Rev. Soc. Bras. Enferm. Ped.2021;21(1):37-43.
Unscheduled extubation in children admitted to the ICU: incidence and associated factors
DOI: 10.31508/1676-3793202100007
Abstract
Objective
To investigate the incidence and risk factors associated with unscheduled extubation in children admitted to the Neonatal and Pediatric Intensive Care Units of a reference teaching hospital in Recife – PE.
Methods
Prospective study carried out with intubated children, between may and august 2013. A structured form was used and data were obtained from medical records and analyzed using SPSS 13.1 and Stata 12.1 software.
Results
An incidence of 10.9 unscheduled extubations per 100 intubated days was identified. Measures were soon implemented to reduce the occurrence of this event and after five years its incidence was checked again. A 60% reduction in extubation cases was observed.
Conclusion
The high incidence of unscheduled extubations found in this study and, subsequently, its reduction with improvement interventions, reinforces the need for continuing education of the multidisciplinary team.
Keywords: Adverse effects; Airway extubation; Intensive care units; Pediatrics