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Development, implementation, and evaluation of an institutional daily awakening and spontaneous breathing trial protocol: a quality improvement project.

Authors
Type
Published Article
Journal
Journal of intensive care medicine
Publication Date
Volume
28
Issue
3
Pages
189–197
Identifiers
DOI: 10.1177/0885066612444255
PMID: 22596087
Source
Medline
Keywords
  • Before-After
  • Critical Care
  • Daily Awakening
  • Daily Interruption
  • Intensive Care Unit
  • Lorazepam
  • Mechanical Ventilation
  • Midazolam
  • Propofol
  • Protocol
  • Quality Improvement
  • Sedation
  • Spontaneous Breathing Trial

Abstract

Despite the implementation of a DA-SBT protocol that was individualized to clinician preferences and institutional resources and accompanied by substantial education and reminders for use, compliance to the DA component of this protocol was low and duration of MV remained unchanged. Additional quality improvement strategies are needed to overcome barriers to DA-SBT protocol use that may not exist in controlled clinical trials.

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