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Reducing Unplanned Extubation in Pediatric Patients

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1.  What characterizes accidental extubation? The patient voluntarily removes the endotracheal tube An external force causes the endotracheal tube to be pulled out of the airway The healthcare provider intentionally removes the tube It is a planned procedure for airway management

2.  What is one of the impacts of unplanned extubation in pediatrics? Increased patient satisfaction Decreased hospital stay Cardiovascular collapse and cardiac arrest in up to 20% Reduced reintubation rates

3.  All of the following factors are associated with an increased incidence of unplanned extubation, EXCEPT: Inadequate breathing tube stabilization Patient restlessness and agitation Use of Midazolam to decrease agitation and delirium Adequate staffing and experienced medical team

4.  Which approach includes the assessment, prevention, and management of pain as a key component in preventing unplanned extubation? ABCDEF Bundles Use of physical restraints Spontaneous awakening and breathing trials (SAT/SBT) Inadequate sedation

5.  What is the significance of completing an ACA (apparent cause analysis) event form for each unplanned extubation on the same shift as it occurred? It is a regulatory requirement It helps track patterns and common causes of UE It increases sedation levels It reduces the need for multi-disciplinary discussions