Effects of Respiratory-Therapist Driven Protocols on House-Staff Knowledge and Education of Mechanical Ventilation

Clinics in Chest Medicine

Volumn 29, Issue 2, 2008, Pages 313-321

  Chia, Jessica Y ^a   Clay, Alison S ^a  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTIFICIAL VENTILATION; CLINICAL PROTOCOL; CRITICALLY ILL PATIENT; EDUCATION; EVIDENCE BASED MEDICINE; HEALTH CARE COST; HEALTH CARE PERSONNEL; HUMAN; INTENSIVE CARE; MEDICAL ERROR; MORTALITY; PATIENT CARE; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROFESSIONAL KNOWLEDGE; RESPIRATORY THERAPIST; REVIEW;

GUIDELINE ADHERENCE; HUMANS; INTERNSHIP AND RESIDENCY; RESPIRATION, ARTIFICIAL; RESPIRATORY THERAPY; RESUSCITATION;

EID: 42649104038     PISSN: 02725231     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ccm.2008.01.003     Document Type: Review

References (63)

1. Knaus W.A., Wagner D.P., Zimmerman J.E., et al. Variations in mortality and length of stay in intensive care units. Ann Intern Med 118 10 (1993) 753-761
2. Wennberg J.E., Freeman J.L., Shelton R.M., et al. Hospital use and mortality among Medicare beneficiaries in Boston and New Haven. N Engl J Med 321 17 (1989) 1168-1173
3. Wennberg J.E. Unwarranted variations in healthcare delivery: implications for academic medical centres. BMJ 325 7370 (2002) 961-964
4. Holcomb B.W., Wheeler A.P., and Ely E.W. New ways to reduce unnecessary variation and improve outcomes in the intensive care unit. Curr Opin Crit Care 7 4 (2001) 304-311
5. Morris A.H. Decision support and safety of clinical environments. Qual Saf Health Care 11 1 (2002) 69-75
6. Chatburn R.L., and Deem S. Respiratory controversies in the critical care setting. Should weaning protocols be used with all patients who receive mechanical ventilation?. Respir Care 52 5 (2007) 609-619 [discussion: 619-21]
7. Hammond J.J. Protocols and guidelines in critical care: development and implementation. Curr Opin Crit Care 7 6 (2001) 464-468
8. Ibrahim E.H., and Kollef M.H. Using protocols to improve the outcomes of mechanically ventilated patients. Focus on weaning and sedation. Crit Care Clin 17 4 (2001) 989-1001
9. Wall R.J., Dittus R.S., and Ely E.W. Protocol-driven care in the intensive care unit: a tool for quality. Crit Care 5 6 (2001) 283-285
10. Cook D.J., Walter S.D., Cook R.J., et al. Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients. Ann Intern Med 129 6 (1998) 433-440
11. McLean S.E., Jensen L.A., Schroeder D.G., et al. Improving adherence to a mechanical ventilation weaning protocol for critically ill adults: outcomes after an implementation program. Am J Crit Care 15 3 (2006) 299-309
12. Slutsky A.S., and Tremblay L.N. Multiple system organ failure. Is mechanical ventilation a contributing factor?. Am J Respir Crit Care Med 157 6 Pt 1 (1998) 1721-1725
13. Cox C.E., Carson S.S., Lindquist J.H., et al. Differences in one-year health outcomes and resource utilization by definition of prolonged mechanical ventilation: a prospective cohort study. Crit Care 11 1 (2007) R9
14. Brochard L., Rauss A., Benito S., et al. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 150 4 (1994) 896-903
15. Esteban A., Frutos F., Tobin M.J., et al. A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med 332 6 (1995) 345-350
16. Epstein S.K., and Ciubotaru R.L. Independent effects of etiology of failure and time to reintubation on outcome for patients failing extubation. Am J Respir Crit Care Med 158 2 (1998) 489-493
17. Epstein S.K., Ciubotaru R.L., and Wong J.B. Effect of failed extubation on the outcome of mechanical ventilation. Chest 112 1 (1997) 186-192
18. Esteban A., Alia I., Gordo F., et al. Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. The Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med 156 2 Pt 1 (1997) 459-465
19. MacIntyre N.R., Cook D.J., Ely Jr. E.W., et al. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest 120 6 Suppl (2001) 375S-395S
20. Pauwels R.A., Buist A.S., Calverley P.M., et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. Am J Respir Crit Care Med 163 5 (2001) 1256-1276
21. Brower R.G., Ware L.B., Berthiaume Y., et al. Treatment of ARDS. Chest 120 4 (2001) 1347-1367
22. Ely E.W., Meade M.O., Haponik E.F., et al. Mechanical ventilator weaning protocols driven by nonphysician health-care professionals: evidence-based clinical practice guidelines. Chest 120 6 Suppl (2001) 454S-463S
23. Brilli R.J., Spevetz A., Branson R.D., et al. Critical care delivery in the intensive care unit: defining clinical roles and the best practice model. Crit Care Med 29 10 (2001) 2007-2019
24. Dans P.E. Credibility, cookbook medicine, and common sense: guidelines and the college. Ann Intern Med 120 11 (1994) 966-968
25. Morris A.H. Treatment algorithms and protocolized care. Curr Opin Crit Care 9 3 (2003) 236-240
26. Woolf S.H. Practice guidelines, a new reality in medicine. II. Methods of developing guidelines. Arch Intern Med 152 5 (1992) 946-952
27. Timmermans S., and Mauck A. The promises and pitfalls of evidence-based medicine. Health Aff (Millwood) 24 1 (2005) 18-28
28. Redman B.K. Clinical practice guidelines as tools of public policy: conflicts of purpose, issues of autonomy, and justice. J Clin Ethics 5 4 (1994) 303-309
29. Safran C., Rind D.M., Davis R.B., et al. Effects of a knowledge-based electronic patient record in adherence to practice guidelines. MD Comput 13 1 (1996) 55-63
30. Legorreta A.P., Christian-Herman J., O'Connor R.D., et al. Compliance with National Asthma Management Guidelines and specialty care: a health maintenance organization experience. Arch Intern Med 158 5 (1998) 457-464
31. Flores G., Lee M., Bauchner H., et al. Pediatricians' attitudes, beliefs, and practices regarding clinical practice guidelines: a national survey. Pediatrics 105 3 Pt 1 (2000) 496-501
32. Armstrong D. Clinical autonomy, individual and collective: the problem of changing doctors' behaviour. Soc Sci Med 55 10 (2002) 1771-1777
33. Tapson V.F., Decousus H., Pini M., et al. Venous thromboembolism prophylaxis in acutely ill hospitalized medical patients: findings from the International Medical Prevention Registry on Venous Thromboembolism. Chest 132 3 (2007) 936-945
34. Grilli R., and Lomas J. Evaluating the message: the relationship between compliance rate and the subject of a practice guideline. Med Care 32 3 (1994) 202-213
35. Cohen I.L., Bari N., Strosberg M.A., et al. Reduction of duration and cost of mechanical ventilation in an intensive care unit by use of a ventilatory management team. Crit Care Med 19 10 (1991) 1278-1284
36. Ely E.W., Baker A.M., Dunagan D.P., et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 335 25 (1996) 1864-1869
37. Epstein S.K. Weaning from mechanical ventilation. Respir Care 47 4 (2002) 454-466 [discussion: 466-8]
38. Horst H.M., Mouro D., Hall-Jenssens R.A., et al. Decrease in ventilation time with a standardized weaning process. Arch Surg 133 5 (1998) 483-488 [discussion: 488-9]
39. Meade M.O., Guyatt G.H., and Cook D.J. Weaning from mechanical ventilation: the evidence from clinical research. Respir Care 46 12 (2001) 1408-1415 [discussion: 1415-7]
40. Saura P., Blanch L., Mestre J., et al. Clinical consequences of the implementation of a weaning protocol. Intensive Care Med 22 10 (1996) 1052-1056
41. Wood G., MacLeod B., and Moffatt S. Weaning from mechanical ventilation: physician-directed vs a respiratory-therapist-directed protocol. Respir Care 40 3 (1995) 219-224
42. Brower R.G., Bernard G., and Morris A. Ethics and standard of care in clinical trials. Am J Respir Crit Care Med 170 2 (2004) 198-199 [author reply 199]
43. Weinert C.R., Gross C.R., and Marinelli W.A. Impact of randomized trial results on acute lung injury ventilator therapy in teaching hospitals. Am J Respir Crit Care Med 167 10 (2003) 1304-1309
44. Young M.P., Manning H.L., Wilson D.L., et al. Ventilation of patients with acute lung injury and acute respiratory distress syndrome: has new evidence changed clinical practice?. Crit Care Med 32 6 (2004) 1260-1265
45. Randolph A.G., Wypij D., Venkataraman S.T., et al. Effect of mechanical ventilator weaning protocols on respiratory outcomes in infants and children: a randomized controlled trial. JAMA 288 20 (2002) 2561-2568
46. Ely E.W., Bennett P.A., Bowton D.L., et al. Large scale implementation of a respiratory therapist-driven protocol for ventilator weaning. Am J Respir Crit Care Med 159 2 (1999) 439-446
47. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med 342 18 (2000) 1301-1308
48. Brower R.G., Lanken P.N., MacIntyre N., et al. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 351 4 (2004) 327-336
49. Wiedemann H.P., Wheeler A.P., Bernard G.R., et al. Comparison of two fluid-management strategies in acute lung injury. N Engl J Med 354 24 (2006) 2564-2575
50. Cabana M.D., Rand C.S., Powe N.R., et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 282 15 (1999) 1458-1465
51. Burns S.M., Marshall M., Burns J.E., et al. Design, testing, and results of an outcomes-managed approach to patients requiring prolonged mechanical ventilation. Am J Crit Care 7 1 (1998) 45-57 [quiz: 58-9]
52. Kollef M.H., Shapiro S.D., Clinkscale D., et al. The effect of respiratory therapist-initiated treatment protocols on patient outcomes and resource utilization. Chest 117 2 (2000) 467-475
53. Kollef M.H., Shapiro S.D., Silver P., et al. A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med 25 4 (1997) 567-574
54. Shrake K.L., Scaggs J.E., England K.R., et al. Benefits associated with a respiratory care assessment-treatment program: results of a pilot study. Respir Care 39 7 (1994) 715-724
55. Stoller J.K., Haney D., Burkhart J., et al. Physician-ordered respiratory care vs physician-ordered use of a respiratory therapy consult service: early experience at The Cleveland Clinic Foundation. Respir Care 38 11 (1993) 1143-1154
56. Stoller J.K., Mascha E.J., Kester L., et al. Randomized controlled trial of physician-directed versus respiratory therapy consult service-directed respiratory care to adult non-ICU inpatients. Am J Respir Crit Care Med 158 4 (1998) 1068-1075
57. Stoller J.K., Skibinski C.I., Giles D.K., et al. Physician-ordered respiratory care vs physician-ordered use of a respiratory therapy consult service. Results of a prospective observational study. Chest 110 2 (1996) 422-429
58. Krishnan J.A., Moore D., Robeson C., et al. A prospective, controlled trial of a protocol-based strategy to discontinue mechanical ventilation. Am J Respir Crit Care Med 169 6 (2004) 673-678
59. Marelich G.P., Murin S., Battistella F., et al. Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses: effect on weaning time and incidence of ventilator-associated pneumonia. Chest 118 2 (2000) 459-467
60. Scheinhorn D.J., Chao D.C., Stearn-Hassenpflug M., et al. Outcomes in post-ICU mechanical ventilation: a therapist-implemented weaning protocol. Chest 119 1 (2001) 236-242
61. Cox C.E., Carson S.S., Ely E.W., et al. Effectiveness of medical resident education in mechanical ventilation. Am J Respir Crit Care Med 167 1 (2003) 32-38
62. Brochard L., Mancebo J., Wysocki M., et al. Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med 333 13 (1995) 817-822
63. Kalhan R., Mikkelsen M., Dedhiya P., et al. Underuse of lung protective ventilation: analysis of potential factors to explain physician behavior. Crit Care Med 34 2 (2006) 300-306