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1
Risk factors and outcomes after unplanned extubations on the ICU: a case-control study.ICU 中非计划性拔管的风险因素和结局：一项病例对照研究。
Crit Care. 2011;15(1):R19. doi: 10.1186/cc9964. Epub 2011 Jan 13.
2
The drive to survive: unplanned extubation in the ICU.求生的本能：重症监护病房中的意外拔管
Chest. 2005 Aug;128(2):560-6. doi: 10.1378/chest.128.2.560.
3
Effect of unplanned extubation on outcome of mechanical ventilation.非计划拔管对机械通气结局的影响。
Am J Respir Crit Care Med. 2000 Jun;161(6):1912-6. doi: 10.1164/ajrccm.161.6.9908068.
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Accidental removal of endotracheal and nasogastric tubes and intravascular catheters.气管内导管、鼻胃管及血管内导管的意外拔除。
Crit Care Med. 2000 Jan;28(1):63-6. doi: 10.1097/00003246-200001000-00010.
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A prospective study of unplanned endotracheal extubation in intensive care unit patients.一项关于重症监护病房患者非计划性气管插管拔管的前瞻性研究。
Crit Care Med. 1998 Jul;26(7):1180-6. doi: 10.1097/00003246-199807000-00016.
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Unplanned extubation: risk factors of development and predictive criteria for reintubation.非计划拔管：发生风险因素及再插管的预测标准
Crit Care Med. 1998 Jun;26(6):1049-53. doi: 10.1097/00003246-199806000-00026.
7
Unplanned extubations in the adult intensive care unit: a prospective multicenter study. Association des Réanimateurs du Centre-Ouest.成人重症监护病房的非计划性拔管：一项前瞻性多中心研究。中西部复苏协会
Am J Respir Crit Care Med. 1998 Apr;157(4 Pt 1):1131-7. doi: 10.1164/ajrccm.157.4.9702083.
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Characteristics and outcomes of patients who self-extubate from ventilatory support: a case-control study.
Chest. 1997 Nov 5;112(5):1317-23. doi: 10.1378/chest.112.5.1317.
9
Effect of failed extubation on the outcome of mechanical ventilation.拔管失败对机械通气结局的影响。
Chest. 1997 Jul;112(1):186-92. doi: 10.1378/chest.112.1.186.
10
Effectiveness of a continuous quality improvement program aiming to reduce unplanned extubation: a prospective study.旨在减少非计划性拔管的持续质量改进项目的有效性：一项前瞻性研究。
Intensive Care Med. 1996 Nov;22(11):1269-71. doi: 10.1007/BF01709348.

ICU 中非计划性拔管：机械通气质量保证的标志。

Unplanned extubation in the ICU: a marker of quality assurance of mechanical ventilation.

机构信息

Intensive Care Unit, Hospital Universitario de Getafe, Carretera de Toledo, km 12500, Getafe, 28905 Madrid, Spain.

出版信息

Crit Care. 2011 Mar 8;15(2):128. doi: 10.1186/cc10049.

DOI:10.1186/cc10049
PMID:21392405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3219318/
Abstract

One of the most frequent complications associated with endotracheal intubation itself in intensive care units is unplanned extubation, which represents a potentially serious complication given that many patients may need reintubation while in poor condition. This scenario may account for an increase in morbidity and even in mortality. To be able to compare the rates of unplanned extubation in clinical practice, unplanned extubation should be expressed as incidence density of days at risk. Also, this complication (unplanned extubation and reintubation rates) may be used as a marker of quality of weaning care in intensive care units.

摘要

在重症监护病房中，与气管插管本身最相关的并发症之一是计划性拔管，这是一种潜在的严重并发症，因为许多患者在身体状况不佳时可能需要重新插管。这种情况可能会导致发病率增加，甚至死亡率增加。为了能够在临床实践中比较计划性拔管的发生率，应将计划性拔管表示为风险日的发生率密度。此外，这种并发症（计划性拔管和重新插管率）可用作重症监护病房脱机护理质量的标志物。