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International Journal of Pediatrics
Volume 2009, Article ID 820495, 5 pages
http://dx.doi.org/10.1155/2009/820495
Clinical Study

Reducing Unplanned Extubations in a Pediatric Intensive Care Unit: A Systematic Approach

1Division of Critical Care Medicine, Department of Pediatrics, Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLA, Torrance, CA 90509, USA
2Department of Nursing, Harbor-UCLA Medical Center, Torrance, CA 90509, USA

Received 7 August 2009; Accepted 20 November 2009

Academic Editor: Praveen Kumar

Copyright © 2009 Bonnie R. Rachman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. M. Christie, M. Dethlefsen, and R. D. Cane, “Unplanned endotracheal extubation in the intensive care unit,” Journal of Clinical Anesthesia, vol. 8, no. 4, pp. 289–293, 1996. View at Publisher · View at Google Scholar · View at Scopus
  2. S. C. Kurachek, C. J. Newth, M. W. Quasney et al., “Extubation failure in pediatric intensive care: a multiple-center study of risk factors and outcomes,” Critical Care Medicine, vol. 31, no. 11, pp. 2657–2664, 2003. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  3. R. Sadowski, R. E. Dechert, K. P. Bandy et al., “Continuous quality improvement: reducing unplanned extubations in a pediatric intensive care unit,” Pediatrics, vol. 114, no. 3, pp. 628–632, 2004. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  4. M. L. Popernack, N. J. Thomas, and S. E. Lucking, “Decreasing unplanned extubations: utilization of the Penn State Children's Hospital Sedation Algorithm,” Pediatric Critical Care Medicine, vol. 5, no. 1, pp. 58–62, 2004. View at Google Scholar · View at Scopus
  5. B. S. Frank and R. J. Lewis, “Experience with intubated patients does not affect the accidental extubation rate in pediatric intensive care units and intensive care nurseries,” Pediatric Pulmonology, vol. 23, no. 6, pp. 424–428, 1997. View at Publisher · View at Google Scholar · View at Scopus
  6. V. Chevron, J.-F. Menard, J.-C. Richard, C. Girault, J. Leroy, and G. Bonmarchand, “Unplanned extubation: risk factors of development and predictive criteria for reintubation,” Critical Care Medicine, vol. 26, no. 6, pp. 1049–1053, 1998. View at Publisher · View at Google Scholar · View at Scopus
  7. A.-J. Betbese, M. Perez, E. Bak, G. Rialp, and J. Mancebo, “A prospective study of unplanned endotracheal extubation in intensive care unit patients,” Critical Care Medicine, vol. 26, no. 7, pp. 1180–1186, 1998. View at Publisher · View at Google Scholar · View at Scopus
  8. D. Listello and C. N. Sessler, “Unplanned extubation: clinical predictors for reintubation,” Chest, vol. 105, no. 5, pp. 1496–1503, 1994. View at Google Scholar · View at Scopus
  9. N. Khan, A. Brown, and S. T. Venkataraman, “Predictors of extubation success and failure in mechanically ventilated infants and children,” Critical Care Medicine, vol. 24, no. 9, pp. 1568–1579, 1996. View at Google Scholar · View at Scopus
  10. L. A. Little, J. C. Koenig Jr., and C. J. L. Newth, “Factors affecting accidental extubations in neonatal and pediatric intensive care patients,” Critical Care Medicine, vol. 18, no. 2, pp. 163–165, 1990. View at Google Scholar · View at Scopus
  11. J. C. Benneyan, R. C. Lloyd, and P. E. Plsek, “Statistical process control as a tool for research and healthcare improvement,” Quality and Safety in Health Care, vol. 12, no. 6, pp. 458–464, 2003. View at Google Scholar · View at Scopus
  12. M. Schwarz, S. E. Landis, and J. E. Rowe, “A team approach to quality improvement,” Family Practice Management, vol. 6, no. 4, pp. 25–30, 1999. View at Google Scholar · View at Scopus
  13. K. Ellstrom, M. Brenner, and J. Williams, “Decreasing unplanned extubations in the medical ICU,” Critical Care Medicine, vol. 25, supplement, p. 138, 1997. View at Google Scholar
  14. J. Powers, “A sedation protocol for preventing patient self-extubation,” Dimensions of Critical Care Nursing, vol. 18, no. 2, pp. 30–34, 1999. View at Google Scholar · View at Scopus
  15. M. van Dijk, J. W. Peters, P. van Deventer, and D. Tibboel, “The comfort behavior scale: a tool for assessing pain and sedation in infants,” American Journal of Nursing, vol. 105, no. 1, pp. 33–37, 2005. View at Google Scholar · View at Scopus
  16. J. Hansen-Flaschen, J. Cowen, and R. C. Polomano, “Beyond the Ramsay scale: need for a validated measure of sedating drug efficacy in the intensive care unit,” Critical Care Medicine, vol. 22, no. 5, pp. 732–733, 1994. View at Google Scholar · View at Scopus
  17. C. M. Marx, P. G. Smith, L. H. Lowrie et al., “Optimal sedation of mechanically ventilated pediatric critical care patients,” Critical Care Medicine, vol. 22, no. 1, pp. 163–170, 1994. View at Google Scholar · View at Scopus
  18. H. M. Parsons, “What happened at Hawthorne? New evidence suggests the Hawthorne effect resulted from operant reinforcement contingencies,” Science, vol. 183, pp. 922–932, 1974. View at Publisher · View at Google Scholar · View at PubMed