Observational studyActa bio-medica : Atenei Parmensis2018
Unplanned extubations in general intensive care unit: A nine-year retrospective analysis.
Observational study in Acta bio-medica : Atenei Parmensis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Dexmedetomidine in Mechanically Ventilated Critically Ill Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Yonsei medical journal · 2025Pooled it
- Clinical application and evaluation of a new type of tracheal catheter fixation belt.Nursing open · 2023Trial
- Experiences of Intensive Care Nurses in Their Practice of Physical Restraint Among Patients: A Qualitative Study.Nursing open · 2026Article
- Observational
- Unplanned Extubation in the Burn Unit: A Retrospective Review.Journal of burn care & research : official publication of the American Burn Association · 2025Review
- Prediction model for unplanned extubation of thoracoabdominal drainage tube in postoperative inpatients: a retrospective study.European journal of medical research · 2025Article
- Characteristics of oral mucosal pressure injuries in children with orotracheal intubation in intensive care units: An observational study.Nursing in critical care · 2025Observational
- Magnitude and associated factors of unplanned extubation in intensive care unit: A multi-center prospective observational study.Annals of medicine and surgery (2012) · 2022Article
- Short and long-term complications due to standard and extended prone position cycles in CoViD-19 patients.Intensive & critical care nursing · 2022Article
- Multidisciplinary team approach in critically ill COVID-19 patients reduced pronation-related complications rate: A retrospective cohort study.Annals of medicine and surgery (2012) · 2021Article
- Development and Validation of Unplanned Extubation Prediction Models Using Intensive Care Unit Data: Retrospective, Comparative, Machine Learning Study.Journal of medical Internet research · 2021Article
- Reintubation during COVID-19 pandemic: a simple self-made guiding device facilitates reintubation and minimizes transmission.American journal of translational research · 2021Article
- Anesthesia, Sedation, and Unplanned Extubation of Tracheal Intubation in Children with Severe Pneumonia.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Frequency and Analysis of Unplanned Extubation in Coronavirus Disease 2019 Patients.Critical care explorations · 2020Article
- Insertion of four different types of supraglottic airway devices by emergency nurses. A mannequin-based simulation study.Acta bio-medica : Atenei Parmensis · 2020Article
- Impact of performance improvement strategies on unplanned extubation in an inner-city intensive care unit.Therapeutic advances in respiratory diseaseObservational
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimUnplanned extubation (UE) in Intensive Care Units (ICU) is an indicator of quality and safety of care. UEs are classified in: accidental extubations, if involuntarily caused during nursing care or medical procedures; self-extubation, if determined by the patient him/herself. In scientific literature, the cumulative incidence of UEs varies from 0.3% to 35.8%. The aim of this study is to explore the incidence of UEs in an Italian university general ICU adopting a well-established protocol of tracheal tube nursing management and fixation.
methodsretrospective observational study. We enrolled all patients undergone to invasive mechanical ventilation from 1st January 2008 to 31st December 2016.
resultsin the studied period 3422 patients underwent to endotracheal intubation. The UEs were 35: 33 self extubations (94%) and 2 accidental extubations (6%). The incidence of UEs calculated on 1497 patients intubated for more than 24 hours was 2.34%. Instead, it was 1.02%, if we consider the whole number of intubated patients. Only in 9 (26%) cases out of 35 UEs the patient was re-intubated. No deaths consequent to UE were recorded.
conclusionsThe incidence of UEs in this study showed rates according to the minimal values reported in scientific literature. A standardized program of endotracheal tube management (based on an effective and comfortable fixing system) seems to be a safe and a valid foundation in order to maintain the UE episodes at minimum rates.
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