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Unplanned Extubation: Appendix
Our data suggest that patients receiving an FI02 >0.40 are at high risk for respiratory failure after unplanned extubation, while those receiving an FI02 <0.40 can be safely observed after such an event. Total ventilatory support before to unplanned extubation, estimated by We, was also significantly higher in the RI group other generic allegra. This […]
Unplanned Extubation: Conclusion
Reintubation after unplanned extubation should not be considered mandatory. Our reintubation incidence of only 78 percent (18 of 23 events) supports this position, and other series have reported reintubation rates as low as 31 percent.2 Furthermore, one group noted that 90 percent of the self-extubated patients in their study could have had more timely weaning […]
Unplanned Extubation: Discussion
Unplanned extubation—self-extubation or accidental extubation—occurs with surprising frequency in mechanically ventilated patients. In our study, the incidence of unplanned extubation was 7 percent, similar to the 8.5 percent to 16 percent reported in other studies. Furthermore, unplanned extubation is difficult to prevent, as evidenced by the fact that 65 percent of our patients had been […]
Unplanned Extubation: Results
During the study period, there were 319 mechanically ventilated patients in the MICU; 23 unplanned extubations occurred during the same period (7 percent of all ventilated patients). Of the 23 events, only 2 appeared to have been accidental extubations, while the remainder were most likely intentional (self-extubations). In all cases, important measures had been taken […]
Unplanned Extubation: Methods
Unplanned extubation, self-extubation or accidental extubation, is a common occurrence in mechanically ventilated patients.* Although many patients require reintubation, 47 percent to 69 percent fare well without further ventilatory support. Because weaning parameters are often unavailable at the time of unplanned extubation, it would be useful to define routinely available pre-extubation respiratory and ventilatory parameters […]