Critically care nurses play an important role to investigate and early detect suspected complications from the intubation process such as post-extubation dysphagia. Post-extubation dysphagia has negative consequences which can be classified into physiological such as malnutrition and/or dehydration, chocking, chest infection and aspiration pneumonia, in addition to psychological, and economic consequences as post-extubation dysphagia could increase the consumption of supplies, human resources, workload and the overall cost of care. There are many factors that contribute to the development of post-extubation dysphagia, which include: physiological changes related factors; age, pathological related factors; initial diagnosis and comorbidies and therapeutic related factors; presence of tracheal and gastric tube, in addition to some medications that may lead to dysphagia. Objective: Identify factors contributing to post-extubation dysphagia in critically ill patients. Setting: This study was conducted in the General Medical ICUs namely; Casualty unit (unit I), (unit III) and Continuous Renal Replacement Therapy at the Alexandria Main University Hospital (AMUH). In addition to Almoassat General ICU. Subjects: A convenience sample of 50 adult intubated critically ill patients. Tools: Two tools were used for data collection: “Factors Contributing to Post-extubation Dysphagia Assessment” and “Gugging Swallowing Screen”. Results: The differences between the studied patients according to the occurrence of post-extubation dysphagia at first 6hrs compared to after 12hrs and after 24 hrs was statistically significant (p=<0.001). The duration of mechanical ventilation was the only significant risk factor to post-extubation dysphagia after 24hrs according to the binary logistic regression analysis. Conclusion: All the studied patients developed post-extubation dysphagia by the first 6 hrs of extubation. The severity of post-extubation dysphagia varied between mild, moderate and severe. Critically ill patients were highly susceptible for exposure of multiple iatrogenic factors which can contribute to post-extubation dysphagia during ICU stay. The only significant risk factor to post-extubation dysphagia after 24hrs was the duration of mechanical ventilation. Recommendations: Critical care nurses should be continuously monitor the intubated critically ill patients who are risky to develop post extubation dysphagia, and continuous in-serve training programs for CCNs in the ICUs.
Abdalla, E., Mohamed, N. T., El-Fattah, F., & Assaad, H. (2019). Factors Contributing to Post Extubation Dysphagia in Critically Ill Patients. Alexandria Scientific Nursing Journal, 21(2), 33-48. doi: 10.21608/asalexu.2019.206595
MLA
Elham Ashraf Abdalla; Nadia T Taha Mohamed; Fatma Refaat El-Fattah; Hany Samir Assaad. "Factors Contributing to Post Extubation Dysphagia in Critically Ill Patients", Alexandria Scientific Nursing Journal, 21, 2, 2019, 33-48. doi: 10.21608/asalexu.2019.206595
HARVARD
Abdalla, E., Mohamed, N. T., El-Fattah, F., Assaad, H. (2019). 'Factors Contributing to Post Extubation Dysphagia in Critically Ill Patients', Alexandria Scientific Nursing Journal, 21(2), pp. 33-48. doi: 10.21608/asalexu.2019.206595
VANCOUVER
Abdalla, E., Mohamed, N. T., El-Fattah, F., Assaad, H. Factors Contributing to Post Extubation Dysphagia in Critically Ill Patients. Alexandria Scientific Nursing Journal, 2019; 21(2): 33-48. doi: 10.21608/asalexu.2019.206595
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