Factors affecting extubation outcomes after using semi-quantitative cough strength scale | ||||
Assiut Scientific Nursing Journal | ||||
Article 3, Volume 6, Issue 13, April 2018, Page 20-28 PDF (449.77 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/asnj.2018.58899 | ||||
View on SCiNiTO | ||||
Authors | ||||
Eman Mamdouh Aziz1; Abd El-Rady Shehata Ebrahim2; Mona Aly Mohammed3; Mogedda Mohamed Mehany3 | ||||
1Demonstrator at Critical Care and Emergency Nursing Department- Faculty of Nursing- Assiut University, Egypt. | ||||
2Assistant Professor of Anesthesia, Faculty of Medicine, Assuit University, Egypt. | ||||
3Assistant Professor of Critical Care & Emergency Nursing, Faculty of Nursing, Assiut University, Egypt. | ||||
Abstract | ||||
Background: Impaired cough increases risk of reintubation in patients who pass a spontaneous breathing trial and have their endotracheal tube removed .Semi-quantitative cough strength score (SCSS) used to evaluate the patients’ cough strength which was scored from 0 to 5 according to the obtained patient response Aim: to evaluate factors affecting extubation outcome by using (SCSS) Design: descriptive design. Setting: intensive care units of anesthesia department at assuit university hospital. Subjects: convenient sample of 80 patients who were ready for weaning off mechanical ventilator, aged from 18-65 years old, mechanically ventilated more than 24hours and of Glasgow coma scale (GCS) of 12-15. Tools: Tool I Assessment sheet. Tool II: SCSS Tool III: factors affecting extubation outcome assessment sheet Method: Before extubation, patients positioned at 30° to 45°, SCSS was measured by asking patient to cough using his full power, then disconnecting him from the ventilator. Results: 80% of the patients with (grade =0) reintubated in comparison with 79% of patients with (grade =5) successfully extubated. Conclusion: The most common factors affecting extubation were copious secretions, diminished consciousness, hypoxemia and anemia respectively. | ||||
Keywords | ||||
Semi-Quantitative Cough Strength Score (Scss); Extubation Outcome & Mechanically Ventilated | ||||
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