Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

3.1K
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
3.1K
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

2.2K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.2K
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

919
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
919
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

1.1K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.1K
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

6.6K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
6.6K
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

1.3K
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
1.3K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Indicators of Clinical Trajectory in Patients With Cancer Who Receive Cardiopulmonary Resuscitation.

Journal of the National Comprehensive Cancer Network : JNCCN·2023
Same author

Examining the intubation decision in randomised clinical trials.

The European respiratory journal·2021
Same author

Acute respiratory failure in randomized trials of noninvasive respiratory support: A systematic review of definitions, patient characteristics, and criteria for intubation.

Journal of critical care·2020
Same author

Evaluation and Management of Obesity Hypoventilation Syndrome. An Official American Thoracic Society Clinical Practice Guideline.

American journal of respiratory and critical care medicine·2019
Same author

Predicting the Outcome of Nasal High-Flow Therapy: A Proposed Representation of the Data and a Supplemental Analysis.

American journal of respiratory and critical care medicine·2019
Same author

The clinical implications of tests confirming COPD in subjects hospitalized with exacerbations.

Hospital practice (1995)·2018
Same journal

Response to the Letter to the Editor Regarding "Comparative Evaluation of Risk Scores for Predicting Postoperative Pulmonary Complications".

Respiratory care·2026
Same journal

Respiratory Muscle Dysfunction in Stable COPD: A Multimodal Assessment of Diaphragmatic and Cough-Related Impairment.

Respiratory care·2026
Same journal

Flow Asynchronies During Pressure Support Ventilation in Children: A Bench Model Study.

Respiratory care·2026
Same journal

Inspiratory Effort Assessment Using the Occlusion Pressure-Derived Tension-Time Index.

Respiratory care·2026
Same journal

Clinical Usage of High-Flow Nasal Cannula Across Disease Categories and Care Settings: A Nationwide Cohort Study in Japan.

Respiratory care·2026
Same journal

Efficacy of Mechanical Insufflation-Exsufflation Devices as Analyzed in Lung Models: Systematic Review and Network Meta-Analysis of Peak Expiratory Flow Data.

Respiratory care·2026
See all related articles

Related Experiment Video

Updated: Dec 26, 2025

A Structured Approach to Extubation in Mechanically Ventilated Rats
05:05

A Structured Approach to Extubation in Mechanically Ventilated Rats

Published on: July 18, 2025

403

Self-Extubation Revisited: A Case-Control Study.

Renaud M Gueret1, Aiman Tulaimat2, Jorge L Morales-Estrella3

  • 1Department of Pulmonary, Critical Care and Sleep, John H Stroger Hospital of Cook County, Chicago, Illinois. rgueret@cookcountyhhs.org.

Respiratory Care
|March 19, 2020
PubMed
Summary
This summary is machine-generated.

Self-extubation is a risk in the ICU, especially in agitated patients within 2 days of mechanical ventilation. Vigilance is key to prevent re-intubation and improve patient outcomes.

Keywords:
mechanical ventilationmedical intensive care unitpredictors of reintubationpredictors of self-extubationself-extubation

More Related Videos

Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine
04:30

Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine

Published on: August 25, 2022

3.8K
Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
03:58

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

1.7K

Related Experiment Videos

Last Updated: Dec 26, 2025

A Structured Approach to Extubation in Mechanically Ventilated Rats
05:05

A Structured Approach to Extubation in Mechanically Ventilated Rats

Published on: July 18, 2025

403
Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine
04:30

Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine

Published on: August 25, 2022

3.8K
Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
03:58

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

1.7K

Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Patient Safety

Background:

  • Self-extubation is a significant concern in intensive care units (ICUs).
  • Understanding its incidence and associated risk factors is crucial for improving patient care.
  • Previous research has explored various contributing factors to self-extubation events.

Purpose of the Study:

  • To determine the rate of self-extubation in a medical ICU.
  • To identify risk factors associated with self-extubation.
  • To identify risk factors for re-intubation after self-extubation.

Main Methods:

  • Prospective identification of self-extubation events in mechanically ventilated patients.
  • Retrospective collection of patient characteristics including Richmond Agitation Severity Scale (RASS) scores, intubation reasons, and endotracheal tube (ETT) tip distance to carina.
  • Selection of control subjects from the mechanical ventilation database for comparison.

Main Results:

  • A self-extubation rate of 1.3 per 100 mechanical ventilation days was observed.
  • Patients who self-extubated had higher RASS scores, longer ETT tip-to-carina distance, and shorter duration of ventilation.
  • Hypoxic respiratory failure and nocturnal self-extubation were predictors of re-intubation, which did not increase mortality.

Conclusions:

  • Clinicians should be vigilant for self-extubation risk in agitated patients within the first 2 days of mechanical ventilation.
  • A longer endotracheal tube to carina distance on chest radiograph is a significant risk factor.
  • Reduced sedative use necessitates increased monitoring for self-extubation events.