Including a weaning predictor in the daily assessment of weaning readiness increased mechanical ventilation weaning time

2007 ◽  
Vol 10 (3) ◽  
pp. 91-91
Author(s):  
J. L Reishtein
Keyword(s):  
Mechanical Ventilation ◽  
Ventilation Weaning ◽  
Mechanical Ventilation Weaning

scholarly journals Mechanical ventilation weaning issues can be counted on the fingers of just one hand: part 2

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Luigi Vetrugno ◽  
Alessandro Brussa ◽  
Giovanni Maria Guadagnin ◽  
Daniele Orso ◽  
Francesco De Lorenzo ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Hand Part ◽  
Ventilation Weaning ◽  
Mechanical Ventilation Weaning

Improving Adherence to a Mechanical Ventilation Weaning Protocol for Critically Ill Adults: Outcomes After an Implementation Program

2006 ◽  
Vol 15 (3) ◽  
pp. 299-309 ◽  
Author(s):  
Suzanne E. McLean ◽  
Louise A. Jensen ◽  
Dallas G. Schroeder ◽  
Noel R. T. Gibney ◽  
Neil M. Skjodt
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Multidisciplinary Team ◽  
Safety Climate ◽  
Ventilator Associated Pneumonia ◽  
Implementation Program ◽  
General Systems ◽  
Ventilation Weaning ◽  
Mechanical Ventilation Weaning

• Background Despite multiple reminders, education sessions, and multidisciplinary team involvement, adherence to an evidence-based mechanical ventilation weaning protocol had been less than 1% in a general systems intensive care unit since implementation. • Objective To assess the effectiveness of using an implementation program, the Model for Accelerating Improvement, to improve adherence and clinical outcomes after restarting a mechanical ventilation weaning protocol in an adult general systems intensive care unit. • Methods A prospective comparative design, before and after implementation of the Model for Accelerating Improvement, was used with a consecutive sample of 129 patients and 112 multidisciplinary team members. Clinical outcomes were rate of unsuccessful extubations, rate of ventilator-associated pneumonia, and duration of mechanical ventilation; practice outcomes were staff’s understanding of the mechanical ventilation weaning protocol, perceptions of the practice safety climate, and adherence to the weaning protocol. • Results After the intervention, the rate of unsuccessful extubations decreased, and staff’s understanding of and adherence to the weaning protocol increased significantly. The rate of ventilator-associated pneumonia, duration of mechanical ventilation, and staff’s perceptions of the practice safety climate did not change significantly. • Conclusion Implementing the Model for Accelerating Improvement improved understanding of and adherence to protocol-directed weaning and reduced the rate of unsuccessful extubations.

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