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Table 2 Responsibility for Ventilation Decisions by Country

From: Decisional responsibility for mechanical ventilation and weaning: an international survey

 

Switzerland

(n= 73)

UK

(n= 115)

Germany

(n= 201)

Netherlands

(n= 71)

Denmark

(n= 41)

Greece

(n= 12)

Norway

(n= 39)

Italy

(n= 34)

Initial ventilator settings

        

   Physician only

13 (18)

23 (20)

49 (24)

32 (45)

18 (44)

7 (58)

25 (64)

23 (68)

   Collaborative

55 (85)

90 (78)

134 (67)

40 (56)

22 (54)

5 (42)

14 (36)

11 (32)

   Nurse only

4 (6)

1 (1)

18 (9)

-

-

-

-

-

   Other

1 (1)

-

-

1 (1)

-

-

-

-

Titration of ventilator settings

        

   Physician only

3 (4)

-

8 (4)

3 (4)

2 (5)

1 (8)

3 (8)

15 (44)

   Collaborative

63 (86)

112 (99)

176 (88)

66 (93)

37 (90)

11 (92)

34 (87)

19 (56)

   Nurse only

5 (6.8)

1 (1)

15 (8)

2 (3)

1 (2)

-

2 (5)

-

   Other

2 (3)

1 (1)

-

-

-

-

-

-

Readiness to wean

        

   Physician only

5 (7)

4 (4)

25 (12)

11 (16)

1 (2)

8 (67)

7 (18)

18 (53)

   Collaborative

65 (89)

111 (97)

172 (82)

59 (83)

39 (95)

4 (33)

32 (82)

16 (47)

   Nurse only

2 (3)

-

3 (2)

-

-

-

-

-

   Other

1 (1)

4 (4)

-

1 (1)

-

-

-

-

Weaning method

        

   Physician only

5 (7)

10 (9)

37 (18)

20 (28)

10 (24)

6 (50)

11 (28)

25 (74)

   Collaborative

59 (81)

104 (90)

131 (71)

49 (69)

31 (76)

6 (50)

27 (69)

9 (27)

   Nurse only

4 (6)

-

22 (11)

1 (1)

-

-

-

-

   Other

5 (7)

6 (5)

-

1 (1)

-

-

-

-

Readiness to extubate

        

   Physician only

17 (23)

15 (13)

45 (22)

35 (49)

9 (22)

7 (58)

13 (33)

20 (59)

   Collaborative

56 (77)

98 (85)

152 (76)

36 (49)

32 (78)

5 (42)

25 (64)

14 (41)

   Nurse only

-

-

2 (1)

-

-

-

-

-

   Other

-

2 (2)

-

-

-

-

-

-

Weaning failure

        

   Physician only

7 (10)

2 (2)

13 (7)

7 (10)

4 (10)

6 (50)

6 (15)

12 (35)

   Collaborative

65 (89)

105 (91)

169 (85)

57 (80)

37 (90)

6 (50)

32 (82)

21 (62)

   Nurse only

1 (1)

5 (4)

17 (9)

3 (4)

-

-

-

-

   Other

-

2 (2)

-

4 (6)

-

-

-

-

  1. All data are n (%). Note some % do not add to 100 due to missing data. Other: includes physiotherapists or specialized ventilator practitioners who may also hold a nursing qualification. n, number