Evidence · Systematic review or meta-analysis
Endotracheal Tube-Associated Complications in Paediatric Critical Care: A Systematic Review and Meta-Analysis.
- Airway
- Care and rehabilitation
- Infection and sepsis
- Infection prevention
- Intubation
- Line and device care
- Mechanical ventilation
- Medical
- Nursing
- Physiotherapy
- Pressure area care
- Respiratory
Summary
A systematic review and meta-analysis of 34 observational studies and RCTs (over 50 000 children, 232 123 ventilator days) estimating the incidence of endotracheal tube-associated complications in mechanically ventilated children in PICU. Ventilator-associated pneumonia was the most frequent complication, followed by accidental extubation, tube-related pressure injuries and tube blockage, with higher infection rates in low- and middle-income settings. Heterogeneity between studies was substantial. The authors argue these complications represent avoidable harm and call for prevention initiatives, particularly relevant to bedside nursing airway care.
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- Licence:
- Open (Creative Commons)
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