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Keywords

Adult intensive care unit, Assessment risk, Intubation, Nursing care, Unplanned extubation

 

Authors

  1. Aydogan, Semine Msc, BSN
  2. Kaya, Nurten PhD, BSN

Abstract

Background: In order to plan and implement nursing intervention to reduce the incidence rate of unplanned extubation problem in the intensive care unit (ICU), it is necessary to determine the risk factors of unplanned extubation and the patients under risk.

 

Aims: This study was undertaken with the aim of evaluating the risk of unplanned extubation of endotracheal tube in adult ICU.

 

Design: This was a case-control study.

 

Methods: The population constituted patients hospitalized in the adult ICU during 1-year period in a university hospital. The sample from this population was composed of patients whose extubation was unplanned (30 patients) and the randomly selected patients (60 patients) who were intubated at the same time in the ICU for each patient whose extubation was unplanned. In data collection, the Richmond Agitation-Sedation Scale, Glasgow Coma Scale, Acute Physiology and Chronic Health Evaluation II were utilized.

 

Findings: According to the findings, the variables such as sex, age, mechanical ventilation period, and Acute Physiology and Chronic Health Evaluation II and Glasgow Coma Scale scores did not have any effect on the unplanned extubation, but variables such as internal medicine diseases and Richmond Agitation-Sedation Scale did have an effect. It was also revealed that there was no extubation plan in most of the unplanned extubation group, the nurse was anticipating the unplanned extubation, the patient was intubated again, and a complication occurred.

 

Conclusion: The patients who are provided inadequate sedation and analgesia and who have problems in their respiratory system are under risk of unplanned extubation.

 

Relevance to Clinical Practice: In order to prevent unplanned extubation, an adequate amount of sedation and private nursing care should be provided to patients in the ICU.