Unplanned extubations in a level one trauma ICU

Background: Unplanned endotracheal extubation (UE) is the most common airway adverse event in ICU. This study aimed to determine the incidence, characteristics, complications and outcomes of UE in patients in a level one trauma ICU. Methods: A chart review of all patients admitted to the Trauma ICU...

Full description

Saved in:
Bibliographic Details
Published in:Southern African journal of anaesthesia and analgesia 2018-07, Vol.24 (4), p.103-108
Main Authors: Köhne, KM, Hardcastle, T
Format: Article
Language:English
Subjects:
Accidental extubation
Endotracheal self-extubation
Reintubation
Trauma ICU
Unplanned extubation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: Unplanned endotracheal extubation (UE) is the most common airway adverse event in ICU. This study aimed to determine the incidence, characteristics, complications and outcomes of UE in patients in a level one trauma ICU. Methods: A chart review of all patients admitted to the Trauma ICU at Inkosi Albert Luthuli Central Hospital for a 24-month period was performed. Results: Of the 534 patients admitted to the trauma ICU, 420 were intubated and mechanically ventilated for 4 484 days. Forty events of UE occurred in 33 patients. The incidence of UE per 100 ventilator days was 0.89. UE was reported as unplanned self-extubation in 70% of cases and accidental self-extubation in 30%. Reintubation was required in 78% of patients and was strongly associated with the accidental nature of extubation where 100% of cases were reintubated. Mortality was lower in patients with a UE than the total study population (15% vs. 27.65% p = 0.12). Patients that required reintubation had longer durations of mechanical ventilation (15.5 days vs. 6 days p 
ISSN:2220-1181
2220-1173
DOI:10.1080/22201181.2018.1480192