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392165

Relationship between Nursing Care Provided for Children Post Extubated from Mechanical Ventilation and their Reventilation

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Last updated: 05 Jan 2025

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Abstract

Background: Respiratory failure requires mechanical ventilation to maintain gas exchange.Extubation means endotracheal tube removal, where ventilated children maintain an efficient gas exchange without ventilatory support. If extubation fails, the children will need reventilation. Therefore, after extubation, children must receive proper nursing care to prevent reventilation. Aim: This study aims to identify the relationship between nursing care provided for children post-extubated from mechanical ventilation and their reventilation. Settings: The study was conducted at the Pediatric Intensive Care Unit of Alexandria University Children's Hospital at El-Shatby. Subjects: A convenient sample of 50 extubatedchildren and all nurses provided care to these children. Tools: Three tools were used to collect the necessary data: Characteristics of Child and their Medical Data Assessment Sheet, Nursing Care Provided for Children Post-Extubated from Mechanical Ventilation Observational Checklist, and Reventilation Assessment Sheet. Results: Only 14% of the extubation children were reventilated. Apnea was the cause of reventilation in 57.1% of children, low oxygen saturation was the cause for 42.9 %, and 28.6% for bradycardia, while tachypnea and aspiration were the cause for 41.3% of reventilation. There was are the relationship between nursing care provided to children and their reventilation, where 93% of nurses had a satisfactory level of total care for not-reventilated children compared to 57.1% for reventilated ones.Conclusion: It was concluded that there is a relationship between the care provided to extubated children and their reventilation. Recommendations: Develop a bundle of care for extubated children to prevent their reventilation and encourage nurses to attend conferences and workshops to be updated in their knowledge.
 

DOI

10.21608/asalexu.2024.392165

Keywords

relationship, nursing care, children, Post-Extubated, Mechanical Ventilation, Reventilation

Authors

First Name

Marwa

Last Name

Abouheiba

MiddleName

Gadelrab

Affiliation

Associate Professor of Pediatric Nursing, Faculty of Nursing, Alexandia University, Alexandria, Egypt & Associate Professor of Pediatric Nursing, Faculty of Nursing, British University in Egypt, Elshrouk, Egypt

Email

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City

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Orcid

-

First Name

Suzan

Last Name

Ali

MiddleName

Ahmed

Affiliation

Clinical instructor, Faculty of Nursing, Alexandria University, Alexandria, Egypt

Email

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City

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Orcid

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First Name

Ahmed

Last Name

Elnawawi

MiddleName

Ahmed

Affiliation

Professor of Pediatrics, Faculty of Medicine, Alexandria University, Alexandria, Egypt3 ,

Email

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City

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Orcid

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First Name

Magda

Last Name

Youssef

MiddleName

El-Sayed

Affiliation

Professor of Pediatric Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egyp

Email

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City

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Orcid

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Volume

26

Article Issue

4

Related Issue

51606

Issue Date

2024-12-01

Receive Date

2024-11-17

Publish Date

2024-12-01

Page Start

1

Page End

14

Print ISSN

1687-3858

Link

https://asalexu.journals.ekb.eg/article_392165.html

Detail API

https://asalexu.journals.ekb.eg/service?article_code=392165

Order

392,165

Type

Research articles

Type Code

2,129

Publication Type

Journal

Publication Title

Alexandria Scientific Nursing Journal

Publication Link

https://asalexu.journals.ekb.eg/

MainTitle

Relationship between Nursing Care Provided for Children Post Extubated from Mechanical Ventilation and their Reventilation

Details

Type

Article

Created At

28 Dec 2024