{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T01:28:29Z","timestamp":1778808509059,"version":"3.51.4"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Orotracheal intubation and mechanical ventilation (MV) have become routine practices in intensive care units. Unplanned extubation (UE) is one of the most important complications, particularly in premature infants and critically ill newborns. The objective of this study was to determine the prevalence of UE in a tertiary care neonatal intensive care unit (NICU). In this analytical cross-sectional retrospective study, all data, including perinatal data, indications for ventilatory support, days of MV at the time of UE, work shift, month of the event, reintubation, and postextubation complications, were obtained from the manual review of clinical charts. In total, 151 neonates, who received invasive MV, were included in this study. The prevalence of UE was 2.0\/100\u2009days of ventilation. The most affected were premature infants, with a gestational age of \u2264 32\u2009weeks (54.7%) and a birth weight of \u2264 1500\u2009g. The main cause for UE was deficient fixation of the endotracheal tube (ETT) (27.7%). Most UE events occurred during night shifts (48.1%). Reintubation was required in 83.3% of newborns. Immediate complications developed in 96.3% of the UE events, including desaturation (57.7%) and bradycardia (36.5%). The prevalence of UE was high, particularly in premature infants, with a high rate of reintubation and immediate complications. Standardized protocols for ETT care must be implemented to reduce these events.<\/jats:p>","DOI":"10.1093\/tropej\/fmae039","type":"journal-article","created":{"date-parts":[[2024,10,12]],"date-time":"2024-10-12T06:09:08Z","timestamp":1728713348000},"source":"Crossref","is-referenced-by-count":2,"title":["Prevalence of unplanned extubation in a tertiary care neonatal intensive care unit"],"prefix":"10.1093","volume":"70","author":[{"given":"Heladia","family":"Garc\u00eda","sequence":"first","affiliation":[{"name":"Analysis and Synthesis of Evidence Research Unit, National Medical Center, Mexican Institute of Social Security , CP 06720 Mexico City,","place":["Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dulce Ivonne","family":"Ramos-Soto","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Pediatric Hospital, National Medical Center, Mexican Institute of Social Security , CP 06720 Mexico City,","place":["Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3262-2608","authenticated-orcid":false,"given":"Guadalupe","family":"Miranda-Novales","sequence":"additional","affiliation":[{"name":"Analysis and Synthesis of Evidence Research Unit, National Medical Center, Mexican Institute of Social Security , CP 06720 Mexico City,","place":["Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Luna-Santos","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Pediatric Hospital, National Medical Center, Mexican Institute of Social Security , CP 06720 Mexico City,","place":["Mexico"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"2024101206090122100_fmae039-B1","doi-asserted-by":"publisher","first-page":"e335","DOI":"10.1542\/neo.21-5-e335","article-title":"Neonatal intubation: past, present, and future","volume":"21","author":"Sawyer","year":"2020","journal-title":"Neoreviews"},{"key":"2024101206090122100_fmae039-B2","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1007\/s12098-016-2231-y","article-title":"Quality improvement study on new endotracheal tube securing device (neobar) in neonates","volume":"84","author":"Loganathan","year":"2017","journal-title":"Indian J Pediatr"},{"key":"2024101206090122100_fmae039-B3","doi-asserted-by":"publisher","first-page":"1237","DOI":"10.4187\/respcare.02164","article-title":"Unplanned extubation in the neonatal ICU: a systematic review, critical appraisal, and evidence-based recommendations","volume":"58","author":"Silva","year":"2013","journal-title":"Respir Care"},{"key":"2024101206090122100_fmae039-B4","doi-asserted-by":"publisher","first-page":"1059","DOI":"10.4187\/respcare.08203","article-title":"Decreasing unplanned extubations in the neonatal ICU","volume":"66","author":"Igo","year":"2021","journal-title":"Respir Care"},{"key":"2024101206090122100_fmae039-B5","doi-asserted-by":"publisher","first-page":"1788","DOI":"10.4187\/respcare.08543","article-title":"Decreasing unplanned extubations in the neonatal ICU","volume":"65","author":"Lauderbaugh","year":"2020","journal-title":"Respir Care"},{"key":"2024101206090122100_fmae039-B6","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1038\/s41372-021-00927-9","article-title":"Short-term complications and long-term morbidities associated with repeated unplanned extubations","volume":"41","author":"Pavlek","year":"2021","journal-title":"J Perinatol"},{"key":"2024101206090122100_fmae039-B7","doi-asserted-by":"publisher","first-page":"e92","DOI":"10.1097\/PTS.0000000000000707","article-title":"Wide variation in unplanned extubation rates related to differences in operational definitions","volume":"18","author":"Ndakor","year":"2022","journal-title":"J Patient Saf"},{"key":"2024101206090122100_fmae039-B8","doi-asserted-by":"publisher","first-page":"e676","DOI":"10.1038\/jp.2015.55","article-title":"Unplanned extubation in NICU patients: are we speaking the same language?","volume":"35","author":"Meyers","year":"2015","journal-title":"J Perinatol"},{"key":"2024101206090122100_fmae039-B9","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1016\/j.anpedi.2013.07.002","article-title":"Frecuencia de extubaciones no programadas en una unidad de cuidados intensivos neonatales. 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