A comprehensive protocol for ventilator weaning and extubation: a prospective observational study.

ABSTRACT:

Background

Ventilator weaning protocols have been shown to reduce the duration of mechanical ventilation (MV), intensive care unit length of stay, and resource use. However, weaning protocols have not significantly affected mortality or reintubation rates. The extubation process is a critical component of respiratory care in patients who receive MV. Post-extubation respiratory failure (PERF) is a common event associated with significant morbidity and mortality. We hypothesized that a comprehensive protocol for ventilator weaning and extubation would be effective for preventing PERF and reintubation and reducing mortality in critically ill patients.

Methods

A ventilator weaning and extubation protocol was developed. The protocol consisted of checklists across four evaluations

SUBMITTER: Nitta K 

PROVIDER: S-EPMC6833251 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature