors associated with reintubation in intensive care - An analysis of causes and outcomes. Chest 2001; 120:538-542
27. Benjamin PK, Thompson JE, O'Rourke PP: Complications of mechanical ventilation in a children's hospital multidisciplinary intensive care unit. Respir Care 1990; 35:873-878
28. Orlowski JP, Ellis NG, Amin NP, et al: Complications of airway intrusion in 100 consecutive cases in a pediatric ICU. Crit Care Med 1980; 8:324-331
29. Black AE, Hatch DJ, Nauth-Misir N: Complications of nasotracheal intubation in neonates, infants and children: A review of 4 years' experience in a children's hospital. Br J Anaesth 1990; 65:461-467
30. Demling RH, Read T, Lind LJ, et al: Incidence and morbidity of extubation failure in surgical intensive care patients. Crit Care Med 1988; 16:573-577
31. Rivera R, Tibballs J: Complications of endotracheal intubation and mechanical ventilation in infants and children. Crit Care Med 1992; 20:193-199
32. Pronovost PJ, Jenckes M, May T, et al: Reducing failed extubations in the intensive care unit. Jt Comm J Qual Improv 2002; 28:595-604
33. Chalom R, Raphaely RC, Costarino AT Jr: Hospital costs of pediatric intensive care. Crit Care Med 1999; 27:2079-2085
34. Dominguez TE, Chalom R, Costarino AT Jr: The impact of adverse patient occurrences on hospital costs in the pediatric intensive care unit. Crit Care Med 2001; 29:169-174
35. Davis S, Worley S, Mee R, et al: Factors associated with early extubation after cardiac surgery in young children. Pediatr Crit Care Med 2004; 5:63-68
36. Bandla HP, Hopkins RL, Beckerman RC, et al: Pulmonary risk factors compromising postoperative recovery after surgical repair for congenital heart disease. Chest 1999; 116: 740-747
37. Farias JA, Alia I, Retta A, et al: An evaluation of extubation failure predictors in mechanically ventilated infants and children. Intensive Care Med 2002; 28:752-757
38. Vricella LA, Dearani JA, Gundry SR, et al: Ultra fast track in elective congenital cardiac surgery. Ann Thorac Surg 2000; 69:865-871
39. Marianeschi SM, Seddio F, McElhinney DB, et al: Fast-track congenital heart operations: A less invasive technique and early extubation. Annals Thor Surg 2000; 69:872-876
40. Shekerdemian LS, Penny DJ, Novick W: Early extubation after surgical repair of tetralogy of Fallot. Cardiol Young 2000; 10: 636-637
41. Main E, Elliott MJ, Schindler M, et al: Effect of delayed sternal closure after cardiac surgery on respiratory function in ventilated infants. Crit Care Med 2001; 29:1798-1802
42. Farias JA, Retta A, Alia I, et al: A comparison of two methods to perform a breathing trial before extubation in pediatric intensive care patients. Intensive Care Med 2001; 27: 1649-1654
43. Harel Y, Vardi A, Quigley R, et al: Extubation failure due to post-extubation stridor is better correlated with neurologic impairment than with upper airway lesions in critically ill pediatric patients. Int J Pediatr Otorhinolaryngol 1997; 39:147-158
44. Meade MO, Guyatt GH, Cook DJ, et al: Trials of corticosteroids to prevent postextubation airway complications. Chest 2001; 120: 464S-468S
45. Couser RJ, Ferrara TB, Falde B, et al: Effectiveness of dexamethasone in preventing extubation failure in preterm infants at increased risk for airway edema. J Pediatr 1992; 121:591-596
46. Metz RI, Mickel JJ: Unplanned extubation in pediatric patients: Incidence and related factors. Crit Care Med 1993; 21(Suppl): S155
47. Anene O, Meert K, Uy H, et al: Dexamethasone for the prevention of postextubation airway obstruction: A prospective, randomized, double blind, placebo-controlled trial. Crit Care Med 1996; 24:1666-1669
48. Tellez DW, Galvis AG, Storgion SA, et al: Dexamethasone in the prevention of posteextubation stridor in children. J Pediatr 1991; 118:289-294
49. Markovitz BP, Randolph AG: Corticosteroids for the prevention and treatment of post-extubation stridor in neonates, children and adults. Cochrane Database Syst Rev 2000; 2