An Evaluation of Risk Factors for Extubation Failure in Surgical Patients in Intensive Care

Dimensions of Critical Care Nursing : DCCN
Mary M DeivertFlorence E Turrentine

Abstract

Reintubations following extubation from mechanical ventilation are costly, resulting in increased morbidity and mortality. The preparation for and timing of extubation from mechanical ventilation can reduce unplanned reintubations. Few studies have investigated reintubation in the surgical intensive care unit (SICU) population. To identify risk factors that predict extubation failure in nontrauma surgical postoperative intensive care patients. Retrospective analysis utilizing American College of Surgeons National Surgical Quality Improvement Program data and institutional clinical variables from July 1, 2013, to December 31, 2015, in a sample (N = 93) of surgical patients admitted postoperatively to a SICU with an endotracheal tube in place, requiring invasive mechanical ventilation. Logistic regression analysis was used to model extubation failure as a function of clinical variables in the 24 hours preceding extubation. Of 93 patients, 70 were successfully extubated, and 23 experienced failure. Increasing respiratory rate in the 24 hours preceding extubation significantly predicted failure (odds ratio, 1.086; 95% confidence interval, 1.006-1.172; P = .034). Elevated respiratory rates during the 24 hours preceding extubation ar...Continue Reading

References

Aug 1, 1995·American Journal of Respiratory and Critical Care Medicine·S K Epstein
Jan 21, 2009·Circulation·Peter J PronovostSean M Berenholtz
Dec 1, 2009·Intensive Care Medicine·Leopoldo N SegalStanley B Fiel
Oct 1, 2011·Journal of Critical Care·Augusto SaviUNKNOWN Gaúcho Weaning Study Group
Feb 14, 2012·Respiratory Care·Nithya MenonMiriam M Treggiari
Jul 11, 2012·British Journal of Anaesthesia·P RujirojindakulJ Naklongdee
Feb 27, 2013·Revista brasileira de anestesiologia·Emídio Jorge Santos Lima
Apr 11, 2013·Anesthesiology·Britta BrueckmannMatthias Eikermann
May 29, 2013·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Huan-Tang LinAn-Hsun Chou
Jul 25, 2013·Respiratory Care·Timothy MiuMiriam M Treggiari
Dec 6, 2014·Critical Care Medicine·Arnaud W ThilleChristian Brun-Buisson
Apr 13, 2017·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Eric Shih Hsiung LeeAddy Yong Hui Tan
Sep 2, 2018·Journal of Critical Care·Antuani Rafael BaptistellaJoão Rogério Nunes Filho
Apr 20, 2019·British Journal of Nursing : BJN·Sandy Rolfe

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