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International Journal of Nursing Education and Research
Year : 2019, Volume : 7, Issue : 2
First page : ( 149) Last page : ( 156)
Print ISSN : 2347-8640. Online ISSN : 2454-2660.
Article DOI : 10.5958/2454-2660.2019.00031.0

Effect of Accidental and Self Extubation on Mechanically Ventilated Patients’ Outcomes in Intensive Care Units

Abdou Fayza*

Critical Care and Emergency Nursing Department Faculty of Nursing, Assiut University, Assiut, Egypt

*Corresponding Author E-mail: Faiza_critical@yahoo.com

Online published on 22 May, 2019.

Abstract

Background

unplanned extubation (UE), which is defined as deliberate self-extubation by a patient receiving mechanical ventilation 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). Selfextubation 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.

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Keywords

Self-Extubation, accidental extubation, mechanical ventilation, outcomes.

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