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.
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。
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