Intensive and Critical Care Nursing
Volume 24, Issue 3 , Pages 180-186 , June 2008

Weaning from ventilation: Does a care bundle approach work?

  • Cheryl Crocker

      Affiliations

    • Nottingham University Hospitals, City Campus, Hucknall Road, Nottingham NG5 1PB, United Kingdom
    • Corresponding Author InformationCorresponding author. Tel.: +44 115 8405875.
    • ,
  • William Kinnear

      Affiliations

    • Nottingham University Hospitals, QMC campus, Derby Road, Nottingham, United Kingdom

,Accepted 8 November 2007.

References 

  1. Alagesan K. Weaning from mechanical ventilation: present and future. J World Med Assoc Global Healthc. 2002;80–82
  2. Brochard L, Rauss A, Benito S, Conti G, Mancebo J, Rekik N, et al. Comparison of three methods of gradual withdrawal from mechanically ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med. 1994;150:896–903
  3. Butler R, Keenan S, Inman K, Sibbald W, Block G. Is there a preferred technique for weaning the difficult-to-wean patient? A systematic review of the literature. Crit Care Med. 1999;27(11):2331–2336
  4. Blackwood B. The art and science of predicting patient readiness for weaning from mechanical ventilation. Int J Nurs Stud. 2000;37(2):145–151
  5. Blackwood B. Can protocolised-weaning developed in the United States transfer to the United Kingdom context: a discussion. Intensive Crit Care Nurs. 2003;19:215–225
  6. Blackwood B, Wilson-Barnett J, Trinder J. Protocolised weaning from mechanical ventilation: ICU physicians’ views. J Adv Nurs. 2004;48(1):26–34
  7. Crocker C. Nurse-led weaning from ventilatory and respiratory support. Intensive Crit Care Nurs. 2002;18:272–279
  8. Crocker C. Developing a nursing technology: making visible the nursing contribution to the development of critical care. PhD thesis (unpublished). University of Nottingham.
  9. Djunaedi H, Cardinal P, Greffe-Lalibrete G, Jones G, Pham Ba, Carter Snell C. Does a ventilatory management protocol improve the care of ventilated patients?. Respir Care. 1997;42(6):604–610
  10. Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly P. Effect on the duration of mechanical ventilation of identifying patient capable of breathing spontaneously. N Engl J Med. 1996;335:1864–1869
  11. Ferrer M, et al. Non-invasive ventilation during persistent weaning failure: a randomised controlled trial. Am J Respir Crit Care Med. 2003;168:70–76
  12. Gelsthorpe T, Crocker C. A study exploring factors which influence the decision to commence nurse-led weaning. Nurs Crit Care. 2004;9(5):213–221
  13. Jenny J, Logan J. Knowing the patient: one aspect of clinical knowledge. Image. 1992;24:254–258
  14. Kollef HM, Shapiro SD, Silver P, St. John RE, Prentice D, Sauer S, et al. A randomised controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med. 1997;25(4):567–574
  15. Kurek CJ, Cohen IL, Lambrinos J, Minatoya K, Booth FV, Chalfin DB. Clinical and economic outcome of patients undergoing tracheostomy for prolonged mechanical ventilation in New York state during 1993: analysis of 6353 cases under diagnosis-related group 485. Crit Care Med. 1997;25:983–988
  16. Modernisation Agency . Critical care programme: weaning and long term ventilation. London: NHS; 2002;
  17. Modernisation Agency . Ten high impact changes for service improvement and service delivery: a guide for NHS leaders. London: NHS; 2004;
  18. Nava S, et al. Non-invasive mechanical ventilation in the weaning of patients with respiratory failure due to chronic obstructive pulmonary disease. A randomised, controlled trial. Ann Intern Med. 1998;128:721–728
  19. Nevins ML, Epstein SK. Weaning from prolonged mechanical ventilation. Clin Chest Med. 2001;22:13–33
  20. Price A. Nurse-led weaning from mechanical ventilation: where's the evidence?. Intensive Crit Care Nurs. 2001;17:167–176
  21. Seneff MG, Zimmerman JE, Knauss WA, Wagner DP, Draper EA. Predicting the duration of mechanical ventilation. The importance of disease and patient characteristics. Chest. 1996;110:469–479
  22. Thorens JB, Rainer M, Jolliet P, Chevriolet JC. Influence of the quality of nursing on the duration of weaning from mechanical ventilation in patients with chronic obstructive pulmonary disease. Crit Care Med. 1995;23(11):1807–1815
  23. Tonnelier J, Prat G, Le Gal G, Gut-Gobert C, Renault A, Boles J, et al. Impact of a nurse’ protocol-directed weaning procedure on outcomes in patients undergoing mechanical ventilation for more than 48h: a prospective cohort study with a matched historical control group. Crit Care. 2005;9(2):83–89

PII: S0964-3397(07)00120-6

doi: 10.1016/j.iccn.2007.11.003

Intensive and Critical Care Nursing
Volume 24, Issue 3 , Pages 180-186 , June 2008

Article Tools

* Image Usage & Resolution