Keresztes P A, Kuruzar L
Dimens Crit Care Nurs. 1996 Jul-Aug;15(4):198-204.
Cardiac surgery patients are being extubated earlier than ever before. This article describes how the nurses responded when the first patient to be extubated in the OR was admitted to the critical care unit. This case shows how this change is not as simple as just extubating the patient. Early extubation requires protocol changes, ethical considerations, system changes, staff education, and evaluation of patient outcomes.
心脏外科手术患者的拔管时间比以往任何时候都要早。本文描述了手术室中首个接受拔管的患者被收入重症监护病房时护士们的应对情况。该案例表明，这种变化并非仅仅是给患者拔管那么简单。早期拔管需要改变方案、考虑伦理因素、进行系统变革、开展员工培训以及评估患者预后。
