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International Journal of Nursing Education and Research
ISSN: 2454-2660(Online), 2347-8640(Print)
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Effect of Accidental and Self Extubation on Mechanically Ventilated Patients' Outcomes in Intensive Care Units
Critical Care and Emergency Nursing Department, Faculty of Nursing, Assiut University, Assiut, Egypt,
Background: unplanned extubation (UE), which is defined as deliberate self-extubation by a patient receiving mechanical ventila¬tion support or accidental extubation by staff nursing and medical procedures. Objective: assess the effect of accidental and self-extubation on mechanically ventilated patients' outcomes. Design: a descriptive research design was used in this study. Research question: what is the effect of accidental and self-extubation on mechanically ventilated patients' outcomes? Setting: This study was conducted in general and trauma intensive care units at Assuit University Hospital. Subjects: sixty critically ill patients attached with the endotracheal tube and mechanical ventilation Results: the majority of the studied critically ill patient had respiratory consequences after UE and statistically significant differences between self-extubation and accidental extubation patients regarding occurrences of aspiration and tachycardia on the first day. Conclusion: Unplanned extubation (UE) is a frequent event after endotracheal intubation with mechanical ventilation (MV). Self-extubation is the most common type of UE and accidental removal of the tube is a very poor patient outcome and needs more aggressive management than patients with self-extubation.
self-extubation, accidental extubation, mechanical ventilation, outcomes.
Fayza Abdou. Effect of Accidental and Self Extubation on Mechanically Ventilated Patients' Outcomes in Intensive Care Units. Int. J. Nur. Edu. and Research. 2019; 7(2):149-156.
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