Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units

Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems

“…The literature suggests that the rate of unplanned extubations in adult patients ranges from about 2 to 22%. [6][7][8][9][10][11][12][13] Similar to our findings, most unplanned extubations are self-extubations. 7,9,10 These events can result in inadequate respiratory function, hypoxemia, cardiopulmonary arrest, and death.…”

“…[6][7][8][9][10][11][12][13] Similar to our findings, most unplanned extubations are self-extubations. 7,9,10 These events can result in inadequate respiratory function, hypoxemia, cardiopulmonary arrest, and death. [12][13][14] Accidental removal or self-removal of the ETT can result in upper airway injuries, bronchospasm, arrhythmias, aspiration, and pneumonia.…”

Unplanned extubation: securing the tool of our trade

“…Type of study Year Age group UER Notes Vianna et al [6] Retrospective 2007 Adult 2 % of intubated patients Yeh et al [7] Questionnaire 2004 Adult 22.5 % of intubated patients Kapadia et al [8] Prospective observational 2014 Adult 0.22 % per bed endotracheal day Razavi et al [9] Prospective cohort controlled 2013 Pediatric 3.6 % per intubated bed patient day…”

Correlação entre o tempo de assistência de enfermagem e indicadores de qualidade assistencial em Unidades de Terapia Intensiva

“…Auto-extubação refere-se à ação do paciente, que deliberadamente remove o tubo endotraqueal. As razões para a autoextubação incluem dor ou desconforto causado por via aérea artificial e ansiedade dos pacientes devido à incapacidade para falar ou respirar por conta própria (Yeh et al, 2004;Samuelson, 2011).…”

“…Referencial teórico ______________________________________________________________________________________________ Na maioria dos estudos (Kiekkas et al, 2012), a incidência de ENP varia entre 0,5 % e 14,2%, com exceção de duas pesquisas que relatam 22,5% (Yeh et al, 2004) e de uma que indicou 33,3% de incidência (Tung et al, 2001). Cabe pontuar, que tais estudos expressam a incidência em percentuais.…”