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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastrointest Surg. Jun 27, 2026; 18(6): 117179
Published online Jun 27, 2026. doi: 10.4240/wjgs.117179
Comprehensive strategy for preventing unplanned extubation in patients with post-operative delirium after gastrointestinal surgery
Yan-Hua Yu, Jing-Jing Yang
Yan-Hua Yu, Jing-Jing Yang, Department of Critical Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China
Author contributions: Yu YH is responsible for research design, data collection and analysis, and writing the initial draft of the paper; Yang JJ is responsible for research proposal review, quality control, data analysis guidance, and final paper approval. All authors acknowledge the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of the First Affiliated Hospital of Soochow University.
Informed consent statement: All participants provided written informed consent before enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Corresponding author: Jing-Jing Yang, Chief Nurse, Department of Critical Care Medicine, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Gusu District, Suzhou 215000, Jiangsu Province, China. 15606131287@163.com
Received: January 20, 2026
Revised: February 12, 2026
Accepted: March 16, 2026
Published online: June 27, 2026
Processing time: 148 Days and 7.6 Hours
Core Tip

Core Tip: In this study, a mechanism-oriented strategy (individualized sedation-analgesia + structured nursing) for unplanned extubation in patients with post-operative delirium after gastrointestinal surgery, is proposed. The incidence of unplanned extubation and duration of hospitalization were reduced, and nursing quality was improved, offering a safe model of prevention.

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