You are here

Article Text

Article menu
Download PDFPDF
Treatment
Protocol directed weaning reduced time spent on mechanical ventilation

https://doi.org/10.1136/ebn.1.1.16

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Kollef Mh, Shapiro Sd, Silver P ,Et AL. A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med 1997 Apr; 25 : 567 –74. OpenUrlCrossRefPubMedWeb of Science

    Objective

    To compare protocol directed weaning from mechanical ventilation by nurses and respiratory therapists with physician directed weaning.

    Design

    Randomised controlled trial with follow up to discharge.

    Setting

    4 medical and surgical intensive care units in 2 university teaching hospitals in the USA.

    Patients

    357 patients (50% surgical, median age 66 y, 53% women) who were age > 18 years and required mechanical ventilation. Exclusion criteria were head or facial burns or trauma, previous mechanical ventilation in another hospital, or mechanical ventilation needed for organ retrieval.

    Intervention

    Patients were stratified by intensive care unit site, and allocated to protocol directed weaning (n=179) or physician directed weaning (n=178). Protocol directed weaning was done by nurses and respiratory therapists when the underlying conditions for …

    View Full Text

    Footnotes

    • Source of funding: in part, Barnes-Jewish-Christian Hospitals Innovation in Healthcare Program.

    • For article reprint: Dr M H Kollef, Pulmonary and Critical Care Division, Washington University School of Medicine, Box 8052, 660 South Euclid Avenue, St. Louis, MO 63110, USA. Fax +1 314 362 1334.