Development and simultaneous application of multiple care protocols in critical care: A multicenter feasibility study

Intensive Care Medicine

Volumn 34, Issue 8, 2008, Pages 1401-1410

  Takala, Jukka ^a   Dellinger, R Philip ^b   Koskinen, Kati ^c   St Andre, Arthur ^d   Read, Martyn ^e   Levy, Mitchell ^f   Jakob, Stephan M ^a   Mello, Patricia Veiga C ^g   Friolet, Raymond ^a   Ruokonen, Esko ^h  

^a UNIVERSITY OF BERN   (Switzerland)

^b Department of Anesthesiology   (United States)

^c Benchmarking Services   (Finland)

^d WASHINGTON HOSPITAL CENTER   (United States)

^e UNIVERSITY HOSPITAL OF WALES   (United Kingdom)

^f RHODE ISLAND HOSPITAL   (United States)

^g UNIVERSIDADE ESTADUAL DO PIAUÍ   (Brazil)

^h KUOPIO UNIVERSITY HOSPITAL   (Finland)

Author keywords

Cardiac surgery; Critical care; Disease management; Sedation; Treatment protocols; Weaning

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOVASCULAR DISEASE; CLINICAL TRIAL; COHORT ANALYSIS; COMPUTER PROGRAM; CONTROLLED STUDY; DISEASE SEVERITY; EUROPEAN AMERICAN; FEASIBILITY STUDY; HEART HEMODYNAMICS; HEART SURGERY; HUMAN; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; PROSPECTIVE STUDY; SEDATION; SEPSIS; UNIVERSITY HOSPITAL;

AGED; ALGORITHMS; APACHE; CARDIOVASCULAR DISEASES; CLINICAL PROTOCOLS; CRITICAL CARE; EUROPE; FEASIBILITY STUDIES; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MIDDLE AGED; SEPSIS; THERAPY, COMPUTER-ASSISTED; THORACIC SURGERY; UNITED STATES; VENTILATOR WEANING;

EID: 48149110667     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-008-1084-x     Document Type: Article

References (16)

1. Smith CA, Corripio AB (2005) Principles and practices of automatic process control, 3rd edn. Wiley, New York
2. JP Kress AS Pohlman MF O'Connor JB Hall 2000 Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation: N Engl J Med 342 1471 1477
3. AD Brook TS Ahrens R Schaiff D Prentice G Sherman W Shannon MH Kollef 1999 Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation Crit Care Med 27 2609 2615
4. EW Ely AM Baker DP Dunagan HL Burke AC Smith PT Kelly MM Johnson RW Browder DL Bowton EF Haponik 1996 Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously N Engl J Med 335 1864 1869
5. MH Kollef SD Shapiro P Silver RE St. John D Prentice S Sauer TS Ahrens W Shannon D Baker-Clinkscale 1997 A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation Crit Care Med 25 567 574
6. The Acute Respiratory Distress Syndrome Network 2000 Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome N Engl J Med 342 1301 1308
7. BA McKinley FA Moore RM Sailors CS Cocanour A Marquez RK Wright AS Tonnesen CJ Wallace AH Morris TD East 2001 Computerized decision support for mechanical ventilation of trauma induced ARDS: results of a randomized clinical trial J Trauma 50 415 424
8. E Rivers B Nguyen S Havstad J Ressler A Muzzin B Knoblich E Peterson M Tomlanovich Early Goal-Directed Therapy Collaborative Group 2001 Early goal-directed therapy in the treatment of severe sepsis and septic shock N Engl J Med 345 1368 1377
9. J Wilson I Woods J Fawcett R Whall W Dibb C Morris E McManus 1999 Reducing the risk of major elective surgery: randomised controlled trial of preoperative optimisation of oxygen delivery Br Med J 318 1099 1103
10. R Pearse D Dawson J Fawcett A Rhodes RM Grounds ED Bennett 2005 Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised controlled trial Crit Care 9 R687 R693
11. P Polonen E Ruokonen M Hippelainen M Poyhonen J Takala 2000 A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients Anesth Analg 90 1052 1059
12. M McKendry H McGloin D Saberi L Caudwell AR Brady M Singer 2004 Randomised controlled trial assessing the impact of a nurse delivered, flow monitored protocol for optimisation of circulatory status after cardiac surgery Br Med J 329 258
13. EW Ely PA Bennett DL Bowton SM Murphy AM Florance EF Haponik 1999 Large scale implementation of a respiratory therapist-driven protocol for ventilator weaning Am J Respir Crit Care Med 159 439 446
14. DJ Scheinhorn DC Chao M Stearn-Hassenpflug WA Wallace 2001 Outcomes in post-ICU mechanical ventilation: a therapist-implemented weaning protocol Chest 119 236 242
15. SM Burns S Earven C Fisher R Lewis P Merrell JR Schubart JD Truwit TP Bleck University of Virginia Long Term Mechanical Ventilation Team 2003 Implementation of an institutional program to improve clinical and financial outcomes of mechanically ventilated patients: one-year outcomes and lessons learned Crit Care Med 31 2752 2763
16. S Trzeciak RP Dellinger NL Abate RM Cowan M Stauss JH Kilgannon S Zanotti JE Parrillo 2006 Translating research to clinical practice: a 1-year experience with implementing early goal-directed therapy for septic shock in the emergency department Chest 129 225 232