Unplanned Extubation in the NICU: Preventing the Risk



Kathleen Deakins, MSHA, RRT-NPS, FAARC 

Manager Pediatric Respiratory Care 

UH Rainbow Babies & Children's, 

Cleveland OH

Terese Verklan, RN, CCNS, PhD, FAAN 

Professor, University of Texas Medical Branch, School of Nursing 

Galveston, TX

Unplanned extubation is an unanticipated removal of an endotracheal tube that potentially places a patient at risk for short- or long-term complications. In neonates, spontaneous movement, tube dislodgement during procedures, uncuffed endotracheal tubes, positioning, and suctioning, increase the threat of unplanned extubation in this population. In this CE webinar, neonatal experts will share protocols from their facility on how focusing efforts on controllable measures to reduce the incidence of unplanned extubation in the NICU is crucial to preventing it. Sustaining adherence to prevention measures is the greatest challenge to bedside caregiver and is necessary to protect the patient from harm.


Learning Objectives:

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

  1. Define unplanned extubation and its side effects on a developing infant

  2. Discuss interventions for preventing unplanned extubations that have shown to impact care and contribute to prevention  

  3. Describe neonatal positioning and why it is an important component to preventing unplanned extubations 

  4. Describe how to position an infant to prevent unplanned extubations   

Supported by an educational grant 

Philips Healthcare

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