A weaning protocol administered by critical care nurses for the weaning of patients from mechanical ventilation

作者：Roh Jae Hyung; Synn Ara; Lim Chae Man; Suh Hee Jung; Hong Sang Bum; Huh Jin Won; Koh Younsuck^*

来源：Journal of Critical Care, 2012, 27(6): 549-555.

DOI：10.1016/j.jcrc.2011.11.008

• Ventilator weaning
• Nurse
• Mechanical ventilator
• Weaning protocol

Purpose: The primary objective of this clinical trial of patients on mechanical ventilation was to determine if a weaning protocol implemented solely by nurses could reduce the weaning time relative to usual care (UC). %26lt;br%26gt;Materials and Methods: This study is a prospective, randomized, controlled trial conducted from January 2007 to January 2009 that compared protocol-based weaning (PBW) with UC. A total of 122 patients who received invasive ventilation in the medical ICU of the Asan Medical Center were examined. Nurses operated the mechanical ventilators according to a predesigned ventilator-weaning protocol for the PBW group (n = 61), and intensive care unit (ICU) physicians managed weaning in the UC group (n = 61). %26lt;br%26gt;Results: There were no significant differences in the 2 groups at baseline. The number of patients who successfully discontinued mechanical ventilation was similar in the 2 groups (PBW, 46 patients, 75.4%; UC, 47 patients, 77.0%; P = .832). The weaning time was 47 hours (interquartile range, 24-168 hours) in the UC group and 25 hours (interquartile range, 5.75-134 hours) in the PBW group (P = .010). %26lt;br%26gt;Conclusions: The weaning protocol administered by the nurses was safe and reduced the weaning time from mechanical ventilation in patients who were recovering from respiratory failure.

• 出版日期2012-12