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From the review of literature, the incidence of unplanned extubation averages about 10% (Moons et al, 2004). The percentage presented in the literature varies on the type of units (medical versus surgical) and the duration of intubation.
In the post anesthesia care unit (PACU), patients at risk for unplanned extubation usually have insufficient sedation (Chevron et al, 1998). When the patient's sedation is discontinued during the ventilation weaning process, the wrist restraint is routinely applied . Unplanned extubation usually occur at this time secondary to improper tying of the wrist restraints...
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