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VOLUME 11 , ISSUE 3 ( July, 2007 ) > List of Articles


Comparison of outcome of self-extubation and accidental extubation in ICU

Prithwis Bhattacharya, Arpan Chakraborty, Pawan Agarwal

Keywords : Accidental extubation, reintubation, self-extubation

Citation Information : Bhattacharya P, Chakraborty A, Agarwal P. Comparison of outcome of self-extubation and accidental extubation in ICU. Indian J Crit Care Med 2007; 11 (3):105-108.

DOI: 10.4103/0972-5229.35081

License: CC BY-ND 3.0

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2007; The Author(s).


Introduction: The study aimed to assess and compare the vulnerability and severity of outcomes in patients who suffered self-extubation and accidental extubation during their stay in the ICU. Design: Prospective observational study. Setting: Sixteen-bedded mixed intensive care unit in a tertiary care hospital. Materials and Methods: All adult patients admitted in ICU with either an endotracheal tube or a tracheostomy were included in the study. The time and description of the type of unplanned extubation, the cause and severity of the incident and its impact on the course of the patient′s illness, the person who noted the incident first and how it was detected were noted. Results: The rate of unplanned extubation was 32 (1.42/100 tube days) in 552 intubated patients (2243 tube days). Of them, 26 patients suffered self-extubation while the rest six patients were accidentally extubated. Re-intubation was required in eight patients after self-extubation while it was needed in all the six patients of accidental extubation. Three patients of accidental extubation went on to develop respiratory arrest including one patient who developed cardiac arrest. Conclusion: The outcome of the patients who suffered self-extubation is better than those with accidental extubations.

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  1. The Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. The development and evaluation of an incident reporting system in intensive care. Anaesth Intensive Care 1996;24:314-9.
  2. Patient safety standards - Hospitals: Standard LD.5.2. Effective 7/1/01. Avalable from:
  3. Reporting of unintended events in an intensive care unit: Comparison between staff and observer. BMC Emerg Med 2005;5:3.
  4. Effect of unplanned extubation on outcome of mechanical ventilation. Am J Resp Crit Care Med 2000;161:1912-6.
  5. Accidental removal of endotracheal and nasogastric tubes and intravascular catheters. Crit Care Med 2000;28:63-6.
  6. Airway accidents in an intensive care unit. Indian J Crit Care Med 2004;8:36-9.
  7. Development of a risk assessment tool for deliberate self-extubation in intensive care patients. Intensive Care Med 2004;30:1348-55.
  8. Changing patterns of airway accidents in intubated patients. Intensive Care Med 2001;27:296-300.
  9. Unplanned extubation. Predictors of successful termination of mechanical ventilatory support. Chest 1994;105:1808-12
  10. Unplanned extubation: Risk factors of development and predictive criteria for reintubation. Crit Care Med 1998;26:1049-53.
  11. Self extubations. A 12-month experience. Chest 1990;98:165-9.
  12. Accidental extubation in intensive care units: What implications for nursing care? Assist Inferm Ric 2004;23:36-47.
  13. The Richmond Agitation-Sedation Scale: Validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002;166:1338-44.
  14. Self-extubation in intensive care and re-intubation predictors: A retrospective study. J Indian Med Assoc 2002;100:11, 14-6.
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