Countermeasures on the care of the gastrointestinal indwelling gastric tube in patients with unplanned endotracheal extubation（对策的保健肠胃留置胃管患者意外气管拔管）.doc

Countermeasures on the care of the gastrointestinal indwelling gastric tube in patients with unplanned endotracheal extubation Patients after gastrointestinal surgery doctors usually indwelling stomach tube, in order to reduce the occurrence of anastomotic leakage, reduce flatulence drainage of the stomach residue. Unplanned extubation is not reached extubation patient self-tube removal of or medical personnel due to improper operation caused by stomach tube prolapse. non-planned extubation of the tube can cause serious complications, in order to improve nurses’ understanding of unplanned extubation, are as follows: 1 clinical data In our department from January 2011 to July line gastric cancer, radical surgery and gastric perforation repair 50 cases, including 42 males and 8 females, were brought back from the operating room indwelling stomach tube, unplanned extubation occurred in 5 cases, accidental extubation time occurred during the night. which one cases of re-intubation, and no complications occurred. 2 unplanned extubation Cause Analysis 2.1 Patient factors 2.1.1 catheter the patient feels during nasopharyngeal discomfort, swelling, increased sputum difficult to expectorate. Activities affected. 2.1.2 clear recognition of catheter related to insufficient knowledge of pathogenic people and their families a variety of pipe meaning a clear understanding of the mistake is accidentally detached, often because of discomfort and self-extubation or activities. 2.1.3 poor patient compliance and some patients with poor compliance due to personality factors, self-extubation. 2.2 health care workers of factors 2.2.1 Health education is not in place, the majority of patients whose condition had emergency duty nurse to focus only on the implementation of the measures of treatment and care and the lack of effective communication to patients and their families, careful to explain, resulting in postoperative patients and their families, lack of