A retrospective analysis of determinants of self-extubation in a tertiary care intensive care unit

Journal of Emergencies, Trauma and Shock

Volumn 6, Issue 4, 2013, Pages 241-245

  Singh, Preet Mohinder ^a   Rewari, Vimi ^a   Chandralekha, ^a   Arora, Mahesh Kumar ^a   Trikha, Anjan ^a  

^a ALL INDIA INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

Duty shifts intensive care unit staff; sedation in intensive care unit; self extubation in intensive care unit

Indexed keywords

FENTANYL; MIDAZOLAM; MORPHINE;

ADULT; AGED; ARTICLE; CIRCADIAN RHYTHM; CLINICAL ARTICLE; DRUG USE; EXPLORATORY RESEARCH; EXTUBATION; FEMALE; HUMAN; INTENSIVE CARE PSYCHOSIS; INTENSIVE CARE UNIT; MALE; MEDICAL RECORD REVIEW; OUTCOME ASSESSMENT; PATIENT POSITIONING; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SEDATION; SELF EXTUBATION; SUCTION; TERTIARY HEALTH CARE;

EID: 84889642305     PISSN: 09742700     EISSN: 0974519X     Source Type: Journal    
DOI: 10.4103/0974-2700.120363     Document Type: Article

References (14)

1. Nseir S, Makris D, Mathieu D, Durocher A, Marquette CH. Intensive Care Unit-Acquired infection as a side effect of sedation. Crit Care 2010;14:R30
2. Gommers D, Bakker J. Medications for analgesia and sedation in the intensive care unit: An overview. Crit Care 2008;12 Suppl 3:S4
3. Wunsch H, Kress JP. A new era for sedation in ICU patients. JAMA 2009;301:542-4
4. Mehta S, McCullagh I, Burry L. Current sedation practices: Lessons learned from international surveys. Anesthesiol Clin 2011;29:607-24
5. Boulain T. Unplanned extubations in the adult intensive care unit: A prospective multicenter study. Association des Réanimateurs du Centre-Ouest. Am J Respir Crit Care Med 1998;157:1131-7
6. Koenig SM, Truwit JD. Ventilator-Associated pneumonia: Diagnosis, treatment, and prevention. Clin Microbiol Rev 2006;19:637-57
7. Svenningsen H, Egerod I, Videbech P, Christensen D, Frydenberg M, Tønnesen EK. Fluctuations in sedation levels may contribute to delirium in ICU patients. Acta Anaesthesiol Scand 2013;57:288-93
8. Tung A, Tadimeti L, Caruana-Montaldo B, Atkins PM, Mion LC, Palmer RM, et al. The relationship of sedation to deliberate self-extubation. J Clin Anesth 2001;13:24-9
9. Jakob SM, Ruokonen E, Grounds RM, Sarapohja T, Garratt C, Pocock SJ, et al. Dexmedetomidine vs midazolam or propofol for sedation during prolonged mechanical ventilation: Two randomized controlled trials. JAMA 2012;307:1151-60
10. De Moura EB, De Araújo Neto JA, De Oliveira Maia M, Lima FB, Bomfim RF. Assessment of the impact of unplanned extubation on ICU patient outcome. Crit Care 2011;15 Suppl 1:P169
11. Vassal T, Anh NG, Gabillet JM, Guidet B, Staikowsky F, Offenstadt G. Prospective evaluation of self-extubations in a medical intensive care unit. Intensive Care Med 1993;19:340-2
12. Mion LC, Minnick AF, Leipzig R, Catrambone CD, Johnson ME. Patientinitiated device removal in intensive care units: A national prevalence study. Crit Care Med 2007;35:2714-20
13. Woods JC, Mion LC, Connor JT, Viray F, Jahan L, Huber C, et al. Severe agitation among ventilated medical intensive care unit patients: Frequency, characteristics and outcomes. Intensive Care Med 2004;30:1066-72
14. Huang YT. Factors leading to self-extubation of endotracheal tubes in the intensive care unit. Nurs Crit Care 2009;14:68-74