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

http://dx.doi.org/10.1136/ebn.10.3.91

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    Tanios MA, Nevins ML, Hendra KP, et al. A randomized, controlled trial of the role of weaning predictors in clinical decision making. Crit Care Med 2006;34:2530–5.OpenUrlCrossRefPubMedWeb of Science

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

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

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

    Embedded ImageFollow up period:

    to hospital discharge or death.

    Embedded ImageSetting:

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

    Embedded ImagePatients:

    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.

    Embedded ImageIntervention:

    all patients …

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    Footnotes

    • For correspondence: Dr M A Tanios, UCLA School of Medicine, St Mary Medical Center, Long Beach, CA, USA. mtanios{at}tufts-nemc.org

    • Source of funding: not stated.