ACCIDENTAL EXTUBATION IN NEWBORNS INTERNED IN A NEONATAL INTENSIVE CARE UNIT, FROM 2017 TO 2020, IN A PUBLIC MATERNITY IN SERGIPE: CONSEQUENCES AND ASSOCIATED FACTORS (Atena Editora)

Abstract

Introduction: Orotracheal intubation is a frequent procedure in neonatal intensive care units. However, maintaining the intubation condition is as complex and relevant as the need and urgency that motivated its performance in order to avoid accidental extubation, understood as any event of unexpected extubation or performed at an unscheduled time, due to agitation. of the patient or the handling of the team.Objective:it is proposed to recognize the consequences of the event of unscheduled extubation in the population sample studied. Methodology: sample data were collected from newborns admitted to a low-risk maternity intensive care unit in Sergipe, between 2017 and 2020. Results: It was shown that patients submitted to accidental extubation had an increase of 25.82 days of NICU stay and 12.57 days of use of mechanical ventilation. In addition, this population had an odds ratio of 21.6 times for ventilator pneumonia, 4.59 times for resuscitation in the delivery room, 24.2 times for pneumothorax, 17 times for early infection, 20.5 times of late infection and 8 more likely to die. Regarding this, it was found that the main cause of death was sepsis.Conclusion: The present study demonstrated a relationship between unscheduled extubation and increased length of stay in the neonatal ICU and the use of mechanical ventilation. In addition to the increased chance of associated complications such as the pneumonia by mechanical ventilation, resuscitation in the delivery room, pneumothorax, early or late infections and death.