Matches in SemOpenAlex for { <https://semopenalex.org/work/W4230200539> ?p ?o ?g. }
Showing items 1 to 98 of
98
with 100 items per page.
- W4230200539 endingPage "42" @default.
- W4230200539 startingPage "33" @default.
- W4230200539 abstract "Background: Continuous sedation infusions can lead to prolonged treatment with mechanical ventilation (MV), resulting in serious complications. Spontaneous awakening trials (SATs) and spontaneous breathing trials (SBTs) are strategies that limit the amount of sedative agents a patient receives and promote extubation. Objective: The objective of this performance improvement project was to evaluate the outcomes of an evidence-based practice protocol that included SATs and SBTs on the duration of treatment with MV, ventilator utilization ratio (VUR), intensive care unit (ICU) length of stay (LOS), and incidence of self-extubations and reintubations. Methods: A convenience sample of 112 discharged patients’ medical records was used for this descriptive, comparative secondary data analysis. An evidence-based SAT/SBT practice protocol was designed by a multidisciplinary team and implemented. Three months after the implementation, a retrospective medical record review was conducted to evaluate patient outcomes. Results: The median duration of treatment with MV was significantly lower in the postprotocol group (3.8 days vs 2.7 days, U = 1222, Z = −2.013, P = .04, r = 0.19). A significant decrease was found in the VUR (0.68 vs 0.52, U = 2.5, Z = −2.293, P = .02, r = 0.69). No difference was found in the ICU LOS and frequency of self-extubation or reintubation after a self-extubation between the preprotocol and postprotocol groups. Ten of 45 SAT opportunities (22%) and 67 of 130 SBT opportunities (52%) were missed by the nurse or the respiratory therapist. Conclusion: The duration of treatment with MV and the VUR were reduced in patients who received the SAT/SBT protocol. The incidence of self-extubation was not different when an SAT was implemented. The ICU LOS was not reduced in patients who received SATs and SBTs." @default.
- W4230200539 created "2022-05-11" @default.
- W4230200539 creator A5009406738 @default.
- W4230200539 creator A5022611448 @default.
- W4230200539 creator A5069553313 @default.
- W4230200539 creator A5069556198 @default.
- W4230200539 date "2014-01-01" @default.
- W4230200539 modified "2023-10-16" @default.
- W4230200539 title "Achieving Quality Health Outcomes Through the Implementation of a Spontaneous Awakening and Spontaneous Breathing Trial Protocol" @default.
- W4230200539 cites W1972694996 @default.
- W4230200539 cites W1987903106 @default.
- W4230200539 cites W2002853103 @default.
- W4230200539 cites W2004295774 @default.
- W4230200539 cites W2013841743 @default.
- W4230200539 cites W2021667250 @default.
- W4230200539 cites W2032243127 @default.
- W4230200539 cites W2032770409 @default.
- W4230200539 cites W2044178010 @default.
- W4230200539 cites W2056200049 @default.
- W4230200539 cites W2080790393 @default.
- W4230200539 cites W2087569905 @default.
- W4230200539 cites W2114262384 @default.
- W4230200539 cites W2127103549 @default.
- W4230200539 cites W2142104245 @default.
- W4230200539 cites W2142504173 @default.
- W4230200539 cites W2151313399 @default.
- W4230200539 cites W2267104538 @default.
- W4230200539 cites W2322707526 @default.
- W4230200539 doi "https://doi.org/10.4037/nci.0000000000000011" @default.
- W4230200539 hasPublicationYear "2014" @default.
- W4230200539 type Work @default.
- W4230200539 citedByCount "6" @default.
- W4230200539 countsByYear W42302005392016 @default.
- W4230200539 countsByYear W42302005392021 @default.
- W4230200539 countsByYear W42302005392023 @default.
- W4230200539 crossrefType "journal-article" @default.
- W4230200539 hasAuthorship W4230200539A5009406738 @default.
- W4230200539 hasAuthorship W4230200539A5022611448 @default.
- W4230200539 hasAuthorship W4230200539A5069553313 @default.
- W4230200539 hasAuthorship W4230200539A5069556198 @default.
- W4230200539 hasConcept C120665830 @default.
- W4230200539 hasConcept C121332964 @default.
- W4230200539 hasConcept C141071460 @default.
- W4230200539 hasConcept C142724271 @default.
- W4230200539 hasConcept C167135981 @default.
- W4230200539 hasConcept C168563851 @default.
- W4230200539 hasConcept C177713679 @default.
- W4230200539 hasConcept C194828623 @default.
- W4230200539 hasConcept C195910791 @default.
- W4230200539 hasConcept C204787440 @default.
- W4230200539 hasConcept C2776376669 @default.
- W4230200539 hasConcept C2776814716 @default.
- W4230200539 hasConcept C2777080012 @default.
- W4230200539 hasConcept C2777602617 @default.
- W4230200539 hasConcept C2778584172 @default.
- W4230200539 hasConcept C2780385302 @default.
- W4230200539 hasConcept C42219234 @default.
- W4230200539 hasConcept C61511704 @default.
- W4230200539 hasConcept C71924100 @default.
- W4230200539 hasConceptScore W4230200539C120665830 @default.
- W4230200539 hasConceptScore W4230200539C121332964 @default.
- W4230200539 hasConceptScore W4230200539C141071460 @default.
- W4230200539 hasConceptScore W4230200539C142724271 @default.
- W4230200539 hasConceptScore W4230200539C167135981 @default.
- W4230200539 hasConceptScore W4230200539C168563851 @default.
- W4230200539 hasConceptScore W4230200539C177713679 @default.
- W4230200539 hasConceptScore W4230200539C194828623 @default.
- W4230200539 hasConceptScore W4230200539C195910791 @default.
- W4230200539 hasConceptScore W4230200539C204787440 @default.
- W4230200539 hasConceptScore W4230200539C2776376669 @default.
- W4230200539 hasConceptScore W4230200539C2776814716 @default.
- W4230200539 hasConceptScore W4230200539C2777080012 @default.
- W4230200539 hasConceptScore W4230200539C2777602617 @default.
- W4230200539 hasConceptScore W4230200539C2778584172 @default.
- W4230200539 hasConceptScore W4230200539C2780385302 @default.
- W4230200539 hasConceptScore W4230200539C42219234 @default.
- W4230200539 hasConceptScore W4230200539C61511704 @default.
- W4230200539 hasConceptScore W4230200539C71924100 @default.
- W4230200539 hasIssue "1" @default.
- W4230200539 hasLocation W42302005391 @default.
- W4230200539 hasOpenAccess W4230200539 @default.
- W4230200539 hasPrimaryLocation W42302005391 @default.
- W4230200539 hasRelatedWork W1972563937 @default.
- W4230200539 hasRelatedWork W2132343451 @default.
- W4230200539 hasRelatedWork W2136272542 @default.
- W4230200539 hasRelatedWork W2373094126 @default.
- W4230200539 hasRelatedWork W2373185700 @default.
- W4230200539 hasRelatedWork W2373281146 @default.
- W4230200539 hasRelatedWork W3030006206 @default.
- W4230200539 hasRelatedWork W3030304490 @default.
- W4230200539 hasRelatedWork W4307101840 @default.
- W4230200539 hasRelatedWork W4310168951 @default.
- W4230200539 hasVolume "25" @default.
- W4230200539 isParatext "false" @default.
- W4230200539 isRetracted "false" @default.
- W4230200539 workType "article" @default.