Airway Safety During Mechanical Ventilation: Survey of ICU Clinicians Practices and Perceptions
Year: 2025
Type: article
Study design: Observational Study
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.
Source: Critical Care Explorations
Institutions: University of California, Irvine, MemorialCare Long Beach Medical Center, University of California, Irvine Medical Center, University of California, Davis, Yale University, Duke University, Duke Medical Center, Sarasota Memorial Health Care System, Sarasota Memorial Hospital, Western University of Health Sciences, Tufts University, Brigham and Women's Hospital, Northeastern University
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,600
Award: G6396713913
OpenAlex ID: W4408787149