Establishing A Clinical Pathway For Adult Intubated Patients To Prevent Post-Extubation Complications.
Atia, H., El-soussi,, A., Othman, S., Hassan, E., El Menshawy,, A. (2025). Establishing A Clinical Pathway For Adult Intubated Patients To Prevent Post-Extubation Complications.. EKB Journal Management System, 27(1), 245-255. doi: 10.21608/asalexu.2025.415007
Heba Saad Salah , Atia; Azza Hamdi El-soussi,; Sahar Younes , Othman; Eman Arafa , Hassan; Ahmed Mustafa El Menshawy,. "Establishing A Clinical Pathway For Adult Intubated Patients To Prevent Post-Extubation Complications.". EKB Journal Management System, 27, 1, 2025, 245-255. doi: 10.21608/asalexu.2025.415007
Atia, H., El-soussi,, A., Othman, S., Hassan, E., El Menshawy,, A. (2025). 'Establishing A Clinical Pathway For Adult Intubated Patients To Prevent Post-Extubation Complications.', EKB Journal Management System, 27(1), pp. 245-255. doi: 10.21608/asalexu.2025.415007
Atia, H., El-soussi,, A., Othman, S., Hassan, E., El Menshawy,, A. Establishing A Clinical Pathway For Adult Intubated Patients To Prevent Post-Extubation Complications.. EKB Journal Management System, 2025; 27(1): 245-255. doi: 10.21608/asalexu.2025.415007

Establishing A Clinical Pathway For Adult Intubated Patients To Prevent Post-Extubation Complications.

Alexandria Scientific Nursing Journal
Volume 27, Issue 1, March 2025, Pages 245-255    PDF (277.12 K)
Document Type: Research articles
DOI: 10.21608/asalexu.2025.415007
Authors
Heba Saad Salah , Atia1; Azza Hamdi El-soussi,2; Sahar Younes , Othman3; Eman Arafa , Hassan4; Ahmed Mustafa El Menshawy,5
1Assistant Lecturer. Critical Care and Emergency Nursing, Faculty of Nursing, Damanhour University.
2Profesor. Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University.
3Profesor. Critical Care and Emergency Nursing, Faculty of Nursing, Damanhour University.
4Assisstant Profesor. Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University.
5Assisstant Profesor. Critical Medicine, Faculty of medicine, Alexandria University.
Abstract
Background: An endotracheal tube (ETT) is one of the essential artificial airways that is used for
respiratory support for critically ill patients. However, the presence of ETT is associated with various
fatal complications which diagnosed mainly in post- extubation time. Those complications include
laryngeal edema, laryngospasm, and post-extubation dysphagia (PED) which delay the complete recovery
of critically ill patient. The Clinical pathway (CP) is one of the excellent strategies that help the critical
care staff to manage and control these complications. Design: A methodological research design was
used to conduct this study. Setting: The study was conducted at Damanhur Chest Hospital in Damanhur
city, Egypt. Subject: A purposive sample of 30 experts in the field of the study was involved for CP
content validity. Tools: two tools were used. Tool l:" Intubated Patients' Needs Assessment". Tool ll
"Integrated Care Pathway Appraisal Tool". Results: There was a high consensus among the appraisers
on the established CP items and all appraisers agreed that the established CP was valid. Conclusion: The
established CP for adult intubated patients was recommended for use in future practice to prevent postextubation
complications. Recommendations: Critical care nurses should implement the CP for adult
intubated patients to prevent the post-extubation complications.

Keywords
clinical pathway; Laryngeal edema; dysphagia; stridor
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