Reducing unplanned extubations in the NICU

Pediatrics

Volumn 133, Issue 5, 2014, Pages

  Merkel, Lori ^a   Beers, Kimberly ^a   Lewis, Mary M ^a   Stauffer, Joy ^a   Mujsce, Dennis J ^a   Kresch, Mitchell J ^a  

^a PENN STATE CHILDREN S HOSPITAL   (United States)

Author keywords

Neonate; Preterm infant; Unplanned extubation

Indexed keywords

ARTICLE; BODY WEIGHT; CLINICAL PRACTICE; CONTROLLED STUDY; ENDOTRACHEAL TUBE; EXTUBATION; HUMAN; INFANT; INTUBATION; MAJOR CLINICAL STUDY; NEWBORN INTENSIVE CARE; PATIENT CARE; PRIORITY JOURNAL; UNPLANNED EXTUBATION; VERY LOW BIRTH WEIGHT; COOPERATION; ENDOTRACHEAL INTUBATION; FEMALE; HOSPITAL; IN SERVICE TRAINING; INTERDISCIPLINARY COMMUNICATION; MALE; MEDICAL AUDIT; NEWBORN; PRACTICE GUIDELINE; PROCEDURES; SURGICAL TAPE; UNITED STATES;

AIRWAY EXTUBATION; COOPERATIVE BEHAVIOR; FEMALE; GUIDELINE ADHERENCE; HOSPITALS, PEDIATRIC; HUMANS; INFANT, NEWBORN; INSERVICE TRAINING; INTENSIVE CARE UNITS, NEONATAL; INTERDISCIPLINARY COMMUNICATION; INTUBATION, INTRATRACHEAL; MALE; MEDICAL AUDIT; PENNSYLVANIA; SURGICAL TAPE;

EID: 84899842502     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2013-3334     Document Type: Article

References (16)

1. Brown MS. Prevention of accidental extubation in newborns. Am J Dis Child. 1988; 142(11):1240-1243
2. Loughead JL, Brennan RA, DeJuilio P, Camposeo V, Wengert J, Cooke D. Reducing accidental extubation in neonates. Jt Comm J Qual Patient Saf. 2008;34(3):164-170, 125
3. Elward AM, Warren DK, Fraser VJ. Ventilator-associated pneumonia in pediatric intensive care unit patients: risk factors and outcomes. Pediatrics. 2002;109(5): 758-764
4. Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. Pediatrics. 2006;118(4):1332-1340
5. Conner GH, Maisels MJ. Orotracheal intubation in the newborn. Laryngoscope. 1977;87(1):87-91
6. Little LA, Koenig JC Jr, Newth CJ. Factors affecting accidental extubations in neonatal and pediatric intensive care patients. Crit Care Med. 1990;18(2):163-165
7. Veldman A, Trautschold T, Weiss K, Fischer D, Bauer K. Characteristics and outcome of unplanned extubation in ventilated preterm and term newborns on a neonatal intensive care unit. Paediatr Anaesth. 2006; 16(9):968-973
8. Silva PS, Reis ME, Aguiar VE, Fonseca MC. Unplanned extubation in the neonatal ICU: a systematic review, critical appraisal, and evidence-based recommendations. Respir Care. 2013;58(7):1237-1245
9. Horimoto Y, Tomie H, Hanzawa K, Nishida Y. Accidental extubations during respiratory management in a children's hospital. J Anesth. 1991;5(2):142-145
10. 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(6):424-428
11. Rachman BR, Watson R, Woods N, Mink RB. Reducing unplanned extubations in a pediatric intensive care unit: a systematic approach. Int J Pediatr. 2009;2009:820495
12. Wheeler DJ, Chambers DS. Understanding Statistical Process Control. Knoxville, TN: SPC Press; 1992
13. Popernack ML, Thomas NJ, Lucking SE. Decreasing unplanned extubations: utilization of the Penn State Children's Hospital sedation algorithm. Pediatr Crit Care Med. 2004;5(1):58-62
14. Aranda JV, Carlo W, Hummel P, Thomas R, Lehr VT, Anand KJ. Analgesia and sedation during mechanical ventilation in neonates. Clin Ther. 2005;27(6):877-899
15. Bellù R, de Waal K, Zanini R. Opioids for neonates receiving mechanical ventilation: a systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed. 2010;95 (4):F241-F251
16. Ng E, Taddio A, Ohlsson A. Intravenous midazolam infusion for sedation of infants in the neonatal intensive care unit. Cochrane Database Syst Rev. 2012;(6): CD002052