- Poster presentation
- Open Access
Audit of compliance with ventilation protocol in severe head injuries: a retrospective study
© BioMed Central Ltd 2008
- Published: 13 March 2008
- Injured Patient
- Severe Head Injury
- Ventilation Mode
- Collapse Lung
- Head Injured Patient
A reduction in mortality of severe head injury patients is associated with the development of evidence-based protocols [1, 2]. This audit studies the adherence to the neurointensive care unit (NICU) protocol for the management of respiratory parameters in severely head injured patients in the first 24 hours.
A random case note review was undertaken of 50 patients intubated prior to admission to NICU, between March 2005 and April 2007. All data in the first 24 hours was compared with protocol targets.
Blood gas analysis
Episodes when protocol not activated
PaO2 > 11 kPa
PaCO2 4 - 4.5 kPa
Overall our audit detected only 18 protocol deviations out of 311 interventions regarding maintenance of adequate oxygenation and tight PaCO2 control (6%). There were 78 episodes out of 397 samples taken where the protocol should have been activated for the management of PaCO2 control (20%).
Protocols can reduce mortality but knowledge of adherence to protocols is necessary to improve clinical practice.
This article is published under license to BioMed Central Ltd.