Characteristics associated with unplanned extubation in an intensive care unit Nairobi, Kenya
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Authors
Ahamed, Parin Hanif
Issue Date
2009-11
Type
Dissertation
Language
en
Keywords
Unplanned extubation , Accidental extubation , Self-deliberate extubation , Sedation , Physical restraints , Nursing education and experience in intensive care unit , Intensive Care Unit , AACN Synergy model of patient care
Alternative Title
Abstract
Unplanned extubation is premature removal of endotracheal tube, is an adverse event; which can either, be accidental during a nursing procedure or self deliberate by the patient. The AACN Synergy Model for Patient Care was used as conceptual model for this study. A retrospective descriptive design revealed that over a period of two years, 327 patients admitted to the intensive care unit require intubation of which 40.4% were self-deliberate extubation and 59.4% accidental extubation. Of the accidental extubated patients, 29.8% had physical restrains, 57.6% received sedation, 43.9% had analgesic infusion and 38.9% were on neuromuscular blockade. A means Glasco Coma Scale was 9.4 and 56% of the patients were reported as being. Most patients (89.9%) required re-intubation. The findings also revealed that 49.1% of the nurses who cared for the patients when the extubation occured had one patient at the time. Also, 84.2% of nurses had 0-6 years of nursing experience and 74% of nurses had less than five years of ICU experience.
Description
Citation
Ahamed, Parin Hanif (2009) Characteristics associated with unplanned extubation in an intensive care unit Nairobi, Kenya, University of South Africa, Pretoria, <http://hdl.handle.net/10500/4729>