Predicting Reintubation After Unplanned Extubations in Children: Art or Science?

Purpose: Reintubation following unplanned extubation (UE) is often required and associated with increased morbidity; however, knowledge of risk factors leading to reintubation and subsequent outcomes in children is still lacking. We sought to determine the incidence, risk factors, and outcomes relat...

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Bibliographic Details
Published in:Journal of Intensive Care Medicine 2018-08, Vol.33 (8), p.467-474
Main Authors: da Silva, Paulo Sérgio Lucas, Reis, Maria Eunice, Fonseca, Thais Suelotto Machado, Fonseca, Marcelo Cunio Machado
Format: Article
Language:English
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Summary:Purpose: Reintubation following unplanned extubation (UE) is often required and associated with increased morbidity; however, knowledge of risk factors leading to reintubation and subsequent outcomes in children is still lacking. We sought to determine the incidence, risk factors, and outcomes related to reintubation after UEs. Methods: All mechanically ventilated children were prospectively tracked for UEs over a 7-year period in a pediatric intensive care unit. For each UE event, data associated with reintubation within 24 hours and outcomes were collected. Results: Of 757 intubated patients, 87 UE occurred out of 11 335 intubation days (0.76 UE/100 intubation days), with 57 (65%) requiring reintubation. Most of the UEs that did not require reintubation were already weaning ventilator settings prior to UE (73%). Univariate analysis showed that younger children (
ISSN:0885-0666
1525-1489
DOI:10.1177/0885066616675130