Evaluating Delivery of Low Tidal Volume Ventilation in Six ICUs Using Electronic Health Record Data.

ABSTRACT:

Objectives

Mechanical ventilation with low tidal volumes is recommended for all patients with acute respiratory distress syndrome and may be beneficial to other intubated patients, yet consistent implementation remains difficult to obtain. Using detailed electronic health record data, we examined patterns of tidal volume administration, the effect on clinical outcomes, and alternate metrics for evaluating low tidal volume compliance in clinical practice.

Design

Observational cohort study.

Setting

Six ICUs in a single hospital system.

Patients

Adult patients who received invasive mechanical ventilation more than 12 hours.

Interventions

None.

Measurements and main results

Tidal volumes were analyzed across 1,905 hospitalizations. Although mean tidal

SUBMITTER: Sjoding MW 

PROVIDER: S-EPMC6298798 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature