Reduction of ventilatory time using the multidisciplinary disconnection protocol. Pilot study

compare ventilatory time between patients with the application of a disconnection protocol, managed in a coordinated way between doctor and nurse, with patients managed exclusively by the doctor. experimental pilot study before and after. Twenty-five patients requiring invasive mechanical ventilatio...

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Bibliographic Details
Published in:Revista latino-americana de enfermagem 2019-01, Vol.27, p.e3215-e3215
Main Authors: Sánchez-Maciá, Miriam, Miralles-Sancho, Jaime, Castaño-Picó, María José, Pérez-Carbonell, Ana, Maciá-Soler, Loreto
Format: Article
Language:English
Subjects:
Aged
Clinical Protocols
Continuity of care
Critical Care
Evidence-Based Practice
Extubation
Female
General Surgery
Humans
Intensive care
Male
Multidisciplinary teams
Nurse's Role
Nurses
NURSING
Nursing Assessment
Original
Patient-centered care
Physician-Nurse Relations
Physicians
Pilot Projects
Postoperative Period
Respiration Artificial
Respiration, Artificial - standards
Retrospective Studies
Ventilation
Ventilator Weaning - standards
Weaning
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Summary:compare ventilatory time between patients with the application of a disconnection protocol, managed in a coordinated way between doctor and nurse, with patients managed exclusively by the doctor. experimental pilot study before and after. Twenty-five patients requiring invasive mechanical ventilation for 24 hours or more were included, and the protocol-guided group was compared with the protocol-free group managed according to usual practice. by means of the multidisciplinary protocol, the time of invasive mechanical ventilation was reduced (141.94 ± 114.50 vs 113.18 ± 55.14; overall decrease of almost 29 hours), the time spent on weaning (24 hours vs 7.40 hours) and the numbers of reintubation (13% vs 0%) in comparison with the group in which the nurse did not participate. The time to weaning was shorter in the retrospective cohort (2 days vs. 5 days), as was the hospital stay (7 days vs. 9 days). the use of a multidisciplinary protocol reduces the duration of weaning, the total time of invasive mechanical ventilation and reintubations. The more active role of the nurse is a fundamental tool to obtain better results.
ISSN:1518-8345
0104-1169
1518-8345
DOI:10.1590/1518-8345.2923.3215