Tatiana Alves de Moraes, Isabel CF da Cruz


This article focuses on the accidental or unplanned extubation associated with the transport of critically ill patients. Nurses should develop strategies to make an effective transportation qualification aimed at nursing care and patient safety. This is a computerized literature search, conducted in electronic databases in order to answer the clinical question flaming: On account of high complexity, which is the effectiveness of a safe transportation of patients to prevent accidental extubation? These met the inclusion criteria for this study, we analyzed ten articles. Some articles dealt with the accidental extubation as an adverse event associated with nursing care at four moments where the incidence of accidental extubation was higher, others have made membership of accidental extubation with levels of sedation, physical restraint and level of consciousness. One article dealt with the anxieties and concerns of the nurse specialist to perform a patient transport and how to deal with these feelings. Only two articles have focused on the safe transport of critically ill patients in order to avoid not only the accidental extubation, but also other adverse events that jeopardize patient safety. The implementation of pre-transport protocols will minimize the risk of adverse events during transport of critically ill patients, because this tool provides grants to assist in the provision of nursing care through major approaches that resemble some of the nursing care essential, and that get overlooked because of the stress experienced by the transport. You can offer a skilled nursing care and the patient-centered care through initiatives aimed at developing research-based evidence, in order to achieve the best intervention and providing better results.


Respiration, Artificial; Transportation of patients; Nursing Care

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