Unplanned extubation in a paediatric intensive care unit: Impact of a quality improvement programme

Anaesthesia

Volumn 63, Issue 11, 2008, Pages 1209-1216

  Da Silva, P S L ^a   De Aguiar, V E ^b   Neto, H M ^a   De Carvalho, W B ^c  

^a Paediatric Intensive Care Unit   (Germany)

^b Hospital Estadual de Diadema (UNFESP)   (Brazil)

^c FEDERAL UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

[No Author keywords available]

Indexed keywords

BENZODIAZEPINE DERIVATIVE; FENTANYL; MIDAZOLAM; OPIATE; ROCURONIUM;

AGE DISTRIBUTION; ARTICLE; ARTIFICIAL VENTILATION; CHILD; CHILDHOOD MORTALITY; CONTINUOUS INFUSION; CONTROLLED STUDY; DRUG DOSE TITRATION; EXTUBATION; FEMALE; HEALTH PROGRAM; HOSPITALIZATION; HUMAN; INFANT; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; MORBIDITY; TOTAL QUALITY MANAGEMENT; TRACHEA;

AGE DISTRIBUTION; BRAZIL; CHILD, PRESCHOOL; DEVICE REMOVAL; EQUIPMENT FAILURE; FEMALE; HUMANS; INFANT; INTENSIVE CARE UNITS, PEDIATRIC; INTUBATION, INTRATRACHEAL; LENGTH OF STAY; MALE; PROGNOSIS; PROGRAM EVALUATION; PROSPECTIVE STUDIES; QUALITY ASSURANCE, HEALTH CARE; RESPIRATION, ARTIFICIAL;

EID: 53749092479     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/j.1365-2044.2008.05628.x     Document Type: Article

References (38)

1. Blumenthal D. Quality of care - what is it? New England Journal of Medicine 1996 335 : 891 4.
2. McMillan TR, Hyzy RC. Bringing quality improvement into the intensive care unit. Critical Care Medicine 2007 35 : 59 65.
3. Wolff AM. Limited adverse occurrence screening: an effective and efficient method of medical quality control. Journal of Quality in Clinical Practice 1995 15 : 221 33.
4. Epstein SK, Nevins ML, Chung J. Effect of unplanned extubation on outcome of mechanical ventilation. American Journal of Respiratory and Critical Care Medicine 2000 161 : 1912 6.
5. Moons P, Sels K, Becker KD, et al. Development of a risk assessment tool for deliberate self-extubation in intensive care patients. Intensive Care Medicine 2004 30 : 1348 55.
6. Chiang AA, Lee KC, Lee JC, et al. Effectiveness of a continuous quality improvement program aiming to reduce unplanned extubation: a prospective study. Intensive Care Medicine 1996 22 : 1269 71.
7. Sessler CN. Unplanned extubations: making progress using CQI. Intensive Care Medicine 1997 23 : 143 5.
8. Sadowski R, Dechert RE, Bandy KP, et al. Continuous quality improvement: reducing unplanned extubations in a pediatric intensive care unit. Pediatrics 2004 114 : 628 32.
9. Taggart JA, Lind MA. Evaluating unplanned endotracheal extubations. Dimensions of Critical Care Nursing 1994 13 : 114 22.
10. Maguire GP, DeLorenzo LJ, Moggio RA. Unplanned extubation in the intensive care unit: a quality-of-care concern. Critical Care Nursing Quarterly 1994 17 : 40 7.
11. Richmond AL, Jarog DL, Hanson VM. Unplanned extubation in adult critical care. Quality improvement and education payoff. Critical Care Nurse 2004 24 : 32 7.
12. Birkett KM, Southerland KA, Leslie GD. Reporting unplanned extubation. Intensive Critical Care Nursing 2005 21 : 65 75.
13. Atkins PM, Mion LC, Mendelson W, et al. Characteristics and outcomes of patients who self-extubate from ventilatory support: a case-control study. Chest 1997 112 : 1317 23.
14. Bouza C, Garcia E, Diaz M, et al. Unplanned extubation in orally intubated medical patients in the intensive care unit: a prospective cohort study. Heart and Lung 2007 36 : 270 6.
15. Krinsley JS, Barone JE. The drive to survive: unplanned extubation in the ICU. Chest 2005 128 : 560 6.
16. Ambuel B, Hamlett KW, Marx CM, et al. Assessing distress in pediatric intensive care environments: the COMFORT scale. Journal of Pediatric Psychology 1992 17 : 95 109.
17. Kurachek SC, Newth CJ, Quasney MW, et al. Extubation failure in pediatric intensive care: a multiple-center study of risk factors and outcomes. Critical Care Medicine 2003 31 : 2657 64.
18. Little LA, Koenig JC, Newth CJ. Factors affecting accidental extubations in neonatal and pediatric intensive care patients. Critical Care Medicine 1990 18 : 163 5.
19. Pollack MM, Ruttimann UE, Getson PR. Pediatric risk of mortality (PRISM) score. Critical Care Medicine 1988 16 : 1110 6.
20. Leteurtre S, Martinot A, Duhamel A, et al. Validation of the paediatric logistic organ dysfunction (PELOD) score: prospective, observational, multicentre study. Lancet 2003 362 : 192 7.
21. Orlowski JP, Ellis NG, Amin NP, et al. Complications of airway intrusion in 100 consecutive cases in a pediatric ICU. Critical Care Medicine 1980 8 : 324 31.
22. Frank BS, Lewis RJ. Experience with intubated patients does not affect the accidental extubation rate in pediatric intensive care units and intensive care nurseries. Pediatric Pulmonology 1997 23 : 424 8.
23. Chevron V, Menard JF, Richard JC, et al. Unplanned extubation: risk factors of development and predictive criteria for reintubation. Critical Care Medicine 1998 26 : 1049 53.
24. Scott PH, Eigen H, Moye LA, et al. Predictability and consequences of spontaneous extubation in a pediatric ICU. Critical Care Medicine 1985 13 : 228 32.
25. Rivera R, Tibballs J. Complications of endotracheal intubation and mechanical ventilation in infants and children. Critical Care Medicine 1992 20 : 193 9.
26. Marcin JP, Rutan E, Rapetti PM, et al. Nurse staffing and unplanned extubation in the pediatric intensive care unit. Pediatric Critical Care Medicine 2005 6 : 254 7.
27. Ream RS, Mackey K, Leet T, et al. Association of nursing workload and unplanned extubations in a pediatric intensive care unit. Pediatric Critical Care Medicine 2007 8 : 366 71.
28. Popernack ML, Thomas NJ, Lucking SE. Decreasing unplanned extubations: utilization of the Penn State Children's Hospital Sedation Algorithm. Pediatric Critical Care Medicine 2004 5 : 58 62.
29. Campbell JP, Maxey VA, Watson WA. Hawthorne effect: implications for prehospital research. Annals of Emergency Medicine 1995 28 : 590 4.
30. Speroff T, O'Connor GT. Study designs for PDSA quality improvement research. Quality Management in Health Care 2004 13 : 17 32.
31. Berwick DM. Disseminating innovations in health care. Journal of the American Medical Association 2003 289 : 1969 75.
32. Boulain T. Unplanned extubations in the adult intensive care unit: a prospective multicenter study. Association des Reanimateurs du Centre-Ouest. American Journal of Respiratory and Critical Care Medicine 1998 157 : 1131 7.
33. Listello D, Sessler CN. Unplanned extubation. Clinical predictors for reintubation. Chest 1994 105 : 1496 503.
34. Kapadia FN, Bajan KB, Raje KV. Airway accidents in intubated intensive care unit patients: an epidemiological study. Critical Care Medicine 2000 28 : 659 64.
35. Vassal T, Anh NG, Gabillet JM, et al. Prospective evaluation of self-extubations in a medical intensive care unit. Intensive Care Medicine 1993 19 : 340 2.
36. Ely EW, Baker AM, Dunagan DP, et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. New England Journal of Medicine 1996 335 : 1864 9.
37. Coppolo DP, May JJ. Self-extubations. A 12-month experience. Chest 1990 98 : 165 9.
38. de Lassance A, Alberti C, Azoulay E, et al. Impact of unplanned extubation and reintubation after weaning on nosocomial pneumonia risk in the intensive care unit. Anesthesiology 2002 97 : 148 56.