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Evid Based Nurs 10:91 doi:10.1136/ebn.10.3.91
  • Quality improvement

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


 
 Q In patients receiving mechanical ventilation, does including a weaning predictor in the daily assessment of weaning readiness reduce weaning time?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

blinded (patients, healthcare providers, and respiratory therapists). The respiratory care practitioner who assessed readiness for weaning was not blinded.

GraphicFollow up period:

to hospital discharge or death.

GraphicSetting:

intensive care units (ICUs) of 3 hospitals in the US and Canada.

GraphicPatients:

304 patients >18 years of age (mean age 65 y, 54% men) who had acute respiratory failure and had been on mechanical ventilation for ⩾24 hours (median 2 d). Exclusion criteria included expected survival <48 hours and primary neurological event without expectation for recovery.

GraphicIntervention:

all patients underwent a daily screen by a respiratory care practitioner to assess readiness for weaning from the ventilator, including measurement of frequency tidal volume ratio …

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