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Review ArticleReviews

Unplanned Extubation in the Neonatal ICU: A Systematic Review, Critical Appraisal, and Evidence-Based Recommendations

Paulo Sérgio Lucas da Silva, Maria Eunice Reis, Vânia Euzébio Aguiar and Marcelo Cunio Machado Fonseca
Respiratory Care July 2013, 58 (7) 1237-1245; DOI: https://doi.org/10.4187/respcare.02164
Paulo Sérgio Lucas da Silva
Pediatric Intensive Care Unit, Department of Pediatrics, Hospital Sevidor Público Municipal, São Paulo, Brazil.
MD MSc
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  • For correspondence: [email protected]
Maria Eunice Reis
Neonatal Intensive Care Unit, Hospital e Maternidade Santa Joana, São Paulo, Brazil.
MD
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Vânia Euzébio Aguiar
Pediatric Intensive Care Unit, Department of Pediatrics, Hospital Sevidor Público Municipal, São Paulo, Brazil.
MD
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Marcelo Cunio Machado Fonseca
Pediatric Intensive Care Unit, Department of Pediatrics, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
MD MSc
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References

  1. 1.↵
    1. Veldman A,
    2. Trautschold T,
    3. Weiss K,
    4. Fischer D,
    5. 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.
    OpenUrlCrossRefPubMed
  2. 2.↵
    1. Bellu R,
    2. de Waal K,
    3. 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.
    OpenUrlAbstract/FREE Full Text
  3. 3.↵
    1. Sharek PJ,
    2. Horbar JD,
    3. Mason W,
    4. Bisarya H,
    5. Thurm CW,
    6. Suresh G,
    7. 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.
    OpenUrlAbstract/FREE Full Text
  4. 4.↵
    1. Bouza C,
    2. Garcia E,
    3. Diaz M,
    4. Segovia E,
    5. Rodriguez I
    . Unplanned extubation in orally intubated medical patients in the intensive care unit: a prospective cohort study. Heart Lung 2007;36(4):270-276.
    OpenUrlCrossRefPubMedWeb of Science
  5. 5.↵
    1. Loughead JL,
    2. Brennan RA,
    3. DeJuilio P,
    4. Camposeo V,
    5. Wengert J,
    6. Cooke D
    . Reducing accidental extubation in neonates. Jt Comm J Qual Patient Saf 2008;34(3):164-170, 125.
    OpenUrlPubMed
  6. 6.↵
    1. Lucas da Silva PS,
    2. de Carvalho WB
    . Unplanned extubation in pediatric critically ill patients: a systematic review and best practice recommendations. Pediatr Crit Care Med 2010;11(2):287-294.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. Wells GA,
    2. Shea B,
    3. O'Connell D,
    4. Peterson J,
    5. Welch V,
    6. Losos M,
    7. Tugwell P
    . The Newcastle-Ottawa Scale (NOS) for assessing the quality if nonrandomized studies in meta-analyses. http://www.ohri.ca/programs/clinical_epidemiology/oxford.htm. Accessed April 18, 2013.
  8. 8.↵
    Oxford Centre for Evidence-based Medicine. Levels of evidence and grades of recommendation, March 2009. http://www.cebm.net/index.aspx?o=1025. Accessed April 18, 2013.
  9. 9.↵
    1. Conner GH,
    2. Maisels MJ
    . Orotracheal intubation in the newborn. Laryngoscope 1977;87(1):87-91.
    OpenUrlPubMedWeb of Science
  10. 10.↵
    1. McMillan DD,
    2. Rademaker AW,
    3. Buchan KA,
    4. Reid A,
    5. Machin G,
    6. Sauve RS
    . Benefits of orotracheal and nasotracheal intubation in neonates requiring ventilatory assistance. Pediatrics 1986;77(1):39-44.
    OpenUrlAbstract/FREE Full Text
  11. 11.↵
    1. Brown MS
    . Prevention of accidental extubation in newborns. Am J Dis Child 1988;142(11):1240-1243.
    OpenUrlCrossRefPubMed
  12. 12.↵
    1. Kleiber C,
    2. Hummel PA
    . Factors related to spontaneous endotracheal extubation in the neonate. Pediatr Nurs 1989;15(4):347-351.
    OpenUrlPubMed
  13. 13.↵
    1. Little LA,
    2. Koenig JC Jr.,
    3. Newth CJ
    . Factors affecting accidental extubations in neonatal and pediatric intensive care patients. Crit Care Med 1990;18(2):163-165.
    OpenUrlCrossRefPubMedWeb of Science
  14. 14.↵
    1. Horimoto Y,
    2. Tomie H,
    3. Hanzawa K,
    4. Nishida Y
    . Accidental extubations during respiratory management in a children's hospital. J Anesth 1991;5(2):142-145.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Franck LS,
    2. Vaughan B,
    3. Wallace J
    . Extubation and reintubation in the NICU: identifying opportunities to improve care. Pediatr Nurs 1992;18(3):267-270.
    OpenUrlPubMed
  16. 16.↵
    1. Volsko TCR
    . Comparison of two methods for securing the endotracheal tube in neonates. Respir Care 1997;42(3):288-291.
    OpenUrl
  17. 17.↵
    1. DeJonge MH,
    2. White M
    . A comparison of two methods of oral endotracheal tube stabilization in neonatal patients. J Perinatol 1998;18(6 Pt 1):463-465.
    OpenUrlPubMed
  18. 18.↵
    1. Carvalho FL,
    2. Mezzacappa MA,
    3. Calil R,
    4. Machado Hda C
    . Incidence and risk factors of accidental extubation in a neonatal intensive care unit. J Pediatr (Rio J) 2010;86(3):189-195.
    OpenUrlPubMed
  19. 19.↵
    1. Ligi I,
    2. Millet V,
    3. Sartor C,
    4. Jouve E,
    5. Tardieu S,
    6. Sambuc R,
    7. et al
    . Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Pediatrics 2010;126(6):e1461-e1468.
    OpenUrlAbstract/FREE Full Text
  20. 20.↵
    1. Lamy Filho F,
    2. da Silva AA,
    3. Lopes JM,
    4. Lamy ZC,
    5. Simoes VM,
    6. Dos Santos AM
    . Staff workload and adverse events during mechanical ventilation in neonatal intensive care units. J Pediatr (Rio J) 2011;87(6):487-492.
    OpenUrlPubMed
  21. 21.↵
    1. Gregory GA
    . Respiratory care of newborn infants. Pediatr Clin North Am 1972;19(2):311-324.
    OpenUrlPubMed
  22. 22.↵
    1. Lund C,
    2. Kuller JM,
    3. Tobin C,
    4. Lefrak L,
    5. Franck LS
    . Evaluation of a pectin-based barrier under tape to protect neonatal skin. J Obstet Gynecol Neonatal Nurs 1986;15(1):39-44.
    OpenUrlPubMed
  23. 23.↵
    1. Castelloes TM,
    2. da Silva LD
    . Guideline for nursing care in the prevention of accidental extubation. Rev Bras Enferm 2007;60(1):106-109.
    OpenUrlPubMed
  24. 24.↵
    1. Ayllon Garrido N,
    2. Rodriguez Borrajo MJ,
    3. Soleto Paredes G,
    4. Latorre Garcia PM
    . Unplanned extubations in patients in the ventilator weaning phase in the intensive care unit: incidence and risk factors. Enferm Clin 2009;19(4):210-214.
    OpenUrlPubMed
  25. 25.↵
    1. Popernack ML,
    2. Thomas NJ,
    3. Lucking SE
    . Decreasing unplanned extubations: utilization of the Penn State Children's Hospital Sedation Algorithm. Pediatr Crit Care Med 2004;5(1):58-62.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Powers J
    . A sedation protocol for preventing patient self-extubation. Dimens Crit Care Nurs 1999;18(2):30-34.
    OpenUrlPubMed
  27. 27.
    1. Berwick D
    . The 100,000K Lives Campaign: lessons learned from national mobilization. Plenary discussion. Institute for Healthcare Improvement, 2nd Annual Summit on Redesigning Care, Atlanta, June 2006.
  28. 28.
    1. Davis PG,
    2. Henderson-Smart DJ
    . Nasal continuous positive airways pressure immediately after extubation for preventing morbidity in preterm infants. Cochrane Database Syst Rev 2003(2):CD000143.
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Respiratory Care: 58 (7)
Respiratory Care
Vol. 58, Issue 7
1 Jul 2013
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Unplanned Extubation in the Neonatal ICU: A Systematic Review, Critical Appraisal, and Evidence-Based Recommendations
Paulo Sérgio Lucas da Silva, Maria Eunice Reis, Vânia Euzébio Aguiar, Marcelo Cunio Machado Fonseca
Respiratory Care Jul 2013, 58 (7) 1237-1245; DOI: 10.4187/respcare.02164

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Unplanned Extubation in the Neonatal ICU: A Systematic Review, Critical Appraisal, and Evidence-Based Recommendations
Paulo Sérgio Lucas da Silva, Maria Eunice Reis, Vânia Euzébio Aguiar, Marcelo Cunio Machado Fonseca
Respiratory Care Jul 2013, 58 (7) 1237-1245; DOI: 10.4187/respcare.02164
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Keywords

  • accidental extubation
  • endotracheal tube
  • intubation
  • neonatal ICU
  • quality improvement
  • unplanned extubation

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