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Unplanned Extubation: How Did That Happen,

and What Can We Do About It?

Andrew Klein, MS, RRT, RRT-ACCS, RRT-NPS, AE-C, FCCP, FAARC

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Description

Unplanned endotracheal extubation (UE), defined as the dislodging of an endotracheal tube from the trachea can lead to life-threating complications such as asphyxia, malignant arrhythmia and aspiration pneumonia. Studies have shown the UE prevalence in the ICU at 7% and most of these events are preventable. Care bundles are considered valuable and can improve outcomes. In this webinar, we will discuss a care bundle to prevent UE including restraint, fixation of the tracheal tube, continuous quality improvement, psychological care, and use of a root cause analysis for the occurrence of unplanned endotracheal extubation.

 

Learning Objectives

Upon completion of this activity, the participant will be able to:

  1. Describe unplanned extubation and its impact on patient care

  2. Discuss strategies and prevention bundles to decrease the likelihood of unplanned extubation

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