DEDICATED MULTIDISCIPLINARY VENTILATOR BUNDLE TEAM AND COMPLIANCE WITH SEDATION VACATION

作者：Mendez Michael P; Lazar Michael H; DiGiovine Bruno; Schuldt Stephanie; Behrendt Robert; Peters Michael; Jennings Jeffrey H^*

来源：American Journal of Critical Care, 2013, 22(1): 54-59.

DOI：10.4037/ajcc2013873

Background How compliance with a ventilator bundle is monitored varies from institution to institution. Some institutions rely on the primary intensive care unit team to review the bundle during their rounds; others rely on a separate team of health care personnel that may include representatives from disciplines such as nursing, respiratory therapy, and pharmacy. %26lt;br%26gt;Objectives To compare rates of compliance with ventilator bundle components between a dedicated ventilator bundle rounding team and the primary intensive care unit rounding team in a 68-bed medical intensive care unit. %26lt;br%26gt;Methods A query of the medical intensive care unit%26apos;s database was used to retrospectively determine rates of compliance with specific ventilator bundle components at a tertiary care hospital in an urban community for 1 year. %26lt;br%26gt;Results Compared with the intensive care unit rounding team, the ventilator bundle rounding team had better compliance with sedation vacation (61.7% vs 54.0%, P %26lt; .001). Rates of compliance with spontaneous breathing trials and prophylaxis of peptic ulcer disease were similar in both study groups. %26lt;br%26gt;Conclusions A dedicated ventilator bundle rounding team improves compliance with sedation vacation, but not with spontaneous breathing trials and prophylaxis of peptic ulcer disease. In a large-volume tertiary center, a dedicated ventilator bundle rounding team may be more effective than the primary rounding team in achieving compliance with some bundle components. (American Journal of Critical Care. 2013;22:54-60)

• 出版日期2013-1