Effect of Ramsay scale on reducing the incidence of unplanned extubation and the use of sedative drugs
Zhao Xiaoli
Li Jieqiong
Li Hao
Guo Litao
Abstract：Objective To investigate the effect of Ramsay scale on reducing incidence of unexpected extubation (UEX) and use of sedative drugs.Methods Totally 520 patients with mechanical ventilation in intensive care unit from November 2008 to November 2010 were randomly divided into observation group and control group (260 cases in each group).In both groups,the patients received routine nursing for preventing UEX;the dose of propofol was adjusted by the doctors in control group and was adjusted by the nurses according to Ramsay scale score in observation group.The incidences of UEX and adverse reaction of propofol were compared between groups.Results The incidences of UEX and adverse reaction of propofol in observation group were statistically lower than those in control group [1.2％ (3/260) vs 3.1％ (8/260),2.3％ (6/260) vs 7.7％ (20/260)] (P ＜ 0.05).Conclusion Ramsay scale can guide the nurse to adjust the dose of propofol,thus decrease the incidences of UEX and adverse reaction of propofol.
Keywords：Unexpected extubationRamsay scaleEndotracheal intubationSedation
Publication Date：2016-05-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 698-700 )