Safety incidents in airway and mechanical ventilation in Spanish ICUs: The IVeMVA study

Alonso-Oviés, Ángela; Nin, Nicolás; Martín, M.C.; Gordo, Federico; Merino, P.; Añón, J.M.; Obón, B.; Magret, Mónica; Gutiérrez, Isabel; investigators, IVeMVA study

doi:10.1016/j.jcrc.2018.07.012

Cited by 11 publications

(6 citation statements)

References 39 publications

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“…The incidence of VPP-related safety events described in the literature ranges between 1% and 11.9% (8,9). Table 1 summarizes the complications described in the literature as well as the associated risk factors.…”

Section: Complications With the Use Of Ppvmentioning

confidence: 99%

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Considerations of invasive mechanical ventilation in prone position. A narrative review

Díaz-Bohada

Segura-Salguero

Garzón-Beltrán

et al. 2021

Colomb. J. Anesthesiol.

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The evidence regarding logistic considerations and safety events associated with prone position ventilation (PPV) is summarized and a flow diagrama for safe provision of mechanical ventilation in the setting of the COVID-19 pandemic is proposed. A review of the literature was conducted in the Medline via Pubmed, Embase, and Lilacs databases, the Cochrane Database of Systematic Reviews, Cochrane Central Register of Randomized Controlled Trials, Cochrane Database of Abstracts of Reviews of Effects, ProQuest Nursing and Allied Health Database, and Google scholar. Overall, 31 articles were selected for the analysis. The incidence of PPV-related safety events varies between 1% and 11.9% and the most frequent complications are pressure ulcers and airway complications. Early initiation of enteral nutrition is recommended, and transfers are possible in patients on PPV. There is controversy regarding contraindications and recommendations for PPV. Recommendations for its safe provision are based on expert opinions and the establishment of protocols for healthcare staff training. Clinical studies are required to determine which are the recommendations that should be considered for safe and reproducible PPV use during this pandemic.

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Section: Complications With the Use Of Ppvmentioning

confidence: 99%

“…Cervical hyperextension (29) Device-related Catheter damage (9,11,14,(23)(24)(25) Accidental disconnection (9,14) Inadequate preparation of the maneuver (26) Device fixation (11) Source: Authors.…”

Section: Additional Considerationsmentioning

confidence: 99%

Considerations of invasive mechanical ventilation in prone position. A narrative review

Díaz-Bohada

Segura-Salguero

Garzón-Beltrán

et al. 2021

Colomb. J. Anesthesiol.

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“…This, in addition to the frequent severity of a patient's condition, can produce a multitude of incidents that place the patient's safety in potential or real danger to suffer from damage, and which can trigger serious sequelae and even death. 1 An incident that results in damage is considered an adverse event (AE). It is usually unintentional because of care taking and not because of the natural evolution of the underlying disease.…”

Section: Introductionmentioning

confidence: 99%

“…This, in addition to the frequent severity of a patient’s condition, can produce a multitude of incidents that place the patient’s safety in potential or real danger to suffer from damage, and which can trigger serious sequelae and even death. 1 …”

Section: Introductionmentioning

confidence: 99%

Adverse Events Related to Mechanical Ventilation in a Pediatric Intensive Care Unit

Martins

Ferreira

Kakehasi

2021

Rev. paul. pediatr.

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Objective: To identify the prevalence and factors associated with adverse events (AE) related to invasive mechanical ventilation in patients admitted to the Pediatric Intensive Care Unit (PICU) of a tertiary public hospital. Methods: This is a cross-sectional study from July 2016 to June 2018, with data collected throughout patients’ routine care in the unit by the care team. Demographic, clinical and ventilatory characteristics and adverse events were analysed. The logistic regression model was used for multivariate analysis regarding the factors associated with AE. Results: Three hundred and six patients were included, with a total ventilation time of 2,155 days. Adverse events occurred in 66 patients (21.6%), and in 11 of those (16.7%) two AE occurred, totalling 77 events (36 AE per 1000 days of ventilation). The most common AE was post-extubation stridor (25.9%), followed by unplanned extubation (16.9%). Episodes occurred predominantly in the afternoon shift (49.3%) and associated with mild damage (54.6%). Multivariate analysis showed a higher occurrence of AE associated with length of stay of 7 days or more (Odds Ratio [OR]=2.6; 95% confidence interval [95%CI] 1.49-4.66; p=0.001). Conclusions: The results of the present study show a significant number of preventable adverse events, especially stridor after extubation and accidental extubation. The higher frequency of these events is associated with longer hospitalization.

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“…Aunque la implementación de la ventilación mecánica se asocia a una disminución de la mortalidad de los pacientes con insuficiencia respiratoria aguda, esta técnica no está exenta de complicaciones (17) siendo la más importante la lesión inducida por el ventilador que puede mantener o empeorar la disfunción pulmonar. Por ello, en las últimas décadas se han publicado numerosos ensayos clínicos con el objetivo de prevenir o minimizar la lesión pulmonar inducida por ventilador ⎯uso de la ventilación con presión positiva no invasiva (18), estrategia de ventilación protectora del pulmón (19,20), ajuste de la presión positiva al final de la espiración (PEEP) (21), ventilación en posición en decúbito prono (22) y uso precoz de bloqueantes neuromusculares (23) ⎯ y disminuir la duración de la ventilación mecánica ⎯ajuste de la sedación (24,25) y la identificación precoz del momento de iniciar la desconexión de la ventilación mecánica (26)⎯.…”

Section: Introductionunclassified

Ventilación mecánica en España, 1998-2016: epidemiología y desenlaces

et al. 2021

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Safety incidents in airway and mechanical ventilation in Spanish ICUs: The IVeMVA study

Cited by 11 publications

References 39 publications

Considerations of invasive mechanical ventilation in prone position. A narrative review

Considerations of invasive mechanical ventilation in prone position. A narrative review

Adverse Events Related to Mechanical Ventilation in a Pediatric Intensive Care Unit

Ventilación mecánica en España, 1998-2016: epidemiología y desenlaces

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