E-ISSN 2534-9821
 
2023, Vol: 7, Issue: 12
7 / 12Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Copyright Transfer Form

Short Communication
Online Published: 18 Feb 2021
 


Extubation Failure: The reality of a Pediatric Intensive Care Unit

Vanessa Gorito, Sofia Vasconcelos, Marta João Silva, Amélia Moreira, Teresa Cunha Da Mota, Augusto Ribeiro.


Abstract
Extubation failure (EF) is characterized by the need for reintubation after removal of the endotracheal tube. The prevalence in pediatric age is estimated at 2-20%. Although the causes are almost always multifactorial, EF has been associated with several risk factors and is generally associated with a worse prognosis and higher morbidity. We aimed to characterize the patients with EF admitted to the Pediatric Intensive Care Unit (PICU) of a Tertiary Hospital. It was performed a retrospective descriptive study of EF cases, considering all children admitted to the PICU between January 2017 and June 2020. Our study showed that patients with EF are mostly male and under the age of 2 years, with surgical admission, congenital heart disease, a higher LOS in PICU (12.5 days vs 5.6 days) and mortality (9.0% vs 2.67%). The presence of stridor was more prevalent in EF patients (45.4% vs 8.9%), probably increasing the risk of EF. Peri-extubation corticosteroids used in 72.7% of the EF patients seem to justify in part the existence of stridor after extubation (10.3% of all extubated patients vs 45.4% in EF patients). The higher use of corticosteroids in EF patients (72.7% vs 57.5%) is in line with higher stridor incidence among EF patients. Patients with EF have a higher length of stay, more comorbidities, more sequelae and generally worse prognosis. The adequate characterization of these patients makes it possible to plan and develop multidisciplinary strategies to prevent and minimize the risk factors associated with EF.

Key words: extubation failure, pediatric intensive care, morbidity, mortality, risk factor


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Vanessa Gorito
Articles by Sofia Vasconcelos
Articles by Marta João Silva
Articles by Amélia Moreira
Articles by Teresa Cunha da Mota
Articles by Augusto Ribeiro
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Gorito V, Vasconcelos S, Silva MJ, Moreira A, Mota TCD, Ribeiro A. Extubation Failure: The reality of a Pediatric Intensive Care Unit. Int J Med Rev Case Rep. 2021; 5(5): 25-27. doi:10.5455/IJMRCR.Extubation-Failure-12-452

Web Style

Gorito V, Vasconcelos S, Silva MJ, Moreira A, Mota TCD, Ribeiro A. Extubation Failure: The reality of a Pediatric Intensive Care Unit. https://www.mdpub.net/?mno=37364 [Access: April 02, 2025]. doi:10.5455/IJMRCR.Extubation-Failure-12-452

AMA (American Medical Association) Style

Gorito V, Vasconcelos S, Silva MJ, Moreira A, Mota TCD, Ribeiro A. Extubation Failure: The reality of a Pediatric Intensive Care Unit. Int J Med Rev Case Rep. 2021; 5(5): 25-27. doi:10.5455/IJMRCR.Extubation-Failure-12-452


Vancouver/ICMJE Style

Gorito V, Vasconcelos S, Silva MJ, Moreira A, Mota TCD, Ribeiro A. Extubation Failure: The reality of a Pediatric Intensive Care Unit. Int J Med Rev Case Rep. (2021), [cited April 02, 2025]; 5(5): 25-27. doi:10.5455/IJMRCR.Extubation-Failure-12-452


Harvard Style

Gorito, V., Vasconcelos, . S., Silva, . M. J., Moreira, . A., Mota, . T. C. D. & Ribeiro, . A. (2021) Extubation Failure: The reality of a Pediatric Intensive Care Unit. Int J Med Rev Case Rep, 5 (5), 25-27. doi:10.5455/IJMRCR.Extubation-Failure-12-452


Turabian Style

Gorito, Vanessa, Sofia Vasconcelos, Marta João Silva, Amélia Moreira, Teresa Cunha Da Mota, and Augusto Ribeiro. 2021. Extubation Failure: The reality of a Pediatric Intensive Care Unit. International Journal of Medical Reviews and Case Reports, 5 (5), 25-27. doi:10.5455/IJMRCR.Extubation-Failure-12-452


Chicago Style

Gorito, Vanessa, Sofia Vasconcelos, Marta João Silva, Amélia Moreira, Teresa Cunha Da Mota, and Augusto Ribeiro. "Extubation Failure: The reality of a Pediatric Intensive Care Unit." International Journal of Medical Reviews and Case Reports 5 (2021), 25-27. doi:10.5455/IJMRCR.Extubation-Failure-12-452


MLA (The Modern Language Association) Style

Gorito, Vanessa, Sofia Vasconcelos, Marta João Silva, Amélia Moreira, Teresa Cunha Da Mota, and Augusto Ribeiro. "Extubation Failure: The reality of a Pediatric Intensive Care Unit." International Journal of Medical Reviews and Case Reports 5.5 (2021), 25-27. Print. doi:10.5455/IJMRCR.Extubation-Failure-12-452


APA (American Psychological Association) Style

Gorito, V., Vasconcelos, . S., Silva, . M. J., Moreira, . A., Mota, . T. C. D. & Ribeiro, . A. (2021) Extubation Failure: The reality of a Pediatric Intensive Care Unit. International Journal of Medical Reviews and Case Reports, 5 (5), 25-27. doi:10.5455/IJMRCR.Extubation-Failure-12-452


Author LoginReviewer LoginAbout PublisherEditorial PoliciesEditorial Review PolicyPeer Review PolicyEditorial & Peer Review ProcessAuthor's Rights and ObligationsPublication Ethics and Publication Malpractice StatementConflict of Interest PolicyPlagiarism PolicyProtection of Research Participants (Statement On Human And Animal Rights)Privacy PolicyCorrections, Retractions & Expressions of ConcernSelf-Archiving PoliciesDigital Archiving & Preservation PoliciesStatement of Informed ConsentAdvertising PolicyTerms of UseLicense InformationCopyright Information

About International Journal of Medical Reviews and Case Reports

International Journal of Medical Reviews and Case Reports  (Int J Med Rev Case Rep)ISSN: 2534-9821The International Journal of Medical Reviews and Ca ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information


Any correspondence, queries or additional requests for information on the manuscript submission process should be sent to the International Journal of Medical Reviews and Case Reports editorial office as follows:

Bulgarian Association of Young Surgeons (BAYS);

National Center of Public Health and Analyses (NCPHA), floor 2, office № 31,  Sofia 1431, Bulgaria.

inkov@journalmedica.com

Financial department is managed by International Sci Ink Press. 

It is a company registered in Bulgaria with registered no. 205414288 and registered address at 57 Antim I str., Vazrazhdane, Sofia, 1303, Bulgaria.

Tel: +359883427500