Situation of Unplanned Extubation (UE) in Sunpasittiprasong Hospital

Abstract

          The study is retrospective study. The research purpose is to study prevalence, incidence rate of unplanned extubation (UE) and cause of unplanned extubation in Sunpasittiprasong Hospital. Review information of the risk management program and review the medical records of unplanned extubation patients between 1 October 2017 to 31 Mach 2018 were done. Research instrument form develop from the review incidence and related research document. The data were analyzed by mean, standard deviation (SD), frequency, percentage, incidence rate of unplanned extubation.

          The results of this study were founded UE total 330 time (314 patient) accounting for 7.6 time:1,000 intubation day. The mostly founded in males was 75.67 percentage, UE by self
extubation was 79.70 percentage, Time period founded UE in the morning were 38.78 percentage, Ratio between nures and patient were 1:2 (66.67 percentage). The mostly founded
confuse patient were 50 percentage and resived of restrain 53.64 percentage. Lack of assessment confuse were 97.58 percentage The doctor doesn’t order weaning ventilator in
most of the patients (79.09%). Reintubation within 24 hr. were 57.27% and founded incident of moderate risk (DEF) 91.82%

         Discussion: Rate of UE nearby with Tanoin’s study founded to UE 7.5 time:1000 intubation day. The mostly founded confuse patient and lack of assessment confuse. The
doctor few order use sedative drug. The patient is good conscious want to breathing yourself if use weaning protocol help to wean ventilator was successful and decrease incident UE.

         Conclusion: The UE rate in this study was 7.6 time: 1,000 intubation day. The UEfounded in confused patients more than good consciousness patients.         

         Keyword: unplanned extubation , nursing, prevaleanc