This video explains unplanned extubation, which occurs when a child’s breathing tube accidentally comes out.

Unplanned Extubation (UE)

What is an Unplanned Extubation (UE)?

An unplanned extubation happens when the breathing tube your child has accidentally comes out. This tube is placed in their airway to help them breathe while they’re in the hospital. If the tube comes out by accident, the doctors will act fast to put it back in or find another way to help your child breathe comfortably.

What Can I Do to Help Prevent This From Happening to My Child?

What you can do to help with your child's breathing tube:

• Watch for two clinicians. When the doctors or nurses need to move or adjust your child’s breathing tube, there should be two trained professionals involved. One will hold the tube while the other makes the necessary changes.

• Understand landmarks. Specific points like the gums, teeth, or nostrils to make sure the breathing tube is placed correctly. If these aren’t possible, the lips are used. Feel free to ask the healthcare team about these landmarks if you’re curious.

• Know the securement method. Ask which method is being used to keep the breathing tube in place and ensure it is secure.

What to do during high-risk situtations:

Sometimes, there are special situations that require extra care.

• Be informed. High-risk times include:

  • When your child is having imaging procedures or other bedside procedures

  • During kangaroo care or when you’re holding your child

  • When the healthcare team is moving your child or changing beds

  • During early mobility or movement activities

• Ask questions. If any of these situations are happening, make sure two trained professionals are involved in handling the breathing tube. Don’t hesitate to ask the healthcare team about their procedures and how they’re ensuring your child’s safety.