Department of Pediatric Critical Care, University of Maryland Children's Hospital, 22 South Greene Street, Baltimore, MD 21201, USA; University of Maryland Children's Hospital, 110 South Paca Street, 8th Floor, Baltimore, MD 21201, USA.
Department of Pediatric Critical Care, University of Maryland Children's Hospital, 22 South Greene Street, Baltimore, MD 21201, USA.
Crit Care Nurs Clin North Am. 2023 Sep;35(3):295-301. doi: 10.1016/j.cnc.2023.04.004. Epub 2023 May 29.
Unplanned extubations (UEs) are common, potentially avoidable complications of endotracheal intubation among pediatric patients. UE can be associated with adverse patient outcomes including increased length of stay, hospitalization cost, and cardiorespiratory decompensation. Inconsistency in the definition of UE has led to underreporting. Staff must be able to recognize and intervene appropriately when an UE occurs. Risk factors have been identified and quality improvement initiatives aimed at reducing UE have shown to be effective in reducing the incidence. The lack of consistent definition may lead to underreporting and may not lead to effective quality improvement initiatives.
计划性拔管（UE）是儿科患者中常见的、潜在可预防的气管插管并发症。UE 可导致患者预后不良，包括住院时间延长、住院费用增加和心肺代偿失调。UE 的定义不一致导致报告不足。当 UE 发生时，工作人员必须能够识别并进行适当干预。已经确定了风险因素，旨在减少 UE 的质量改进措施已被证明可有效降低 UE 的发生率。缺乏一致的定义可能导致报告不足，并且可能不会导致有效的质量改进措施。
