title: Preventing extubation failures in a pediatric intensive care unit.
abstract: The objective of this project was to reduce the number of failed extubations in the pediatric intensive care unit. This article describes extubation failures in the pediatric intensive care unit and the development and implementation of an extubation readiness protocol using the Iowa Model for Evidence-based Practice as a guideline. The Iowa Model consists of processes for implementing evidence into practice, such as critiquing and synthesizing the literature, identifying stakeholders, and recognizing triggers. The extubation protocol was developed excluding children with previous lung injury and/or neuromuscular conditions, which contribute to an increased risk and complexity of planned extubations.
authors.affiliation: Pediatric Intensive Care Unit, Kapiolani Medical Center for Women & Children, 1319 Punahou Street, Honolulu, HI 96826, USA; Eastern Idaho Regional Medical Center, 3100 Channing Way, Idaho Falls, ID 83404, USA. Electronic address: Susan.bankheaddnp@gmail.com.
authors.forename: Susan
authors.initials: S
authors.lastname: Bankhead
authors.affiliation: Pediatric Intensive Care Unit, Kapiolani Medical Center for Women & Children, 1319 Punahou Street, Honolulu, HI 96826, USA.
authors.forename: Kolea
authors.initials: K
authors.lastname: Chong
authors.affiliation: Clinical Improvement, Hawaii Pacific Health, 55 Merchant Street 26th Floor, Honolulu, HI 96813, USA.
authors.forename: Sally
authors.initials: S
authors.lastname: Kamai
mesh_terms: D000293:Adolescent; D000328:Adult; D060666:Airway Extubation; D002648:Child; D002675:Child, Preschool; D055317:Evidence-Based Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D055815:Young Adult
keywords: Extubation; Iowa Model for Evidence-based Practice; Mechanical ventilation; PICU