tailieunhanh - Báo cáo y học: "Impact of a nurses' protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for longer than 48 hours: a prospective cohort study with a matched historical control group"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Impact of a nurses' protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for longer than 48 hours: a prospective cohort study with a matched historical control group. | Available online http content 9 2 R83 Open Access Research Impact of a nurses protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for longer than 48 hours a prospective cohort study with a matched historical control group Jean-Marie Tonnelier Gwenael Prat Grégoire Le Gal Christophe Gut-Gobert Anne Renault Jean-Michel Boles and Erwan L Her Réanimation Médicale Centre Hospitalier Universitaire de la Cavale Blanche Brest France Corresponding author Jean-Marie Tonnelier Received 20 November 2003 Revisions requested 23 April 2004 Revisions received 18 November 2004 Accepted 25 November 2004 Published 17 January 2005 Critical Care 2005 9 R83-R89 DOI cc3030 This article is online at http content 9 2 R83 2005 Tonnelier et al. licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is cited. Abstract Introduction The aim of the study was to determine whether the use of a nurses protocol-directed weaning procedure based on the French intensive care society SRLF consensus recommendations was associated with reductions in the duration of mechanical ventilation and intensive care unit ICU length of stay in patients requiring more than 48 hours of mechanical ventilation. Methods This prospective study was conducted in a university hospital ICU from January 2002 through to February 2003. A total of 104 patients who had been ventilated for more than 48 hours and were weaned from mechanical ventilation using a nurses protocol-directed procedure cases were compared with a 1 1 matched historical control group who underwent conventional physician-directed weaning between 1999 and 2001 . Duration of ventilation and length of ICU stay rate of unsuccessful extubation