Effect of a nursing-implemented sedation protocol on weaning outcome

Critical Care Medicine

Volumn 36, Issue 7, 2008, Pages 2054-2060

  Arias Rivera, Susana ^a,b   Del Mar Sánchez Sánchez, Maria ^a,b   Santos Díaz, Rosa ^a,b   Gallardo Murillo, Juana ^a,b   Sánchez Izquierdo, Raquel ^a,b   Frutos Vivar, Fernando ^a,b   Ferguson, Niall D ^c   Esteban, Andrés ^a,b  

^a HOSPITAL UNIVERSITARIO DE GETAFE   (Spain)

^b INSTITUTO DE SALUD CARLOS III   (Spain)

^c UNIVERSITY HEALTH NETWORK   (Canada)

Author keywords

Clinical nursing research; Mechanical ventilation; Nursing process; Nursing workload; Sedatives; Weaning

Indexed keywords

MIDAZOLAM; MORPHINE; PROPOFOL; HYPNOTIC SEDATIVE AGENT;

AGED; ALGORITHM; ARTICLE; ARTIFICIAL VENTILATION; CONTINUOUS INFUSION; DRUG DOSE INCREASE; EXTUBATION; FEMALE; HUMAN; INTENSIVE CARE UNIT; INTERVENTION STUDY; INTUBATION; MAJOR CLINICAL STUDY; MALE; NURSING PROTOCOL; OBSERVATION; OUTCOME ASSESSMENT; PHYSICIAN; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROBABILITY; PROSPECTIVE STUDY; SEDATION; TREATMENT DURATION; WORKLOAD; CLASSIFICATION; CONSCIOUS SEDATION; KAPLAN MEIER METHOD; LENGTH OF STAY; METHODOLOGY; MORTALITY; NURSING; PAIN ASSESSMENT;

AGED; CONSCIOUS SEDATION; FEMALE; HOSPITAL MORTALITY; HUMANS; HYPNOTICS AND SEDATIVES; INTENSIVE CARE UNITS; KAPLAN-MEIERS ESTIMATE; LENGTH OF STAY; MALE; MIDAZOLAM; PAIN MEASUREMENT; PROSPECTIVE STUDIES; VENTILATOR WEANING;

EID: 47249093277     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e31817bfd60     Document Type: Article

References (17)

1. Arroliga A, Frutos-Vivar F, Hall J, et al: Use of sedatives and neuromuscular blockers in a cohort of patients receiving mechanical ventilation. Chest 2005; 128:496-506
2. Kollef MH, Levy NT, Ahrens TS, et al: The use of continuous i.v. sedation is associated with prolongation of mechanical ventilation. Chest 1998; 114:541-548
3. Kress JP, Pohlman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000; 342: 1471-1477
4. Brook AD, Ahrens TS, Schaiff R, et al: Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation. Crit Care Med 1999; 27:2609-2615
5. Brattebø G, Hofoss D, Flaatten H, et al: Effect of a scoring system and protocol for sedation on duration of patients' need for ventilator support in a surgical intensive care unit. BMJ 2002; 324:1386-1389
6. De Jonghe B, Bastuji-Garin S, Fangio P, et al: Sedation algorithm in critically ill patients without acute brain injury. Crit Care Med 2005; 33:120-127
7. Chanques G, Jaber S, Barbotte E, et al: Impact of systematic evaluation of pain and agitation in an intensive care unit. Crit Care Med 2006; 34:1691-1699
8. Quenot JP, Ladoire S, Devoucoux F, et al: Effect of a nurse-implemented sedation protocol on the incidence of ventilator-associated pneumonia. Crit Care Med 2007; 35: 2031-2036
9. Elliott R, McKinley S, Aitken LM, et al: The effect of an algorithm-based sedation guideline on the duration of mechanical ventilation in an Australian intensive care unit. Intensive Care Med 2006; 32:1506-1514
10. Arias-Rivera S, Sá nchez-Sá nchez MM, Santos-Díaz R, et al: Effect of a nursing-implemented sedation protocol based on the Glasgow Coma Score modified by Cook and Palma. Proc Am Thorac Soc 2006; 3:A301
11. Cook S, Palma O: Propofol as a sole agent for prolonged infusion in intensive care. J Drug Dev 1989; 4(Suppl 2):65-67
12. Esteban A, Alia I, Gordo F, et al: Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. Am J Respir Crit Care Med 1997; 156(2 Pt 1):459-465
13. Esteban A, Alia I, Tobin MJ, et al: Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Am J Respir Crit Care Med 1999; 159:512-518
14. Schoenfeld DA, Bernard GR, ARDS Network: Statistical evaluation of ventilatorfree days as an efficacy measure in clinical trials of treatments for acute respiratory distress syndrome. Crit Care Med 2002; 30:1772-1777
15. Reis Miranda D, Moreno R, Iapichino G: Nine equivalents of nursing manpower use score (NEMS). Intensive Care Med 1997; 23: 760-765
16. Esteban A, Anzueto A, Frutos F, et al: Characteristics and outcomes in adult patients receiving mechanical ventilation: A 28-day international study. JAMA 2002; 287: 345-355
17. Boles JM, Bion J, Connors A, et al: Weaning from mechanical ventilation. Eur Respir J 2007; 29:1033-1056