Self extubation in private rooms

[lindsey2092]

Hi all! Our NICU just remodeled into private rooms. Since this has occured our number of self extubations have gone through the roof. So I'm wondering if ayone has had this experience, and what you have done to help remedy this problem. We use tape to secure our ETTs, but I would love to trial some other option if anyone has suggestions for that as well. I know babies self extubate all the time, but our rate is 80% of vents self extubate since we've moved to private rooms. Thanks guys I really appreciate the help!!!

[Stefan Johansson]

Do you have infants intubated orally or nasally?

How are the single rooms staffed?

Are parents generally present?

[ram_jk]

Nasal intubation is the only way out I think! Or 1. You can get some good biomedical engineer who can connect an alarm to the ventilator and the nurses station. 2. Get a dedicated nurse for every room 3. teach parents if they are around about extubation (might not be a good idea for some) 4.may be for the future - robotics !