Feasibility of implementing Extubation Advisor, a clinical decision support tool to improve extubation decision-making in the ICU: a mixed-methods observational study.

ABSTRACT:

Objectives

Although spontaneous breathing trials (SBTs) are standard of care to extubation readiness, no tool exists that optimises prediction and standardises assessment. In this study, we evaluated the feasibility and clinical impressions of Extubation Advisor (EA), a comprehensive clinical extubation decision support (CDS) tool.

Design

Phase I mixed-methods observational study.

Setting

Two Canadian intensive care units (ICUs).

Participants

We included patients on mechanical ventilation for ≥24 hours and clinicians (respiratory therapists and intensivists) responsible for extubation decisions.

Interventions

Components included a predictive model assessment, feasibility evaluation, questionnaires and interviews with clinicians.

Results

We enrolle

SUBMITTER: Sarti AJ 

PROVIDER: S-EPMC8362728 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature