Weaning from ventilation: Does a care bundle approach work?

Intensive and Critical Care Nursing

Volumn 24, Issue 3, 2008, Pages 180-186

  Crocker, Cheryl ^a   Kinnear, William ^a  

^a NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST   (United Kingdom)

Author keywords

Care bundle; Critical care; Service improvement; Weaning

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; CLINICAL NURSING RESEARCH; CLINICAL PATHWAY; EVIDENCE BASED MEDICINE; HUMAN; INTENSIVE CARE; METHODOLOGY; NURSE ATTITUDE; NURSING; NURSING ASSESSMENT; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT CARE PLANNING; PATIENT SELECTION; PHILOSOPHY; PILOT STUDY; TREATMENT OUTCOME;

CLINICAL NURSING RESEARCH; CRITICAL CARE; CRITICAL PATHWAYS; EVIDENCE-BASED MEDICINE; HUMANS; NURSE'S ROLE; NURSING ASSESSMENT; NURSING AUDIT; ORGANIZATIONAL OBJECTIVES; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT CARE PLANNING; PATIENT CARE TEAM; PATIENT SELECTION; PHILOSOPHY, NURSING; PILOT PROJECTS; VENTILATOR WEANING;

EID: 42949089373     PISSN: 09643397     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.iccn.2007.11.003     Document Type: Article

References (23)

1. Alagesan K. Weaning from mechanical ventilation: present and future. J World Med Assoc Global Healthc (2002) 80-82
2. Brochard L., Rauss A., Benito S., Conti G., Mancebo J., Rekik N., et al. Comparison of three methods of gradual withdrawal from mechanically ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 150 (1994) 896-903
3. Butler R., Keenan S., Inman K., Sibbald W., and Block G. Is there a preferred technique for weaning the difficult-to-wean patient? A systematic review of the literature. Crit Care Med 27 11 (1999) 2331-2336
4. Blackwood B. The art and science of predicting patient readiness for weaning from mechanical ventilation. Int J Nurs Stud 37 2 (2000) 145-151
5. Blackwood B. Can protocolised-weaning developed in the United States transfer to the United Kingdom context: a discussion. Intensive Crit Care Nurs 19 (2003) 215-225
6. Blackwood B., Wilson-Barnett J., and Trinder J. Protocolised weaning from mechanical ventilation: ICU physicians' views. J Adv Nurs 48 1 (2004) 26-34
7. Crocker C. Nurse-led weaning from ventilatory and respiratory support. Intensive Crit Care Nurs 18 (2002) 272-279
8. Crocker C. Developing a nursing technology: making visible the nursing contribution to the development of critical care. PhD thesis (unpublished). University of Nottingham.
9. Djunaedi H., Cardinal P., Greffe-Lalibrete G., Jones G., Pham Ba., and Carter Snell C. Does a ventilatory management protocol improve the care of ventilated patients?. Respir Care 42 6 (1997) 604-610
10. Ely E.W., Baker A.M., Dunagan D.P., Burke H.L., Smith A.C., and Kelly P. Effect on the duration of mechanical ventilation of identifying patient capable of breathing spontaneously. N Engl J Med 335 (1996) 1864-1869
11. Ferrer M., et al. Non-invasive ventilation during persistent weaning failure: a randomised controlled trial. Am J Respir Crit Care Med 168 (2003) 70-76
12. Gelsthorpe T., and Crocker C. A study exploring factors which influence the decision to commence nurse-led weaning. Nurs Crit Care 9 5 (2004) 213-221
13. Jenny J., and Logan J. Knowing the patient: one aspect of clinical knowledge. Image 24 (1992) 254-258
14. Kollef H.M., Shapiro S.D., Silver P., St. John R.E., Prentice D., Sauer S., et al. A randomised controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med 25 4 (1997) 567-574
15. Kurek C.J., Cohen I.L., Lambrinos J., Minatoya K., Booth F.V., and Chalfin D.B. Clinical and economic outcome of patients undergoing tracheostomy for prolonged mechanical ventilation in New York state during 1993: analysis of 6353 cases under diagnosis-related group 485. Crit Care Med 25 (1997) 983-988
16. Modernisation Agency. Critical care programme: weaning and long term ventilation (2002), NHS, London
17. Modernisation Agency. Ten high impact changes for service improvement and service delivery: a guide for NHS leaders (2004), NHS, London
18. Nava S., et al. Non-invasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomised, controlled trial. Ann Intern Med 128 (1998) 721-728
19. Nevins M.L., and Epstein S.K. Weaning from prolonged mechanical ventilation. Clin Chest Med 22 (2001) 13-33
20. Price A. Nurse-led weaning from mechanical ventilation: where's the evidence?. Intensive Crit Care Nurs 17 (2001) 167-176
21. Seneff M.G., Zimmerman J.E., Knauss W.A., Wagner D.P., and Draper E.A. Predicting the duration of mechanical ventilation. The importance of disease and patient characteristics. Chest 110 (1996) 469-479
22. Thorens J.B., Rainer M., Jolliet P., and Chevriolet J.C. Influence of the quality of nursing on the duration of weaning from mechanical ventilation in patients with chronic obstructive pulmonary disease. Crit Care Med 23 11 (1995) 1807-1815
23. Tonnelier J., Prat G., Le Gal G., Gut-Gobert C., Renault A., Boles J., et al. Impact of a nurse' protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for more than 48 h: a prospective cohort study with a matched historical control group. Crit Care 9 2 (2005) 83-89