Abstract
Introduction: The 24-to-72-hour period post-extubation is a critical phase for intensive care patients, and can result in many complications. Nurses must be expertly trained in the interventions available to reduce the risks associated with the procedure.
Objectives: This systematic review aims to critically evaluate the existing literature about nursing interventions associated with patients after extubation, providing evidence to guide the nursing practice to reduce extubation failure, reintubation rates, and hospital stays.
Methodology: This systematic review includes studies from CINAHL, PubMed Central, Medline, and Health Source Nursing Academic Edition, focusing on international peer-reviewed full-text research articles.
Setting: The study has a sample size of 11,756, and it faces limitations with articles published before 2018 and the diversity of intensive care patients. Inclusion criteria involve adult intensive care patients aged ≥18 years who experienced extubation, and exclusion criteria included patients under this age and categorized as surgical patients.
Main outcome measures: It analyzes the efficacy in reduce post-extubation complications related to desaturation, secretion management, stridor/laryngeal edema and pneumonia.
Findings: When compared with standard care, studies have shown that high-flow nasal cannula and noninvasive ventilation has shown the potential to reduce extubation failure and reintubation rates. Mechanical insufflation-exsufflation effectively promotes airflow in ventilated patients to stimulate a cough, facilitating sputum expectoration. Effective oral hygiene plays a crucial role in preventing Ventilator-Associated Pneumonia, and steroids are efficient in prevent laryngeal edema/stridor.
Conclusion: Implementing these nursing interventions can significantly benefit adult intense care patients recently extubated, increasing their safety, reducing reintubation rates, and optimizing recovery.
Implications: When critical patients stays are prolonged, it can strain nursing resources and lead to higher nurse-patient ratios, compromising patient care. It requires nurses to become active participants in monitoring the extubation outcomes and implement strategies for further improvement of a national guideline and protocol for post-extubation care.
Notes
Reference list attached as a separate document file.
Sigma Membership
Mu Iota
Type
Poster
Format Type
Text-based Document
Study Design/Type
Systematic Review
Research Approach
Other
Keywords:
Acute Care, Implementation Science, Testing Strategies, Promoting Clinical Outcomes, Intensive Care Patients, ICU Patients, Post-Extubation Period
Recommended Citation
De Souza, Estevao Frederico; Grinder, Tricia M.; Rigsby, Sarah; and Vallespi, Samantha, "Critical Nursing Interventions for Post-Extubation ICU Patients" (2025). Biennial Convention (CONV). 86.
https://www.sigmarepository.org/convention/2025/posters_2025/86
Conference Name
48th Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2025-12-09
Critical Nursing Interventions for Post-Extubation ICU Patients
Indianapolis, Indiana, USA
Introduction: The 24-to-72-hour period post-extubation is a critical phase for intensive care patients, and can result in many complications. Nurses must be expertly trained in the interventions available to reduce the risks associated with the procedure.
Objectives: This systematic review aims to critically evaluate the existing literature about nursing interventions associated with patients after extubation, providing evidence to guide the nursing practice to reduce extubation failure, reintubation rates, and hospital stays.
Methodology: This systematic review includes studies from CINAHL, PubMed Central, Medline, and Health Source Nursing Academic Edition, focusing on international peer-reviewed full-text research articles.
Setting: The study has a sample size of 11,756, and it faces limitations with articles published before 2018 and the diversity of intensive care patients. Inclusion criteria involve adult intensive care patients aged ≥18 years who experienced extubation, and exclusion criteria included patients under this age and categorized as surgical patients.
Main outcome measures: It analyzes the efficacy in reduce post-extubation complications related to desaturation, secretion management, stridor/laryngeal edema and pneumonia.
Findings: When compared with standard care, studies have shown that high-flow nasal cannula and noninvasive ventilation has shown the potential to reduce extubation failure and reintubation rates. Mechanical insufflation-exsufflation effectively promotes airflow in ventilated patients to stimulate a cough, facilitating sputum expectoration. Effective oral hygiene plays a crucial role in preventing Ventilator-Associated Pneumonia, and steroids are efficient in prevent laryngeal edema/stridor.
Conclusion: Implementing these nursing interventions can significantly benefit adult intense care patients recently extubated, increasing their safety, reducing reintubation rates, and optimizing recovery.
Implications: When critical patients stays are prolonged, it can strain nursing resources and lead to higher nurse-patient ratios, compromising patient care. It requires nurses to become active participants in monitoring the extubation outcomes and implement strategies for further improvement of a national guideline and protocol for post-extubation care.
Description
This systematic review evaluates nursing interventions post-extubation to reduce complications, failure rates, and hospital stays. Analyzing 11,756 cases, it highlights effective strategies like high-flow nasal cannula, noninvasive ventilation, mechanical insufflation-exsufflation, oral hygiene, and steroids to prevent laryngeal edema. Findings suggest these interventions enhance patient safety, optimize recovery, and call for national guidelines to improve post-extubation care in ICUs.