title: Self/unplanned extubation: safety, surveillance, and monitoring of the mechanically ventilated patient.
abstract: The purpose of this article is to provide an appreciation for a significant risk to quality of care affecting patients receiving mechanical ventilation: unplanned extubation. A summary of the current literature provides evidence-based recommendations for how to minimize this potentially dangerous complication. In addition, recommendations for proceeding after unplanned extubation are made.
authors.affiliation: Weinberg Intensive Care Unit, Johns Hopkins Hospital, 401 North Broadway: Wbg 3A, Baltimore, MD 21231, USA. jking47@jhmi.edu
authors.forename: Julie N
authors.initials: JN
authors.lastname: King
authors.forename: Valerie A
authors.initials: VA
authors.lastname: Elliott
mesh_terms: D060666:Airway Extubation; D000700:Analgesics / Q000008:administration & dosage; D001007:Anxiety / Q000517:prevention & control; D003693:Delirium / Q000517:prevention & control; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007318:Inservice Training; D007362:Intensive Care Units; D061214:Patient Safety; D011595:Psychomotor Agitation / Q000517:prevention & control; D058996:Quality Improvement; D012121:Respiration, Artificial / Q000009:adverse effects* / Q000451:nursing*; D012149:Restraint, Physical; D018570:Risk Assessment; D015300:Ventilator Weaning
chemical_list: D000700:Analgesics; D006993:Hypnotics and Sedatives