Predictive Factors Affecting Unplanned Extubations in the Intensive Care Clients

Abstract

This Retrospective cross-sectional study is for collecting data to study the prevalence of endotracheal tube slippage and predictive factors affecting endotracheal tube slippage in the intensive care unit, found that the incidence of endotracheal tube slippage was 3.88 times per 1,000 days of intubation. The population consisted of 100 intubated patients admitted to Sawanpracharak Hospital's intensive care unit between June 1, 2021 to May 31, 2022. After bivariate analysis, the variables were categorized using the Chi-square test to gather significant data into equations.

This study found that factors affecting endotracheal tube slippage in the intensive care unit were more prevalent in males than females. Most of them were between the ages of 61 to 70, with the highest marital status. Characteristics of airway slipping were both spontaneous tracheal pulls and tracheal extubation. The primary diseases, included pneumonia 15.38 %, acute myocardial infarction 7.69 %, Intracerebral hemorrhage 3.85 % and acute liver failure 1.92 %. Most of the patients also had comorbidities which included acute respiratory failure 26.92 %, hypokalemia 21.15 %, hyponatremia 7.69 %, septic shock 7.69 %, cerebral edema 7.69 %, and coronary artery disease 7.69 % and factors of tube slipping that were 3 factors : 1) patients showed a confused level of consciousness during intubation coma included. 2) In terms of treatment tube slippage was found during no weaning regimen. 3) In nursing responsibility is the K-shaped adhesive plaster affixed to the airway tube fixation. Therefore, nurses should be aware of and give importance to the practice, nurse Including creating guidelines and promoting prevention innovations for managing various risk factors, prevent the incidence of endotracheal tube slippage in an appropriate manner.