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Enfermería universitaria
On-line version ISSN 2395-8421Print version ISSN 1665-7063
Abstract
RODRIGUEZ-MORA, F. et al. Prevention of non-programed tube-extractions among patients with invasive mechanical ventilation. Enferm. univ [online]. 2018, vol.15, n.3, pp.255-264. ISSN 2395-8421. https://doi.org/10.22201/eneo.23958421e.2018.3.65992.
Introduction
Non-programed extubation, constitute a frequent high impact adverse event involving issues on the airway, mechanical ventilation, sedation level, patient´s mental activity, among others. Because of this, a quality indicator is established in order to help prevent non-programed extubation among patients with invasive mechanical ventilation and endotracheal tube.
Objective
To perform a validation of content on this indicator in a third level hospital of the City of Mexico, and describe the level of adherence to its components in order to prevent non-programed extubation among patients with invasive mechanical ventilation and endotracheal tube, and share the resulting contributions in the area of prevention.
Methodology
This is a quantitative and descriptive study with a non-probabilistic sample by convenience of 46 processes which were observed during the morning shifts in three hospitalization services.
Results
It was found that 96% of the processes observed showed an insufficient level of prevention of non-programed extubation. The assessment of the efficiency related to indicator´s components showed a 59.8% compliance, suggesting that the actions to prevent non-programed extubation are not sufficiently taken.
Conclusions
An important related omission by health professionals regarding the prevention of this kind of adverse events was detected, and thus, a corresponding improvement plan for the institution was proposed.
Keywords : extubation; mechanical ventilation; airway management; non-programed extubation; México.