計畫性拔管失敗之衝擊及其臨床處置

Impacts of Planned Extubation Failure and Clinical Management

宰翡霙(Fei-Ying Tsai) ； 何釐瑗(Li-Yuan Ho) ； 王桂芸(Kwua-Yun Wang)

《源遠護理》 1卷3期 (2007/11) Pp. 5-14

https://doi.org/10.6530/YYN.2007.1(3).01

摘要

計畫性拔管失敗是指計畫性拔除氣管內管後於24至72小時內需要重插管，因多在緊急狀況下執行，對病患及醫療方面會造成許多衝擊，包括呼吸器使用延長、住院天數延長、住院花費增加及死亡率提高等衝擊，因此預防拔管失敗及提供適切的處置是臨床照護之重要議題。本文回顧國內外計畫性拔管失敗之相關文獻，針對造成計畫性拔管失敗的原因、計畫性拔管失敗對於病患及醫療方面的影響、及拔管失敗的預防及治療作討論。期望能提供護理人員計畫性拔管失敗之相關資訊，並有助於計畫性拔管時之臨床決策，最終目標是能夠提昇計畫性拔管病患的照護品質。

關鍵字

計畫性拔管失敗 ； 衝擊 ； 臨床處置

並列摘要

Planned extubation failure is defined as when the patient requires reintubation between 24 and 72 hours after planned extubation. Because reintubation is an emergency procedure, it impacts both the patient and the treatment plan including prolonged mechanical ventilation, increased length of hospital stay and increased mortality rate. Therefore, prevention of planned extubation failure is critical. This article reviews the causes, impacts, prevention and treatment of planned extubation failure. The information provided may enhance clinical judgment and management of nurses for planned extubation. The optimal goal is to promote the quality of care in preparation of patients for extubation.

並列關鍵字

planned extubation failure ； impacts ； clinical management