Establishing A Clinical Pathway For Adult Intubated Patients To Prevent Post-Extubation Complications.

Atia, Heba Saad Salah ,; El-soussi,, Azza Hamdi; Othman, Sahar Younes ,; Hassan, Eman Arafa ,; El Menshawy,, Ahmed Mustafa

doi:10.21608/asalexu.2025.415007

Establishing A Clinical Pathway For Adult Intubated Patients To Prevent Post-Extubation Complications.

Document Type : Research articles

Authors

¹ Assistant Lecturer. Critical Care and Emergency Nursing, Faculty of Nursing, Damanhour University.

² Profesor. Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University.

³ Profesor. Critical Care and Emergency Nursing, Faculty of Nursing, Damanhour University.

⁴ Assisstant Profesor. Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University.

⁵ Assisstant Profesor. Critical Medicine, Faculty of medicine, Alexandria University.

10.21608/asalexu.2025.415007

Abstract

Background: An endotracheal tube (ETT) is one of the essential artificial airways that is used for
respiratory support for critically ill patients. However, the presence of ETT is associated with various
fatal complications which diagnosed mainly in post- extubation time. Those complications include
laryngeal edema, laryngospasm, and post-extubation dysphagia (PED) which delay the complete recovery
of critically ill patient. The Clinical pathway (CP) is one of the excellent strategies that help the critical
care staff to manage and control these complications. Design: A methodological research design was
used to conduct this study. Setting: The study was conducted at Damanhur Chest Hospital in Damanhur
city, Egypt. Subject: A purposive sample of 30 experts in the field of the study was involved for CP
content validity. Tools: two tools were used. Tool l:" Intubated Patients' Needs Assessment". Tool ll
"Integrated Care Pathway Appraisal Tool". Results: There was a high consensus among the appraisers
on the established CP items and all appraisers agreed that the established CP was valid. Conclusion: The
established CP for adult intubated patients was recommended for use in future practice to prevent postextubation
complications. Recommendations: Critical care nurses should implement the CP for adult
intubated patients to prevent the post-extubation complications.

Keywords