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. 2025 Mar 24;7(4):e1234.
doi: 10.1097/CCE.0000000000001234. eCollection 2025 Apr 1.

Airway Safety During Mechanical Ventilation: Survey of ICU Clinicians Practices and Perceptions

Maged A Tanios  1   2 , Jaqueline C Stocking  3 , Jean G Charchaflieh  4 , Andrew G Miller  5 , Jay V Patel  1   2 , Antonia L Vilella  6 , Huan Mark Nguyen  7 , Scott K Epstein  8 , Antonio Beltran  1   2 , John W Devlin  9   10
Affiliations

Airway Safety During Mechanical Ventilation: Survey of ICU Clinicians Practices and Perceptions

Maged A Tanios et al. Crit Care Explor. .

Abstract

We report results from a survey of members of the Society of Critical Care Medicine to assess ICU clinicians' perceptions of artificial airway safety practices and unplanned extubation (UE) prevention. The survey was distributed between January and February 2024 and received 518 responses (68.5% response rate), with 87.5% from adult ICUs and 12.5% from Pediatric ICUs. Only 48% of adult ICU respondents tracked UE, compared with 73% tracking pressure injuries. Most respondents did not consider UE a "never event," with over half viewing it as unavoidable. In adult ICUs, delirium was ranked as the highest UE risk factor, and commercial securement devices were the primary endotracheal tube securement method (75.2%). Significant variations were observed in artificial airway management practices and responsibility assignments across ICU settings. The results highlight substantial disparities in airway safety management beliefs and practices, underscoring the need for standardized, evidence-based guidelines.

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Conflict of interest statement

The authors have disclosed that they do not have any potential conflicts of interest.

Figures

Figure 1.
Figure 1.
Respondent’s level of agreement with potential factors contributing to unplanned extubation. CXR = Chest X-ray; ETT = endotracheal tube; PT = patient; RCP = respiratory care practitioner; RN = registered nurse.
See this image and copyright information in PMC

References

    1. Anis A, Patel R, Tanios MA: Analytical review of unplanned extubation in intensive care units and recommendation on multidisciplinary preventive approaches. J Intensive Care Med 2024; 39:507–513 - PubMed
    1. The Joint Commission: Hospital: 2024 National patient safety goals. 2024. Available at: https://www.jointcommission.org/standards/national-patient-safety-goals/.... Accessed March 8, 2025
    1. Moss J, Maurer B, Howes C: Unplanned extubation in the pediatric intensive care unit. Crit Care Nurs Clin North Am 2023; 35:295–301 - PubMed
    1. Wu J, Liu Z, Shen D, et al. : Prevention of unplanned endotracheal extubation in intensive care unit: An overview of systematic reviews. Nurs Open 2023; 10:392–403 - PMC - PubMed
    1. Devlin JW, Skrobik Y, Gelinas C, et al. : Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med 2018; 46:e825–e873 - PubMed

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