Does Restraint has any influence on unplanned Extubation
Background: Unplanned extubation commonly occurs in ICUs. Various physical restraints have been used to prevent patients from removing their endotracheal tubes. However, physical restraint not only does not consistently prevent injury but also may be a safety hazard to patients
.
Objective:To evaluate the effect of physical restraint on unplanned extubation in adult intensive care patients.
Methods:
Results:The incidence rate of unplanned extubation was 8.7%. Factors associated with increased risk for unplanned extubation included
- Physical restraints: 3.11 times
- Nosocomial infection: 2.02 times
- Glasgow coma scale more than 9: 1.98 times
Episodes of unexplained extubation were also associated with increase ICU stay.
Conclusions: An impaired level of consciousness on admission to the intensive care unit and the presence of nosocomial infection intensify the risk for unplanned extubation, even when physical restraints are used.
Reference: click to get abstract/article
Chang LY, Wang KWK, Chao YF. Influence of physical restraint on unplanned extubation of adult intensive care patients: A case-control study. American Journal of critical Care 2008; 17:408-415
