It was reported tha a pt accidentally was extubated due to a self-lowering of the support arm, that holds the pt's circuit, at the level of joints.This incident lead to an emergency re-intubation, with difficult conditions.The rapid re-intubation was complicated by massive aspiration with hematosis degradation, requiring optimization of mechanical ventilation, sedation, curarization, and switching to ventral decubitus position (several sessions over 4/5 days).The final pt outcome was no injury.The support arm joints were tightened which solved the problem and the support arm was put back in use.(b)(4).Mfr ref # 8010042-2014-00549.
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