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The most common causes found were that the endotracheal tube (ETT) had been cut too short, the patient was restless or agitated, no direct supervision when the patient self-extubated, sedation being off at the time of self-extubation or the sedation line being periodically occluded.
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However, additional sedation is sometimes necessary.
Alcohol is a sedative and sedation is not sleep.
Unfortunately, both excessive and insufficient sedation are common.
Sedation is an effective component of care in ICU patients.
The incidence of sedation was 6.7 v 14.3%.
Sedation was evaluated by using the Observer's Assessment of Sedation/Alertness scale.
But either the planned medical procedure or the strong sedation wasn't needed.
Royal Australian College of General Practicioners president, Bastian Seidel, said: "Medical sedation is a foul compromise for inadequate nursing care".
Sedation was performed with propofol i.v. under spontaneous breathing and continuous pulse oximetry.
Anesthesiologists might use it to determine when a patient under sedation is truly out.
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