Development of a risk assessment tool for deliberate self-extubation in intensive care patients

Intensive Care Medicine

Volumn 30, Issue 7, 2004, Pages 1348-1355

  Moons, Philip ^a   Sels, Kristine ^a   De Becker, Wilfried ^b   De Geest, Sabina ^a,c   Ferdinande, Patrick ^b  

^a UNIVERSITY OF LEUVEN   (Belgium)

^b UNIVERSITY HOSPITALS LEUVEN   (Belgium)

^c UNIVERSITY OF BASEL   (Switzerland)

Author keywords

Accidental self extubation; Deliberate self extubation; Risk assessment tool

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; CASE CONTROL STUDY; CLINICAL ARTICLE; CLINICAL FEATURE; CONSCIOUSNESS; CONTROLLED STUDY; CORONARY CARE UNIT; DEMOGRAPHY; EMERGENCY WARD; EXTUBATION; HIGH RISK PATIENT; HOSPITAL DEPARTMENT; HUMAN; INCIDENCE; INTENSIVE CARE; INTENSIVE CARE UNIT; LANGUAGE; LOGISTIC REGRESSION ANALYSIS; MEDICAL RECORD; RANDOMIZATION; RISK ASSESSMENT; SCORING SYSTEM; SEDATION; SURGICAL WARD;

EID: 3242669524     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-004-2228-2     Document Type: Article

References (25)

1. Epstein SK, Nevins ML, Chung J (2000) Effect of unplanned extubation on outcome of mechanical ventilation. Am J Respir Crit Care Med 161:1912-1916
2. Chevron V, Menard JF, Richard JC, Girault C, Leroy J, Bonmarchand G (1998) Unplanned extubation: risk factors of development and predictive criteria for reintubation. Crit Care Med 26:1049-1053
3. Betbese AJ, Perez M, Bak E, Rialp G, Mancebo J (1998) A prospective study of unplanned endotracheal extubation in intensive care unit patients. Crit Care Med 26:1180-1186
4. Tindol GA Jr, Benedetto RJ Di, Kosciuk L (1994) Unplanned extubations. Chest 105:1804-1807
5. Ellstrom K, Brenner M, Williams J (1991) Incidence and factors related to unplanned extubations in the MICU (Abstract). Heart Lung 20:23A
6. Atkins PM, Mion LC, Mendelson W, Palmer RM, Slomka J, Franko T (1997) Characteristics and outcomes of patients who self-extubate from ventilatory support: a case-control study. Chest 112:1317-1223
7. Coppolo DP, May JJ (1990) Self-extubations. A 12-month experience. Chest 98:165-169
8. Vassal T, Anh NG, Gabillet JM, Guidet B, Staikowsky F, Offenstadt G (1993) Prospective evaluation of self-extubations in a medical intensive care unit. Intensive Care Med 19:340-342
9. Tung A, Tadimeti L, Caruana-Montaldo B, Atkins PM, Mion LC, Palmer RM Slomka J, Mendelson W (2001) The relationship of sedation to deliberate self-extubation. J Clin Anesth 13:24-29
10. Taggart JA, Lind MA (1994) Evaluating unplanned endotracheal extubations. Dimens Crit Care Nurs 13:114-121
11. Pesiri AJ (1994) Two-year study of the prevention of unintentional extubation. Crit Care Nurs Q 17:35-39
12. Chiang AA, Lee KC, Lee JC, Wei CH (1996) Effectiveness of a continuous quality improvement program aiming to reduce unplanned extubation: a prospective study. Intensive Care Med 22:1269-1271
13. Maguire GP, DeLorenzo LJ, Moggio RA (1994) Unplanned extubation in the intensive care unit: a quality-of-care concern. Crit Care Nurs Q 17:40-47
14. Little LA, Koenig JC Jr, Newth CJ (1990) Factors affecting accidental extubations in neonatal and pediatric intensive care patients. Crit Care Med 18:163-165
15. Boulain T (1998) Unplanned extubations in the adult intensive care unit: a prospective multicenter study. Association des Reanimateurs du Centre-Ouest. Am J Respir Crit Care Med 157:1131-1137
16. Christie JM, Dethlefsen M, Cane RD (1996) Unplanned endotracheal extubation in the intensive care unit. J Clin Anesth 8:289-293
17. Devlin JW, Fraser GL, Kanji S, Riker RR (2001) Sedation assessment in critically ill adults. Ann Pharmacother 35:1624-1632
18. Carrasco G (2000) Instruments for monitoring intensive care unit sedation. Crit Care 4:217-225
19. De Jonghe B, Cook D, Appere-De-Vecchi C, Guyatt G, Meade M, Outin H (2000) Using and understanding sedation scoring systems: a systematic review. Intensive Care Med 26:275-285
20. Ramsay MA, Savege TM, Simpson BR, Goodwin R (1974) Controlled sedation with alphaxalone-alphadolone. Br Med J 2:656-659
21. Armstrong RF, Bullen C, Cohen SL, Singer M, Webb AR (1992) Critical care algorithm: sedation, analgesia and paralysis. Clin Intensive Care 3:284-287
22. Brook AD, Ahrens TS, Schaiff R, Prentice D, Sherman G, Shannon W, Kollef MH (1999) Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation. Crit Care Med 27:2609-2615
23. Brattebo G, Hofoss D, Flaatten H, Muri AK, Gjerde S, Plsek PE (2002) Effect of a scoring system and protocol for sedation on duration of patients' need for ventilator support in a surgical intensive care unit. Br Med J 324:1386-1389
24. Esteban A, Frutos F, Tobin MJ, Alia I, Solsona JF, Valverdu I, Fernandez R, Cal MA de la, Benito S, Tomas R (1995) A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med 332:345-350
25. Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly PT, Johnson MM, Browder RW, Bowton DL, Haponik EF (1996) Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 335:1864-1869