Implementation of lung protective ventilation order to improve adherence to low tidal volume ventilation: A RE-AIM evaluation.

ABSTRACT:

Purpose

Lung protective ventilation (LPV), defined as a tidal volume (Vt) ≤8 cc/kg of predicted body weight, reduces ventilator-induced lung injury but is applied inconsistently.

Materials and methods

We conducted a prospective, quasi-experimental, cohort study of adults mechanically ventilated admitted to intensive care units (ICU) in the year before, year after, and second year after implementation of an electronic medical record based LPV order, and a cross-sectional qualitative study of ICU providers regarding their perceptions of the order. We applied the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate the implementation.

Results

There were 1405, 1424, and 1342 in the control, adoption, and maintenance cohorts, representi

SUBMITTER: Short B 

PROVIDER: S-EPMC7979571 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature