scholarly journals Incidence of accidental extubation in patients on mechanical ventilation in the ICU of Distrito Federal

Critical Care ◽  
2009 ◽  
Vol 13 (Suppl 3) ◽  
pp. P61
Author(s):  
JA Araújo Neto ◽  
GF Amaral ◽  
SCG Bernardes ◽  
A Gouveia ◽  
FB Lima ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Accidental Extubation ◽  
Distrito Federal

Impact of Unplanned Extubation and Reintubation after Weaning on Nosocomial Pneumonia Risk in the Intensive Care Unit

2002 ◽  
Vol 97 (1) ◽  
pp. 148-156 ◽  
Author(s):  
Arnaud de Lassence ◽  
Corinne Alberti ◽  
Élie Azoulay ◽  
Eric Le Miere ◽  
Christine Cheval ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Relative Risk ◽  
Confidence Interval ◽  
Nosocomial Pneumonia ◽  
Incidence Density ◽  
Control Group ◽  
Unplanned Extubation ◽  
Accidental Extubation

Background The authors prospectively evaluated the occurrence and outcomes of unplanned extubations (self-extubation and accidental extubation) and reintubation after weaning, and examined the hypothesis that these events may differ regarding their influence on the risk of nosocomial pneumonia. Methods Data were taken from a prospective, 2-yr database including 750 mechanically ventilated patients from six intensive care units. Results One hundred five patients (14%) experienced at least one episode of these 3 events; 51 self-extubations occurred in 38 patients, 24 accidental extubations in 22 patients, and 56 reintubations after weaning in 45 patients. The incidence density of these 3 events was 16.4 per 1,000 mechanical ventilation days. Reintubation within 48 h was needed consistently after accidental extubation but was unnecessary in 37% of self-extubated patients. Unplanned extubation and reintubation after weaning were associated with longer total mechanical ventilation (17 vs. 6 days; P < 0.0001), intensive care unit stay (22 vs. 9 days; P < 0.0001), and hospital stay (34 vs. 18 days; P < 0.0001) than in control group, but did not influence intensive care unit or hospital mortality. The incidence of nosocomial pneumonia was significantly higher in patients with unplanned extubation or reintubation after weaning (27.6% vs. 13.8%; P = 0.002). In a Cox model adjusting on severity at admission, unplanned extubation and reintubation after weaning increased the risk of nosocomial pneumonia (relative risk, 1.80; 95% confidence interval, 1.15-2.80; P = 0.009). This risk increase was entirely ascribable to accidental extubation (relative risk, 5.3; 95% confidence interval, 2.8-9.9; P < 0.001). Conclusion Accidental extubation but not self-extubation or reintubation after weaning increased the risk of nosocomial pneumonia. These 3 events may deserve evaluation as an indicator for quality-of-care studies.

Patients Requiring Tracheostomy and Mechanical Ventilation

ASHA Leader ◽  
2009 ◽  
Vol 14 (1) ◽  
pp. 10-13 ◽  
Author(s):  
Carrie Windhorst ◽  
Ricque Harth ◽  
Cheryl Wagoner
Keyword(s):  
Mechanical Ventilation

Ambulatory care of non-invasive mechanical ventilation in COPD patients with global decompensated respiratory acidosis

Pneumologie ◽  
2017 ◽  
Vol 71 (S 01) ◽  
pp. S1-S125
Author(s):  
EJ Soto Hurtado ◽  
P Gutiérrez Castaño ◽  
JJ Torres ◽  
MD Jiménez Fernández ◽  
M Pérez Soriano ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Ambulatory Care ◽  
Invasive Mechanical Ventilation ◽  
Respiratory Acidosis ◽  
Non Invasive ◽  
Copd Patients
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