International Journal of Nursing Studies
Volume 41, Issue 3 , Pages 255-262 , March 2004

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

  • Shu-Hui Yeh

      Affiliations

    • Chang Gung Institute of Technology, Chang Gung Hospital at Kaohsiung, 12F, #123, Ta-Pei Rd., Niao-Sung, Kaohsiung Hsiang 833, Taiwan
    • Corresponding Author InformationCorresponding author
    • ,
  • Li-Na Lee

      Affiliations

    • Kaohsiung Municipal Tatung Hospital, #68, Chung Hwa 3rd Rd., Kaohsiung 801, Taiwan
    • ,
  • Tien-Hui Ho

      Affiliations

    • Junior College of Nursing, Chung Hwa Institute of Technology, 3F-15, #21, Lane 235, Te-tung Street, East Distring, Tainan 701, Taiwan
    • ,
  • Ming-Chu Chiang

      Affiliations

    • Department of Nursing, Chang Gung Memorial Hospital at Kaohsiung, #123, Ta-Pei Rd., Niao-Sung, Kaohsiung Hsiang 833, Taiwan
    • ,
  • Li-Wei Lin

      Affiliations

    • Junior College of Nursing, Fooyin University, #151, Chinhsueh Road, Ta-Liao, Kaohsiung, Hsien 831, Taiwan

Received 22 August 2002 ,Revised 19 July 2003 ,Accepted 25 July 2003.

References 

  1. Atkins PM, Mion LC, Mendelson W, Palmer RM, Slomka J, Franko T. Characteristics and outcomes of patients who self-extubate from ventilatory support (a case-control study). Chest. 1997;112(5):1317–1323
  2. Betbese AJ, Perez M, Bak E, Rialp G, Mancebo J. A prospective study of unplanned endotracheal extubation in intensive care unit patients. Critical Care Medicine. 1998;26(7):1180–1186
  3. Brook AD, Sherman G, Malen J, Kollef MH. Early versus late tracheostomy in patients who require prolonged mechanical ventilation. American Journal of Critical Care. 2000;9(5):352–359
  4. Boulain T. Unplanned extubation in the adult intensive care unit (a prospective multicenter study). American Journal of Respiratory & Critical Care Medicine. 1998;157:1131–1137
  5. Carrion MI, Ayuso D, Marcos M, Paz Robles M, de la Cal MA, Alia I, et al. Accidental removal of endotracheal and nasogastric tubes and intravascular catheters. Critical Care Medicine. 2000;28(1):63–66
  6. Chang CY, Lin LH, Lin CC, Chung MH. To prevent accidental UE and self-extubation. Nursing Administration Best Works. 1993;1:39–47
  7. Chen SF, Yu JM, Wang LL, Lin YL. A study of risk factors of unplanned extubation. The Journal of Health Science. 2000;2(3):250–258
  8. Chen CZ, Chu YC, Lee CH, Chen CW, Chang HY, Hsiue TR. Factors predicting reintubation after unplanned extubation. Journal of Formosa Medical Association. 2002;101(8):542–547
  9. Chevron V, Menard JF, Richard JC, Girault C, Leroy J, Bonmarchand G. Unplanned extubation (risk factors of development and predictive criteria for reintubation). Critical Care Medicine. 1998;26(6):1049–1053
  10. Christie JM, Dethlefsen M, Cane RD. Unplanned endotracheal extubation in the intensive care unit. Journal of Clinical Anesthesia. 1996;8(4):289–293
  11. Coppolo DP, May JJ. Self-extubations (a 12-month experience). Chest. 1990;98(1):165–169
  12. Dasta JF, Fuhrman TM, McCandles C. Use of sedatives and analgesics in a surgical intensive care unit (a follow-up and commentary). Heart & Lung. 1995;24(1):76–78
  13. Epstein SK, Nevins ML, Chung J. Effect of unplanned extubation on outcome of mechanical ventilation. American Journal of Respiratory & Critical Care Medicine. 2000;161(6):1912–1916
  14. Grap MJ, Glass C, Lindamood MO. Factors related to unplanned extubation of endotracheal tubes. Critical Care Nurse. 1995;15(2):57–65
  15. Hsu SC, Chen YL, Ke DS. Factor associated with non-planned extubation of endotracheal tube in adult intensive care unit. Taiwan Critical Care Medicine. 2002;4(1):9–16
  16. Jaegor JM, Littlewood KA, Durbin CG. The role of tracheostomy in weaning from mechanical ventilation. Respiratory Care. 2002;47(4):469–480
  17. Listello D, Sessler CN. Unplanned extubation. Clinical predictors for reintubation. Chest. 1994;105(5):1496–1503
  18. Leisifer D. Monitoring pain control and charting. Critical Care Clinics. 1990;6(2):283–294
  19. Maguire GP, DeLorenzo LJ, Moggio RA. Unplanned extubation in the intensive care unit (a quality-of-care concern). Critical Care Nursing Quarterly. 1994;17(3):40–47
  20. Medina M, Beydoun HK, Hsu WW, Brandstetter RD. Reducing unplanned extubation (the benefit of combined chest and restraints with sedation). Chest. 1993;103(3):273S
  21. Pesiri AJ. Two-year study of the prevention of unintentional extubation. Critical Care Nursing Quarterly. 1994;17(3):35–39
  22. Razek T, Gracias V, Sullivan D, Braxton C, Gnadhi R, Gupta R, et al. Assessing the need for reintubation (a prospective evaluation of unplanned endotracheal extubation). Journal of Trauma-Injury Infection & Critical Care. 2000;48(3):466–469
  23. Rodriguez JL, Steinberg SM, Luchetti FA, Gibbons KJ, Taheri PA, Flint LM. Early tracheostomy for primary airway management in the surgical critical care setting. Surgery. 1990;108(4):655–659
  24. Saffle JR, Morris SE, Edelman L. Early tracheostomy does mot improve outcome in burn patients. Journal of Burn Care & Rehabilitation. 2002;23(6):431–438
  25. Sharp S. Understanding stress in the ICU setting. British Journal of Nursing. 1996;5(6):369–373
  26. Spector, R.E., 1991. Cultural Diversity in Health and Illness, 3rd Edition. Alleton and Lange, Norwalk, CT.
  27. Tang GJ. Intensive care unit sedatives and analgesics. Clinical Medicine. 1999;41(4):248–255
  28. Teoh WH, Goh KY, Chan C. The role of early tracheostomy in critically ill neurosurgical patients. Annals of the Academy of Medicine, Singapore. 2001;30(3):234–238
  29. Tindol Jr., G.A., DiBenedetto, R.J., Kosciuk, L., 1994. Unplanned extubations. Chest 105 (6), 1804-1807.
  30. Tominaga GT, Rudzwick H, Scannell G, Waxman K. Decreasing unplanned extubations in the surgical intensive care unit. American Journal of Surgery. 1995;170(6):586–590
  31. Tung A, Tadimeti L, Caruana-Montaldo B, Atkins PM, Mion LC, Palmer RM, et al. The relationship of sedation to deliberate self-extubation. Journal of Clinical Anesthesia. 2001;13(1):24–29
  32. Whelan J, Simpson SQ, Levy H. Unplanned extubation (predictors of successful termination of mechanical ventilatory support). Chest. 1994;105(6):1808–1812
  33. Wu CT, Wong CS. Pain control in intensive care unit. Taiwan Critical Care Medicine. 2000;2(4):288–299
  34. Young C, Knudsen N, Hilton A, Reves JG. Sedation in the intensive care unit. Critical Care Medicine. 2000;28(3):854–866

PII: S0020-7489(03)00136-6

doi: 10.1016/S0020-7489(03)00136-6

International Journal of Nursing Studies
Volume 41, Issue 3 , Pages 255-262 , March 2004

Article Tools