Evaluation of a Systematic Approach to Weaning From Mechanical Ventilation
Prolongation of mechanical ventilation poses serious personal and financial threats to healthcare consumers.
The investigators objectives are create and implement an multidisciplinary evidenced-based ventilator-weaning protocol to assess whether a systematic approach compared with the physician's judgment only decreases time spent on the ventilator, complications of mechanical ventilation and length of stay in critical care unit.
|Weaning Failure Complication of Respirator [Ventilator]||Other: Multidisciplinary weaning-ventilator protocol|
|Study Design:||Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
|Official Title:||Implantation of a Multidisciplinary Ventilator-weaning Protocol in a Intensive Care Unit of Teaching Hospital of Federal University of Uberlandia|
- Mortality [ Time Frame: length of ICU stay (days) ]
- Duration of Weaning From Mechanical Ventilation [ Time Frame: days ]
- Duration of Mechanical Ventilation [ Time Frame: days ]
- Length of Intensive Care Unit Stay [ Time Frame: days ]
|Study Start Date:||January 2011|
|Study Completion Date:||January 2012|
|Primary Completion Date:||January 2012 (Final data collection date for primary outcome measure)|
Discontinuation of ventilation was based in multidisciplinary protocol.
Other: Multidisciplinary weaning-ventilator protocol
We implemented a multidisciplinary protocol for weaning from mechanical ventilation.This consist of a daily screening for readiness, performing a spontaneous breathing test, evaluation of signs of intolerance and decision on extubation.
Other Name: Weaning-ventilator protocol
No Intervention: Usual care
Discontinuation of ventilation was left entirely to the discretion of the physicians.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01482429
|Federal University of Uberlandia|
|Uberlandia, Minas Gerais, Brazil, 38400-902|
|Principal Investigator:||Liliane Barbosa da Silva Passos||Federal University of Uberlandia|
|Study Chair:||Thulio Marquez Cunha||Federal University of Uberlandia|
|Study Chair:||Carlos Henrique Alves de Rezende, MD||Federal University of Uberlandia|