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

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.
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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...
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

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...
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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...
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...

You might also read

Related Articles

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

Sort by
Same author

Clinical Practice Guidelines for the Last Days of Life: A Systematic Review.

Journal of clinical medicine·2026
Same author

Quality of Life and Mental Health Among Families Caring for Children with Medical Complexity: A Scoping Review.

Healthcare (Basel, Switzerland)·2026
Same author

Primary Care Utilization and Prehospital Emergency Demand Among Patients with Multimorbidity in Spain.

Nursing reports (Pavia, Italy)·2025
Same author

Experiences, Beliefs, and Values of Patients with Chronic Pain Who Attended a Nurse-Led Program: A Descriptive Phenomenological Qualitative Study.

Nursing reports (Pavia, Italy)·2025
Same author

Exploring Factors Influencing Advanced Practice Nurse Implementation: A Comparative Cross-Sectional Study in Seven European Countries.

Journal of advanced nursing·2025
Same author

Real-life use of validated quality of life questionnaires in patients with pulmonary arterial hypertension in Spain: a cross-sectional study.

European journal of cardiovascular nursing·2025
Same journal

BACCN News: Vol 31, Issue 4.

Nursing in critical care·2026
Same journal

Explainable Artificial Intelligence in Critical Care Nursing: A Discussion Paper.

Nursing in critical care·2026
Same journal

Towards a Conceptual Definition of ICU-Acquired Oral Frailty: A Qualitative Study of Patients, Family Members and Clinicians.

Nursing in critical care·2026
Same journal

Response to Yu et al.'s Commentary on Effectiveness of Oral Care Intervention and Safe Swallowing Education on Post-Extubation Dysphagia in ICU Patients: A Nurse-Led Quasi-Experimental Study.

Nursing in critical care·2026
Same journal

Designing Nurse-Physician Collaboration to Improve Psychological Safety, Satisfaction and Commitment of Critical Care Nurses-A Multi-Informant Survey Study.

Nursing in critical care·2026
Same journal

Development of Entrustable Professional Activities for Adult Intensive Care.

Nursing in critical care·2026
See all related articles

Related Experiment Video

Updated: May 31, 2026

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

Unplanned Extubation in PICU and Its Adverse Impact: A Case-Control Study.

J M Ruiz-Ramírez1, J M Garcia-Piñero1,2, Alvaro León Campos2

  • 1Regional University Hospital, Málaga, Spain.

Nursing in Critical Care
|May 29, 2026
PubMed
Summary
This summary is machine-generated.

Unplanned extubations in paediatric intensive care units (PICUs) are linked to patient factors and care organization. Modifiable factors like sedation and nurse staffing can reduce these adverse events.

Keywords:
childrenintensive carenurse ratiospaediatric critical carepatient safetyventilation

Related Experiment Videos

Last Updated: May 31, 2026

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

Area of Science:

  • Pediatric critical care medicine
  • Patient safety research
  • Healthcare management

Background:

  • Unplanned extubations are significant adverse events in Paediatric Intensive Care Units (PICUs).
  • These events stem from a combination of patient-specific characteristics and organizational factors within the PICU environment.

Purpose of the Study:

  • To pinpoint the primary clinical and contextual factors associated with unplanned extubations in PICU patients.
  • To identify modifiable determinants for targeted intervention strategies.

Main Methods:

  • A retrospective observational case-control study was performed.
  • Data were collected from patients experiencing unplanned extubations (cases) and those who did not (controls) at a paediatric hospital.

Main Results:

  • The study included 121 cases and 275 controls, with an unplanned extubation rate of 5.07 per 100 ventilated patients.
  • Independent predictors identified include assisted ventilation use, specific ventilatory modes, lower midazolam doses, and nurse overallocation.
  • Unplanned extubations were associated with an average increase of 7.5 days in PICU length of stay.

Conclusions:

  • Unplanned extubations in PICUs are multifactorial, influenced by clinical and organizational elements.
  • Key identified predictors, such as sedation practices and nurse staffing levels, are modifiable.
  • Implementing targeted interventions can reduce the incidence of unplanned extubations, improving patient safety and outcomes.