Revisiting unplanned extubation in the pediatric intensive care unit: What's new?

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dc.citation.issue6
dc.citation.volume46
dc.contributor.authorLucas da Silva, Paulo Sergio
dc.contributor.authorFarah, Daniela [UNIFESP]
dc.contributor.authorMachado Fonseca, Marcelo Cunio [UNIFESP]
dc.coverageNew York
dc.date.accessioned2020-09-01T13:21:27Z
dc.date.available2020-09-01T13:21:27Z
dc.date.issued2017
dc.description.abstractIn 2010, recommendations for preventing unplanned extubations (UEs) in pediatric patients were published based on a literature review. Since then, there have been an increasing number of publications related to UE focusing on children. If the introduction of care bundles and larger body of evidence on UE had impact on UE occurrence, this would have important implications on clinical practice. We searched for relevant publications published between Jan 1, 2010 and Jun 30, 2016 in the MEDLINE, EMBASE, and Cochrane systems. Eight articles were eligible for data abstraction. Three studies were of high methodological quality. The mean contemporaneous incidence of UEs was 1.19 UEs/100 intubation days. The primary risk factors were as follows: caregiver bedside procedures/manipulation, agitation, and endotracheal tube care. The ideal incidence of UEs remains unknown. Key areas identified in the current review may be amenable to changes in unit processes by implementing a care bundle strategy. (C) 2017 Elsevier Inc. All rights reserved.en
dc.description.affiliationHosp Servidor Publ Municipal, Pediat Intens Care Unit, Dept Pediat, R Castro Alves 60, BR-01532000 Sao Paulo, Brazil
dc.description.affiliationFed Univ Sao Paulo UNIFESP, Hlth Technol Assessment Unit, R Botucatu 740, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationUnifespFed Univ Sao Paulo UNIFESP, Hlth Technol Assessment Unit, R Botucatu 740, BR-04023062 Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent444-451
dc.identifierhttp://dx.doi.org/10.1016/j.hrtlng.2017.08.006
dc.identifier.citationHeart & Lung. New York, v. 46, n. 6, p. 444-451, 2017.
dc.identifier.doi10.1016/j.hrtlng.2017.08.006
dc.identifier.issn0147-9563
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/58265
dc.identifier.wosWOS:000415278500007
dc.language.isoeng
dc.publisherMosby-Elsevier
dc.relation.ispartofHeart & Lung
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectChildrenen
dc.subjectIntubationen
dc.subjectPediatric intensive care uniten
dc.subjectRespiratory failureen
dc.subjectUnplanned extubationen
dc.titleRevisiting unplanned extubation in the pediatric intensive care unit: What's new?en
dc.typeinfo:eu-repo/semantics/article
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