Establishing A Clinical Pathway For Adult Intubated Patients To Prevent Post-Extubation Complications. | ||||
Alexandria Scientific Nursing Journal | ||||
Volume 27, Issue 1, March 2025, Page 245-255 PDF (277.12 K) | ||||
Document Type: Research articles | ||||
DOI: 10.21608/asalexu.2025.415007 | ||||
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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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