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Factors affecting fixation of endotracheal tube among children in intensive care units / Shaymaa Mohamed Ali Gebril ; Supervised Mirret Mohammed Darwish , Naglaa Fathy Mahmoud , Miriam Magdy Aziz

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Shaymaa Mohamed Ali Gebril , 2020Description: 86 , (25) Leaves : charts ; 30cmOther title:
  • العوامل المؤثرة على ثبات الأنبوبة الحنجرية بين الأطفال فى وحدات الرعاية المركزة [Added title page title]
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  • Issued also as CD
Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Nursing - Department of Pediatric Nursing Summary: Background: Correct positioning and proper fixation of the endotracheal tube (ETT) among children can be challenging in pediatric intensive care units (PICUs) and improper fixation may be associated with higher rates of complications. Aim: The study aimed to explore factors affecting fixation of ETT among children in ICU. Methods: A descriptive exploratory design was utilized. Setting: The study was conducted at pediatric intensive care units in two Pediatric University Hospitals affiliated to Cairo University hospitals.Sample: A Convenient sample of 101 intubated children in ICUs enrolled in the study.Tools: The required data was collected by using personal data questionnaire for child, assessment sheet of factors affecting ETT fixation in PICU and observational checklist of securing an endotracheal tube. Results: The current study results revealed that, 45.5% of children had improperly fixed ETT, 54.5% of them had properly fixed ETT and 52.5% were less than one year old. Conclusion: Absence of salivary secretions in child mouth was the most frequent finding in children with properly fixed ETT followed by appropriate MV circuit position, appropriate child position in bed, experience of assigned nurse more than two years in PICU, passive movement of child, no traction of ETT and appropriate handling of child. On the other hand, ETT fixation with adhesive tape without tube holder was the most frequent finding in children with improperly fixed ETT followed by no documentation of ETT card, uncuffed ETT, morning shift, stay in PICU more than 2 weeks, MV days more than one week and nurses experiences in PICU less than two years. Recommendations: Standard method of fixation of ETT should be used in all children by adhesive tape with tube holder, also ETT position should be checked and documented with every nursing shift
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.17.05.M.Sc.2020.Sh.F (Browse shelf(Opens below)) Not for loan 01010110082661000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.17.05.M.Sc.2020.Sh.F (Browse shelf(Opens below)) 82661.CD Not for loan 01020110082661000

Thesis (M.Sc.) - Cairo University - Faculty of Nursing - Department of Pediatric Nursing

Background: Correct positioning and proper fixation of the endotracheal tube (ETT) among children can be challenging in pediatric intensive care units (PICUs) and improper fixation may be associated with higher rates of complications. Aim: The study aimed to explore factors affecting fixation of ETT among children in ICU. Methods: A descriptive exploratory design was utilized. Setting: The study was conducted at pediatric intensive care units in two Pediatric University Hospitals affiliated to Cairo University hospitals.Sample: A Convenient sample of 101 intubated children in ICUs enrolled in the study.Tools: The required data was collected by using personal data questionnaire for child, assessment sheet of factors affecting ETT fixation in PICU and observational checklist of securing an endotracheal tube. Results: The current study results revealed that, 45.5% of children had improperly fixed ETT, 54.5% of them had properly fixed ETT and 52.5% were less than one year old. Conclusion: Absence of salivary secretions in child mouth was the most frequent finding in children with properly fixed ETT followed by appropriate MV circuit position, appropriate child position in bed, experience of assigned nurse more than two years in PICU, passive movement of child, no traction of ETT and appropriate handling of child. On the other hand, ETT fixation with adhesive tape without tube holder was the most frequent finding in children with improperly fixed ETT followed by no documentation of ETT card, uncuffed ETT, morning shift, stay in PICU more than 2 weeks, MV days more than one week and nurses experiences in PICU less than two years. Recommendations: Standard method of fixation of ETT should be used in all children by adhesive tape with tube holder, also ETT position should be checked and documented with every nursing shift

Issued also as CD

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