Analysis of causes of unplanned extubation in ICU patients with deep venous catheter and nursing strategies

VernacularTitle:ICU患者深静脉置管非计划性拔管的原因分析及护理对策
Author: Zhijuan ZHANG
Publication Type:Journal Article
Keywords: Deep venous catheter; Unplanned extubation; Nursing strategies
From: Chinese Journal of Practical Nursing 2012;28(21):15-17
CountryChina
Language:Chinese
Abstract: [Objective] To analyze the reasons of unplanned extubation(UE)of deep venous catheter (DVC)and explore the prevention strategies.[Methods] The experiences and lessons of maintenance of deep venous catheter of 410 patients were retrospectively reviewed,causes of unplanned extubation in 25 cases were analyzed.[Results] Catheter obstruction,accidental pulling-off of eatheter,catheter-related infections,thrombosis formation,skin allergy and other complications were the main reasons for unplanned extubation.These complications were mainly related to patients,medical staff factors and catheter sites or other relevant situations.[Conclusions] The measures such as fully understanding and correct analysis of unplanned extubation reasons,assessment of risk factors,actively seeking effective nursing intervention measures to ensure the standardization of the nursing practice can significantly reduce the rate of unplanned extubation.