Use of mechanical ventilation protocols in intensive care units: A survey of current practice

Journal of Critical Care

Volumn 27, Issue 6, 2012, Pages 556-563

  Ellis, Sandra M ^a   Dainty, Katie N ^b   Munro, Graham ^c   Scales, Damon C ^a,d,e  

^a SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^b ST MICHAEL'S HOSPITAL   (Canada)

^c CHARLES STURT UNIVERSITY   (Australia)

^d UNIVERSITY OF TORONTO   (Canada)

^e INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

Author keywords

Lung protective ventilation; Mechanical ventilation; Postal survey; Protocols; Respiratory therapists; Spontaneous breathing trial

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; CANADA; CLINICAL PROTOCOL; DOCTOR PATIENT RELATION; HEALTH CARE QUALITY; HEALTH SURVEY; HUMAN; INTENSIVE CARE UNIT; MEDICAL EDUCATION; MEDICAL PRACTICE; OUTCOME ASSESSMENT; RESPIRATORY THERAPIST; TIDAL VOLUME;

ACUTE LUNG INJURY; CLINICAL PROTOCOLS; HOSPITAL ADMINISTRATION; HOSPITAL BED CAPACITY; HUMANS; INTENSIVE CARE UNITS; ONTARIO; PERSONNEL STAFFING AND SCHEDULING; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; RESPIRATORY THERAPY;

EID: 84870710433     PISSN: 08839441     EISSN: 15578615     Source Type: Journal    
DOI: 10.1016/j.jcrc.2012.04.021     Document Type: Article

References (30)

1. Barr J., Hecht M., Flavin K.E., Khorana A., Gould M.K. Outcomes in critically ill patients before and after the implementation of an evidence-based nutritional management protocol. Chest 2004, 125:1446-1457.
2. Van den Berghe G., Wilmer A., Hermans G., Meersseman W., Wouters P.J., Milants I., et al. Intensive insulin therapy in the medical ICU. N Engl J Med 2006, 354:449-461.
3. Girard T.D., Kress J.P., Fuchs B.D., Thomason J.W., Schweickert W.D., Pun B.T., et al. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet 2008, 371:126-134.
4. Morris A.H. Clinical trial of a weaning protocol. Crit Care 2004, 8:207-209.
5. Meade M.O., Ely E.W. Protocols to improve the care of critically ill pediatric and adult patients. JAMA 2002, 288:2601-2603.
6. Fessler H.E., Brower R.G. Protocols for lung protective ventilation. Crit Care Med 2005, 33:S223-S227.
7. Adiguzel N., Gungor G., Tobin M.J. Hippocrates is alive and weaning in Brazil. Crit Care 2009, 13:142.
8. Prasad M., Holmboe E.S., Lipner R.S., Hess B.J., Christie J.D., Bellamy S.L., et al. Clinical protocols and trainee knowledge about mechanical ventilation. JAMA 2011, 306:935-941.
9. 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 2000, 342:1301-1308. The Acute Respiratory Distress Syndrome Network.
10. Umoh N.J., Fan E., Mendez-Tellez P.A., Sevransky J.E., Dennison C.R., Shanholtz C., et al. Patient and intensive care unit organizational factors associated with low tidal volume ventilation in acute lung injury. Crit Care Med 2008, 36:1463-1468.
11. Rubenfeld G.D., Cooper C., Carter G., Thompson B.T., Hudson L.D. Barriers to providing lung-protective ventilation to patients with acute lung injury. Crit Care Med 2004, 32:1289-1293.
12. Matthay M.A., Calfee C.S. Therapeutic value of a lung protective ventilation strategy in acute lung injury. Chest 2005, 128:3089-3091.
13. Ely E.W., Baker A.M., Dunagan D.P., Burke H.L., Smith A.C., Kelly P.T., et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 1996, 335:1864-1869.
14. Marelich G.P., Murin S., Battistella F., Inciardi J., Vierra T., Roby M. 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 2000, 118:459-467.
15. Kollef M.H., Shapiro S.D., Silver P., St John R.E., Prentice D., Sauer S., et al. A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med 1997, 25:567-574.
16. Lellouche F., Mancebo J., Jolliet P., Roeseler J., Schortgen F., Dojat M., et al. A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. Am J Respir Crit Care Med 2006, 174:894-900.
17. Dries D.J., McGonigal M.D., Malian M.S., Bor B.J., Sullivan C. Protocol-driven ventilator weaning reduces use of mechanical ventilation, rate of early reintubation, and ventilator-associated pneumonia. J Trauma 2004, 56:943-951.
18. Burns K.E., Duffett M., Kho M.E., Meade M.O., Adhikari N.K., Sinuff T., et al. A guide for the design and conduct of self-administered surveys of clinicians. CMAJ 2008, 179:245-252.
19. Edwards P., Roberts I., Clarke M., DiGuiseppi C., Pratap S., Wentz R., et al. Increasing response rates to postal questionnaires: systematic review. BMJ 2002, 324:1183.
20. Ontario Critical Care LHIN Leadership Table. Inventory of Critical Services: An analysis of LHIN-Level capacities. 2007. [Electronic Citation]. http://www.health.gov.on.ca/english/providers/program/critical_care/docs/report_cc_inventory.pdf.
21. Gajic O., Frutos-Vivar F., Esteban A., Hubmayr R.D., Anzueto A. Ventilator settings as a risk factor for acute respiratory distress syndrome in mechanically ventilated patients. Intensive Care Med 2005, 31:922-926.
22. Mascia L., Zavala E., Bosma K., Pasero D., Decaroli D., Andrews P., et al. High tidal volume is associated with the development of acute lung injury after severe brain injury: an international observational study. Crit Care Med 2007, 35:1815-1820.
23. Marini J.J. Mechanical ventilation in acute respiratory distress syndrome. Principles and practices of mechancial ventilation 2006, 625-648. McGraw Hill Professional, New York. 2nd ed. M.J. Tobin (Ed.).
24. Gunther A., Taut F. Tidal volume in mechanical ventilation: the importance of considering predicted body weight. Am J Respir Crit Care Med 2008, 178:315-316.
25. Chatburn R., Deern S. Should weaning protocols be used with all patients who received mechanical ventilation?. Respir Care 2007, 52:609-619.
26. Ferguson N.D., Frutos-Vivar F., Esteban A., Fernandez-Segoviano P., Aramburu J.A., Najera L., et al. Acute respiratory distress syndrome: underrecognition by clinicians and diagnostic accuracy of three clinical definitions. Crit Care Med 2005, 33:2228-2234.
27. Ely E.W., Meade M.O., Haponik E.F., Kollef M.H., Cook D.J., Guyatt G.H., et al. Mechanical ventilator weaning protocols driven by nonphysician health-care professionals: evidence-based clinical practice guidelines. Chest 2001, 120:454S-463S.
28. Morris A.H. Developing and implementing computerized protocols for standardization of clinical decisions. Ann Intern Med 2000, 132:373-383.
29. McLean S.E., Jensen L.A., Schroeder D.G., Gibney N.R., Skjodt N.M. Improving adherence to a mechanical ventilation weaning protocol for critically ill adults: outcomes after an implementation program. Am J Crit Care 2006, 15:299-309.
30. Asch D.A., Jedrziewski M.K., Christakis N.A. Response rates to mail surveys published in medical journals. J Clin Epidemiol 1997, 50:1129-1136.