Pilot study of two nurse-led weaning protocols in patients with tracheostomies
| dc.contributor.author | Hird, Caroline | |
| dc.date.accessioned | 2018-04-24T09:58:35Z | |
| dc.date.available | 2018-04-24T09:58:35Z | |
| dc.date.issued | 2014 | |
| dc.identifier.citation | Hird, C. (2014). Pilot study of two nurse-led weaning protocols in patients with tracheostomies. Journal of the Intensive Care Society, 15 (1), pp.18-23. | en |
| dc.identifier.other | 10.1177/175114371401500105 | |
| dc.identifier.uri | http://hdl.handle.net/20.500.12904/6712 | |
| dc.description.abstract | This is a pilot study, comparing two commonly-used weaning techniques in patients with a tracheostomy to establish if one technique resulted in shorter time to successful weaning. In a prospective, single-centre randomised, controlled trial, conducted in a 15-bed multidisciplinary intensive care unit, fifty patients mechanically ventilated for at least 48 hours and who had a tracheostomy inserted primarily for weaning purposes, were randomised to one of two weaning techniques: increasing periods of spontaneous ventilation, or reducing pressure support ventilation. Each technique was protocolised for implementation by the nursing staff and consisted of two stages: a weaning and a verification stage. This pilot study did not find a statistically significant difference in the length of time spent weaning when two nurse-led protocolised weaning techniques of increasing periods of spontaneous ventilation or reducing pressure support ventilation were compared in patients with a tracheostomy inserted primarily for weaning purposes. No safety issues were identified in either protocol. © The Intensive Care Society 2014. | |
| dc.description.uri | http://journals.sagepub.com/doi/10.1177/175114371401500105 | |
| dc.subject | Tracheostomy | en |
| dc.subject | Nurses | en |
| dc.title | Pilot study of two nurse-led weaning protocols in patients with tracheostomies | en |
| dc.type | Article | |
| html.description.abstract | This is a pilot study, comparing two commonly-used weaning techniques in patients with a tracheostomy to establish if one technique resulted in shorter time to successful weaning. In a prospective, single-centre randomised, controlled trial, conducted in a 15-bed multidisciplinary intensive care unit, fifty patients mechanically ventilated for at least 48 hours and who had a tracheostomy inserted primarily for weaning purposes, were randomised to one of two weaning techniques: increasing periods of spontaneous ventilation, or reducing pressure support ventilation. Each technique was protocolised for implementation by the nursing staff and consisted of two stages: a weaning and a verification stage. This pilot study did not find a statistically significant difference in the length of time spent weaning when two nurse-led protocolised weaning techniques of increasing periods of spontaneous ventilation or reducing pressure support ventilation were compared in patients with a tracheostomy inserted primarily for weaning purposes. No safety issues were identified in either protocol. © The Intensive Care Society 2014. |