- Poster presentation
- Open Access
Application of treatment bundles reduces days on mechanical ventilation in critically ill patients
© BioMed Central Ltd. 2007
- Published: 22 March 2007
- Public Health
- Mechanical Ventilation
- Emergency Medicine
- Interquartile Range
Reduction of time on the ventilator is a key concept to avoid complications. Recommendations include semirecumbent positioning (SRP) , low tidal volume ventilation (TV = 6 ml/kg) , prophylaxis for stress ulcer (SUP) , and deep vein thrombosis (DVTP) . The goal of this study was to investigate whether staff training about these treatments decreases days on ventilation.
All patients of a 50-bed ICU with mechanical ventilation >24 hours were included. From June 2005 to September 2005 (Audit I), patients were examined daily for SRP >30°, low tidal volume ventilation, DVTP, and SUP by an independent task force. Afterwards, nurses and physicians were trained for the monitored treatments. Audit II was then performed from March 2006 to June 2006.
Days on ventilation
SRP could be successfully improved by staff training. Enhanced implementation was associated with reduction in days on ventilation.
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