Skip to main content
 

Main menu

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Archives
    • Most-Read Papers of 2022
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2023 Call for Abstracts
    • 2022 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • Highlighted Articles
    • The Journal

User menu

  • Subscribe
  • My alerts
  • Log in

Search

  • Advanced search
American Association for Respiratory Care
  • Subscribe
  • My alerts
  • Log in
American Association for Respiratory Care

Advanced Search

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Archives
    • Most-Read Papers of 2022
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2023 Call for Abstracts
    • 2022 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • Highlighted Articles
    • The Journal
  • Twitter
  • Facebook
  • YouTube
Research ArticleOriginal Research

Self-Extubation Revisited: A Case-Control Study

Renaud M Gueret, Aiman Tulaimat and Jorge L Morales-Estrella
Respiratory Care September 2020, 65 (9) 1301-1308; DOI: https://doi.org/10.4187/respcare.07007
Renaud M Gueret
Department of Pulmonary, Critical Care and Sleep, John H Stroger Hospital of Cook County, Chicago, Illinois.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Aiman Tulaimat
Department of Pulmonary, Critical Care and Sleep, John H Stroger Hospital of Cook County, Chicago, Illinois.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jorge L Morales-Estrella
Department of Pulmonary and Critical Care, Respiratory Institute Cleveland Clinic, Cleveland, Ohio.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Esteban A,
    2. Anzueto A,
    3. Alía I,
    4. Gordo F,
    5. Apezteguía C,
    6. Pálizas F,
    7. et al
    . How is mechanical ventilation employed in the intensive care unit? An international utilization review. Am J Respir Crit Care Med 2000;161(5):1450–1458.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Krinsley JS,
    2. Barone JE
    . The drive to survive: unplanned extubation in the ICU. Chest 2005;128(2):560–566.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    1. Epstein SK,
    2. Nevins ML,
    3. Chung J
    . Effect of unplanned extubation on outcome of mechanical ventilation. Am J Respir Crit Care Med 2000;161(6):1912–1916.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.↵
    1. Atkins PM,
    2. Mion LC,
    3. Mendelson W,
    4. Palmer RM,
    5. Slomka J,
    6. Franko T
    . Characteristics and outcomes of patients who self-extubate from ventilatory support: a case-control study. Chest 1997;112(5):1317–1323.
    OpenUrlCrossRefPubMedWeb of Science
  5. 5.↵
    1. Chuang ML,
    2. Lee CY,
    3. Chen YF,
    4. Huang SF,
    5. Lin IF
    . Revisiting unplanned endotracheal extubation and disease severity in intensive care units. PLoS One 2015;10(10):e0139864.
    OpenUrl
  6. 6.↵
    1. Chen CM,
    2. Chan KS,
    3. Fong Y,
    4. Hsing SC,
    5. Cheng AC,
    6. Sung MY,
    7. et al
    . Age is an important predictor of failed unplanned extubation. Int J Gerontol 2010;4(3):120–129.
    OpenUrl
  7. 7.↵
    1. de Groot RI,
    2. Dekkers OM,
    3. Herold IH,
    4. de Jonge E,
    5. Arbous MS
    . Risk factors and outcomes after unplanned extubations on the ICU: a case-control study. Crit Care 2011;15(1):R19.
    OpenUrlCrossRefPubMed
  8. 8.↵
    1. Ayllón Garrido N,
    2. Rodríguez Borrajo MJ,
    3. Soleto Paredes G,
    4. Latorre García 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
  9. 9.↵
    1. Kiekkas P,
    2. Aretha D,
    3. Panteli E,
    4. Baltopoulos GI,
    5. Filos KS
    . Unplanned extubation in critically ill adults: clinical review. Nurs Crit Care 2013;18(3):123–134.
    OpenUrlPubMed
  10. 10.↵
    1. 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(4 Pt 1):1131–1137.
    OpenUrlCrossRefPubMedWeb of Science
  11. 11.↵
    1. Moons P,
    2. Sels K,
    3. De Becker W,
    4. De Geest S,
    5. Ferdinande P
    . Development of a risk assessment tool for deliberate self-extubation in intensive care patients. Intensive Care Med 2004;30(7):1348–1355.
    OpenUrlPubMedWeb of Science
  12. 12.↵
    1. da Silva PS,
    2. Fonseca MC
    . Unplanned endotracheal extubations in the intensive care unit: systematic review, critical appraisal, and evidence-based recommendations. Anesth Analg 2012;114(5):1003–1014.
    OpenUrlCrossRefPubMed
  13. 13.↵
    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
  14. 14.↵
    1. Curry K,
    2. Cobb S,
    3. Kutash M,
    4. Diggs C
    . Characteristics associated with unplanned extubations in a surgical intensive care unit. Am J Crit Care 2008;17(1):45–51; quiz 52.
    OpenUrlAbstract/FREE Full Text
  15. 15.↵
    1. Yeh SH,
    2. Lee LN,
    3. Ho TH,
    4. Chiang MC,
    5. Lin LW
    . Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units. Int J Nurs Stud 2004;41(3):255–262.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.
    1. Woods JC,
    2. Mion LC,
    3. Connor JT,
    4. Viray F,
    5. Jahan L,
    6. Huber C,
    7. et al
    . Severe agitation among ventilated medical intensive care unit patients: frequency, characteristics and outcomes. Intensive Care Med 2004;30(6):1066–1072.
    OpenUrlCrossRefPubMedWeb of Science
  17. 17.↵
    1. Vassal T,
    2. Anh NG,
    3. Gabillet JM,
    4. Guidet B,
    5. Staikowsky F,
    6. Offenstadt G
    . Prospective evaluation of self-extubations in a medical intensive care unit. Intensive Care Med 1993;19(6):340–342.
    OpenUrlCrossRefPubMedWeb of Science
  18. 18.↵
    1. Thille AW,
    2. Harrois A,
    3. Schortgen F,
    4. Brun-Buisson C,
    5. Brochard L
    . Outcomes of extubation failure in medical intensive care unit patients. Crit Care Med 2011;39(12):2612–2618.
    OpenUrlPubMedWeb of Science
  19. 19.↵
    1. Carrión MI,
    2. Ayuso D,
    3. Marcos M,
    4. Paz Robles M,
    5. de la Cal MA,
    6. Alía I,
    7. Esteban A
    . Accidental removal of endotracheal and nasogastric tubes and intravascular catheters. Crit Care Med 2000;28(1):63–66.
    OpenUrlCrossRefPubMedWeb of Science
  20. 20.
    1. de Lassence A,
    2. Alberti C,
    3. Azoulay E,
    4. Le Miere E,
    5. Cheval C,
    6. Vincent F,
    7. et al
    ; OUTCOMEREA Study Group. Impact of unplanned extubation and reintubation after weaning on nosocomial pneumonia risk in the intensive care unit: a prospective multicenter study. Anesthesiology 2002;97(1):148–156.
    OpenUrlCrossRefPubMedWeb of Science
  21. 21.↵
    1. Mort TC
    . Unplanned tracheal extubation outside the operating room: a quality improvement audit of hemodynamic and tracheal airway complications associated with emergency tracheal reintubation. Anesth Analg 1998;86(6):1171–1176.
    OpenUrlCrossRefPubMedWeb of Science
  22. 22.↵
    1. Chevron V,
    2. Ménard JF,
    3. Richard JC,
    4. Girault C,
    5. Leroy J,
    6. Bonmarchand G
    . Unplanned extubation: risk factors of development and predictive criteria for reintubation. Crit Care Med 1998;26(6):1049–1053.
    OpenUrlCrossRefPubMedWeb of Science
  23. 23.↵
    1. Whelan J,
    2. Simpson SQ,
    3. Levy H
    . Unplanned extubation. Predictors of successful termination of mechanical ventilatory support. Chest 1994;105(6):1808–1812.
    OpenUrlCrossRefPubMedWeb of Science
  24. 24.
    1. Tindol GA Jr.,
    2. DiBenedetto RJ,
    3. Kosciuk L
    . Unplanned extubations. Chest 1994;105(6):1804–1807.
    OpenUrlCrossRefPubMedWeb of Science
  25. 25.↵
    1. Jiang JS,
    2. Kao SJ,
    3. Lin CM,
    4. Yeh YW
    . Respiratory management after self-extubation. J Formos Med Assoc 2000;99(9):689–692.
    OpenUrlPubMed
  26. 26.↵
    1. Listello D,
    2. Sessler CN
    . Unplanned extubation: clinical predictors for reintubation. Chest 1994;105(5):1496–1503.
    OpenUrlCrossRefPubMedWeb of Science
  27. 27.↵
    1. Klompas M,
    2. Anderson D,
    3. Trick W,
    4. Babcock H,
    5. Kerlin MP,
    6. Li L,
    7. et al
    ; CDC Prevention Epicenters. The preventability of ventilator-associated events. The CDC Prevention Epicenters Wake Up and Breathe Collaborative. Am J Respir Crit Care Med 2015;191(3):292–301.
    OpenUrlCrossRefPubMed
  28. 28.↵
    1. Tanios M,
    2. Epstein S,
    3. Grzeskowiak M,
    4. Nguyen HM,
    5. Park H,
    6. Leo J
    . Influence of sedation strategies on unplanned extubation in a mixed intensive care unit. Am J Crit Care 2014;23(4):306–314; quiz 315.
    OpenUrlAbstract/FREE Full Text
  29. 29.↵
    1. Scott PH,
    2. Eigen H,
    3. Moye LA,
    4. Georgitis J,
    5. Laughlin JJ
    . Predictability and consequences of spontaneous extubation in a pediatric ICU. Crit Care Med 1985;13(4):228–232.
    OpenUrlCrossRefPubMedWeb of Science
  30. 30.↵
    1. Tung A,
    2. Tadimeti L,
    3. Caruana-Montaldo B,
    4. Atkins PM,
    5. Mion LC,
    6. Palmer RM,
    7. et al
    . The relationship of sedation to deliberate self-extubation. J Clin Anesth 2001;13(1):24–29.
    OpenUrlCrossRefPubMed
  31. 31.
    1. Pisani MA,
    2. Murphy TE,
    3. Araujo KLB,
    4. Slattum P,
    5. Van Ness PH,
    6. Inouye SK
    . Benzodiazepine and opioid use and the duration of intensive care unit delirium in an older population. Crit Care Med 2009;37(1):177–183.
    OpenUrlCrossRefPubMedWeb of Science
  32. 32.↵
    1. Pun BT,
    2. Ely EW
    . The importance of diagnosing and managing ICU delirium. Chest 2007;132(2):624–636.
    OpenUrlCrossRefPubMedWeb of Science
  33. 33.↵
    1. Robin C,
    2. Trieger N
    . Paradoxical reactions to benzodiazepines in intravenous sedation: a report of 2 cases and review of the literature. Anesth Prog 2002;49(4):128–132.
    OpenUrlPubMed
  34. 34.↵
    1. Girard TD,
    2. Kress JP,
    3. Fuchs BD,
    4. Thomason JW,
    5. Schweickert WD,
    6. Pun BT,
    7. et al
    . Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet 2008;371(9607):126–134.
    OpenUrlCrossRefPubMedWeb of Science
  35. 35.↵
    1. Strøm T,
    2. Martinussen T,
    3. Toft P
    . A protocol of no sedation for critically ill patients receiving mechanical ventilation: a randomised trial. Lancet 2010;375(9713):475–480.
    OpenUrlCrossRefPubMedWeb of Science
  36. 36.
    1. Kress JP,
    2. Pohlman AS,
    3. O'Connor MF,
    4. Hall JB
    . Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000;342(20):1471–1477.
    OpenUrlCrossRefPubMedWeb of Science
  37. 37.↵
    1. Balon JA
    . Common factors of spontaneous self-extubation in a critical care setting. Int J Trauma Nurs 2001;7(3):93–99.
    OpenUrlCrossRefPubMed
  38. 38.↵
    1. Pang G,
    2. Edwards MJ,
    3. Greenland KB
    . Vocal cords-carina distance in anaesthetised Caucasian adults and its clinical implications for tracheal intubation. Anaesth Intensive Care 2010;38(6):1029–1033.
    OpenUrlPubMed
  39. 39.↵
    1. Canning BJ,
    2. Chang AB,
    3. Bolser DC,
    4. Smith JA,
    5. Mazzone SB,
    6. McGarvey L
    , CHEST Expert Cough Panel. Anatomy and neurophysiology of cough: CHEST Guideline and Expert Panel report. Chest 2014;146(6):1633–1648.
    OpenUrlCrossRefPubMed
  40. 40.↵
    1. Betbesé AJ,
    2. Pérez M,
    3. Bak E,
    4. Rialp G,
    5. Mancebo J
    . A prospective study of unplanned endotracheal extubation in intensive care unit patients. Crit Care Med 1998;26(7):1180–1186.
    OpenUrlCrossRefPubMedWeb of Science
  41. 41.↵
    1. Yap SJ,
    2. Morris RW,
    3. Pybus DA
    . Alterations in endotracheal tube position during general anaesthesia. Anaesth Intensive Care 1994;22(5):586–588.
    OpenUrlPubMedWeb of Science
PreviousNext
Back to top

In this issue

Respiratory Care: 65 (9)
Respiratory Care
Vol. 65, Issue 9
1 Sep 2020
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author

 

Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Association for Respiratory Care.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Self-Extubation Revisited: A Case-Control Study
(Your Name) has sent you a message from American Association for Respiratory Care
(Your Name) thought you would like to see the American Association for Respiratory Care web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Self-Extubation Revisited: A Case-Control Study
Renaud M Gueret, Aiman Tulaimat, Jorge L Morales-Estrella
Respiratory Care Sep 2020, 65 (9) 1301-1308; DOI: 10.4187/respcare.07007

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Self-Extubation Revisited: A Case-Control Study
Renaud M Gueret, Aiman Tulaimat, Jorge L Morales-Estrella
Respiratory Care Sep 2020, 65 (9) 1301-1308; DOI: 10.4187/respcare.07007
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

Cited By...

Keywords

  • self-extubation
  • mechanical ventilation
  • medical intensive care unit
  • predictors of self-extubation
  • predictors of reintubation

Info For

  • Subscribers
  • Institutions
  • Advertisers

About Us

  • About the Journal
  • Editorial Board

AARC

  • Membership
  • Meetings
  • Clinical Practice Guidelines

More

  • Contact Us
  • RSS
American Association for Respiratory Care

Print ISSN: 0020-1324        Online ISSN: 1943-3654

© Daedalus Enterprises, Inc.

Powered by HighWire