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Related Experiment Videos

Unplanned extubation: a local experience.

L L Phoa1, W Y Pek, W Syap

  • 1Department of Respiratory Medicine, Tan Tock Seng Hospital, 11 Jalan Tan, Tock Seng, Singapore 308433. lee_lan_phoa@ttsh.com.sg

Singapore Medical Journal
|February 18, 2003
PubMed
Summary
This summary is machine-generated.

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Unplanned extubation (UE) occurred in 8.7% of medical intensive care unit patients, with 58.3% needing reintubation. Failed UE increased mortality risk, predicted by higher APACHE II scores and lower oxygenation levels.

Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Hospital Outcomes Research

Background:

  • Unplanned extubation (UE) is a significant event in mechanically ventilated patients.
  • Understanding the outcomes and predictors of UE is crucial for improving patient care in the Medical Intensive Care Unit (MICU).

Purpose of the Study:

  • To investigate the outcomes of unplanned extubation (UE) in a Medical Intensive Care Unit (MICU) setting.
  • To identify factors that predict the necessity for reintubation following UE.

Main Methods:

  • A prospective study was conducted on all mechanically ventilated patients admitted to the MICU in 1998.
  • Patients were enrolled upon their first unplanned extubation, with reintubation and in-hospital mortality as primary and secondary endpoints.

Related Experiment Videos

Main Results:

  • Unplanned extubation (UE) occurred in 8.7% of mechanically ventilated patients.
  • The reintubation rate after failed UE was 58.3%, with 25% in-hospital mortality, exclusively in patients with failed UE.
  • Higher APACHE II scores, elevated pre-extubation FiO2, and lower PaO2/FiO2 ratios were associated with failed UE and subsequent reintubation.

Conclusions:

  • Unplanned extubation (UE) impacts a notable percentage of mechanically ventilated patients, with a high rate of reintubation and increased mortality.
  • Predictive factors for reintubation after failed UE include higher illness severity scores and poorer oxygenation parameters.