German hospital capacities for prolonged mechanical ventilator weaning in neurorehabilitation – results of a representative survey

The chapter entitled examines the efficacy of pairing daily sedation awakening trials (SAT) with daily spontaneous breathing trials (SBT) in intensive care unit (ICU) patients on a mechanical ventilator. Three-hundred thirty-six ICU patients requiring mechanical ventilation for > 12 hours and eligible for a ventilator weaning trial were included. The authors compared the number of ventilator-free days in patients who received an SBT alone versus an SAT + SBT. Patients in the intervention group (SAT + SBT) spent a mean of 3.1 more days liberated from the ventilator when compared to the control group. Medical ICU patients undergoing paired SAT + SBT may experience improved outcomes versus those with SBT alone.

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Novel mechanical ventilator weaning predictive model

The Kaohsiung Journal of Medical Sciences ◽

10.1002/kjm2.12269 ◽

2020 ◽

Vol 36 (10) ◽

pp. 841-849

Author(s):

Wei‐Chan Chung ◽

Chau‐Chyun Sheu ◽

Jen‐Yu Hung ◽

Tuan‐Jung Hsu ◽

Ssu‐Han Yang ◽

...

Keyword(s):

Predictive Model ◽

Ventilator Weaning ◽

Mechanical Ventilator

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Mechanical Ventilator Weaning Protocols Driven by Nonphysician Health-Care Professionals

CHEST Journal ◽

10.1378/chest.120.6_suppl.454s ◽

2001 ◽

Vol 120 (6) ◽

pp. 454S-463S ◽

Cited By ~ 158

Author(s):

E. Wesley Ely ◽

Maureen O. Meade ◽

Edward F. Haponik ◽

Marin H. Kollef ◽

Deborah J. Cook ◽

...

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Ventilator Weaning ◽

Mechanical Ventilator ◽

Weaning Protocols

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Effect of Mechanical Ventilator Weaning Protocols on Respiratory Outcomes in Infants and Children: A Randomized Controlled Trial

Survey of Anesthesiology ◽

10.1097/00132586-200310000-00035 ◽

2003 ◽

Vol 47 (5) ◽

pp. 280-281

Author(s):

Victor C. Baum

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Ventilator Weaning ◽

Infants And Children ◽

Mechanical Ventilator ◽

Randomized Controlled ◽

Respiratory Outcomes ◽

In Infants And Children ◽

Weaning Protocols

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Weaning from Mechanical Ventilation: A Method for Assessment and Planning

AACN Advanced Critical Care ◽

10.4037/15597768-1991-3003 ◽

1991 ◽

Vol 2 (3) ◽

pp. 372-387 ◽

Cited By ~ 8

Author(s):

Suzanne M. Burns ◽

Sharon A. Fahey ◽

David M. Barton ◽

Deborah Slack

Keyword(s):

Mechanical Ventilation ◽

Critical Care ◽

Ventilator Weaning ◽

Critical Care Nurses ◽

Care Planning ◽

Mechanical Ventilator ◽

Weaning From Mechanical Ventilation ◽

Single Factor ◽

Assessment Program ◽

Planning Strategies

Weaning patients from mechanical ventilator assistance is difficult and often requires the input of experts. Though researchers have identified numerous factors that impede weaning and continue to develop criteria to determine ability to wean, no single factor or set of criteria have yet emerged to guide clinicians. In an effort to design a tool that assists critical care nurses in forwarding the wean process, the authors developed a comprehensive, integrated, computerized ventilator weaning program that stimulates the thinking and care planning strategies of experts. The Burns Wean Assessment Program also teaches complex concepts and tracks the progress of the weaning patient

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Weaning from Mechanical Ventilator in a Long-term Acute Care Hospital: A Retrospective Analysis

The Open Respiratory Medicine Journal ◽

10.2174/1874306402014010062 ◽

2020 ◽

Vol 14 (1) ◽

pp. 62-66

Author(s):

Salim Surani ◽

Munish Sharma ◽

Kevin Middagh ◽

Hector Bernal ◽

Joseph Varon ◽

...

Keyword(s):

Mechanical Ventilation ◽

Acute Care ◽

Cost Savings ◽

Ventilator Weaning ◽

Cost Of Care ◽

Control Group ◽

Care Hospital ◽

Mechanical Ventilator ◽

Respiratory Therapist

Background: Prolonged Mechanical Ventilation (PMV) is associated with a higher cost of care and increased morbidity and mortality. Patients requiring PMV are referred mostly to Long-Term Acute Care (LTAC) facilities. Objective: To determine if protocol-driven weaning from mechanical ventilator by Respiratory Therapist (RT) would result in quicker weaning from mechanical ventilation, cost-effectiveness, and decreased mortality. Methods: A retrospective case-control study was conducted that utilized protocol-driven ventilator weaning by respiratory therapist (RT) as a part of the Respiratory Disease Certification Program (RDCP). Results: 51 patients on mechanical ventilation before initiation of protocol-based ventilator weaning formed the control group. 111 patients on mechanical ventilation after implementation of the protocol formed the study group. Time to wean from the mechanical ventilation before the implementation of protocol-driven weaning by RT was 16.76 +/- 18.91 days, while that after the implementation of protocol was 7.67 +/- 6.58 days (p < 0.0001). Mortality proportion in patients after implementation of protocol-based ventilator weaning was 0.21 as compared to 0.37 in the control group (p=0.0153). The daily cost of patient care for the LTAC while on mechanical ventilation was $2200/day per patient while it was $ 1400/day per patient while not on mechanical ventilation leading to significant cost savings. Conclusion: Protocol-driven liberation from mechanical ventilation in LTAC by RT can significantly decrease the duration of a mechanical ventilator, leading to decreased mortality and cost savings.

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