Implementation and Routinization of the ABCDE Bundle

2021 ◽  
Vol 40 (6) ◽  
pp. 333-344
Author(s):  
Ashley W. Collinsworth ◽  
Rachel Brown ◽  
Louann Cole ◽  
Candice Jungeblut ◽  
Maria Kouznetsova ◽  
...  
Keyword(s):  
Abcde Bundle

scholarly journals Extending the ABCDE Bundle to the Post-Intensive Care Unit Setting

2013 ◽  
Vol 39 (8) ◽  
pp. 39-51 ◽  
Author(s):  
Michele Balas ◽  
Rose Buckingham ◽  
Tami Braley ◽  
Sarah Saldi ◽  
Eduard E. Vasilevskis
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Setting ◽  
Abcde Bundle

scholarly journals Organizational Domains and Variation in Attitudes of Intensive Care Providers Toward the ABCDE Bundle

2017 ◽  
Vol 26 (3) ◽  
pp. e18-e28 ◽  
Author(s):  
Leanne M. Boehm ◽  
Eduard E. Vasilevskis ◽  
Mary S. Dietrich ◽  
Nancy Wells ◽  
E. Wesley Ely ◽  
...  
Keyword(s):  
Intensive Care ◽  
Care Providers ◽  
Abcde Bundle

419: EVALUATION OF INTERPROFESSIONAL TEAMWORK PERCEPTIONS ON MAINTENANCE OF THE ABCDE BUNDLE

2016 ◽  
Vol 44 (12) ◽  
pp. 181-181
Author(s):  
Cara McDaniel ◽  
Shoshana Sicks ◽  
Dena Lehmann ◽  
Elizabeth Speakman ◽  
June Horowitz ◽  
...  
Keyword(s):  
Interprofessional Teamwork ◽  
Abcde Bundle

Ventilator Weaning

2018 ◽  
Author(s):  
Brian Brajcich ◽  
Ann Hwalek ◽  
Joseph Posluszny
Keyword(s):  
Respiratory Mechanics ◽  
Spontaneous Breathing Trial ◽  
Clinical Status ◽  
Ventilator Weaning ◽  
Evidence Based ◽  
Airway Patency ◽  
Diaphragm Dysfunction ◽  
Complex Process ◽  
Abcde Bundle ◽  
Based Medicine

Ventilator weaning/liberation is a complex process that requires focus on a patient’s respiratory mechanics, strength, awareness, airway patency, and secretions while also keeping in mind a patient’s overall clinical status and critical illness. The recommendations in the chapter are based on evidence-based medicine when available. When no clear data can definitively guide patient management, clinical guidelines and accepted practices are described.  Our hope is that the reader finds this chapter as a reliable and safe way to approach ventilator liberation. This review contains 4 figures, 6 tables and 77 references Key Words: ABCDE bundle, diaphragm dysfunction, negative inspiratory force, reintubation, RSBI, sedation, spontaneous breathing trial, tracheostomy, ventilator liberation, ventilator weaning

Implementing the ABCDE Bundle, Critical-Care Pain Observation Tool, and Richmond Agitation-Sedation Scale to Reduce Ventilation Time

2020 ◽  
Vol 31 (1) ◽  
pp. 16-21
Author(s):  
Jennifer Bardwell ◽  
Sushama Brimmer ◽  
Wesley Davis
Keyword(s):  
Critical Care ◽  
Prolonged Mechanical Ventilation ◽  
The United States ◽  
Evidence Based ◽  
Sedation Scale ◽  
Richmond Agitation Sedation Scale ◽  
Early Mobility ◽  
Ventilation Time ◽  
The Awakening ◽  
Abcde Bundle

Prolonged mechanical ventilation of patients in intensive care units across the United States consumes billions of health care dollars every year. Using the awakening and breathing coordination, delirium monitoring/management, and early mobility (ABCDE) bundle along with the Critical-Care Pain Observation Tool and the Richmond Agitation-Sedation Scale combines the best available evidence to optimize outcomes for critically ill patients. This study is the first to examine the effects of implementing the ABCDE bundle, the Critical-Care Pain Observation Tool, and the Richmond Agitation-Sedation Scale together in a coordinated effort across multiple disciplines. The aim of using this combination of evidence-based tools is to reduce ventilation time by reducing oversedation, decreasing the incidence of delirium, and improving pain management.

scholarly journals Effects of ABCDE Bundle on Hemodynamics in Patients on Mechanical Ventilation

2017 ◽  
Vol 23 ◽  
pp. 4650-4656 ◽  
Author(s):  
Xiao-Li Ren ◽  
Jian-Hua Li ◽  
Chong Peng ◽  
Hong Chen ◽  
Hai-Xia Wang ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Abcde Bundle

scholarly journals Liberation and animation for ventilated ICU patients: the ABCDE bundle for the back-end of critical care

Critical Care ◽  
2010 ◽  
Vol 14 (3) ◽  
pp. 157 ◽  
Author(s):  
Pratik Pandharipande ◽  
Arna Banerjee ◽  
Stuart McGrane ◽  
E Wesley Ely
Keyword(s):  
Critical Care ◽  
Icu Patients ◽  
Abcde Bundle

scholarly journals Perceptions of Workload Burden and Adherence to ABCDE Bundle Among Intensive Care Providers

2017 ◽  
Vol 26 (4) ◽  
pp. e38-e47 ◽  
Author(s):  
Leanne M. Boehm ◽  
Mary S. Dietrich ◽  
Eduard E. Vasilevskis ◽  
Nancy Wells ◽  
Pratik Pandharipande ◽  
...  
Keyword(s):  
Intensive Care ◽  
Care Providers ◽  
Abcde Bundle

scholarly journals Critical Care Nurses’ Role in Implementing the “ABCDE Bundle” Into Practice

2012 ◽  
Vol 32 (2) ◽  
pp. 35-47 ◽  
Author(s):  
Michele C. Balas ◽  
Eduard E. Vasilevskis ◽  
William J. Burke ◽  
Leanne Boehm ◽  
Brenda T. Pun ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critical Care Nurses ◽  
Patient Centered ◽  
Early Mobility ◽  
The Awakening ◽  
Centered Care ◽  
Ventilator Management ◽  
Nurses Role ◽  
Abcde Bundle

Imagine working in an environment where all patients undergoing mechanical ventilation are alert, calm, and delirium free. Envision practicing in an environment where nonvocal patients can effectively express their need for better pain control, repositioning, or emotional reassurance. Picture an intensive care unit where a nurse-led, interprofessional team practices evidence-based, patient-centered care focused on preserving and/or restoring their clients’ physical, functional, and neurocognitive abilities. A recently proposed bundle of practices for the intensive care unit could advance the current practice environment toward this idealized environment. The Awakening and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility (ABCDE) bundle incorporates the best available evidence related to delirium, immobility, sedation/analgesia, and ventilator management in the intensive care unit for adoption into everyday clinical practice.

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