A complete audit cycle to assess adherence to a lung protective ventilation strategy.

Joynes, Emma and Dalay, Satinder Kaur and Patel, Jaimin M and Fayek, Samia (2014) A complete audit cycle to assess adherence to a lung protective ventilation strategy. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 18 (11). pp. 746-9. ISSN 0972-5229. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Abstract

There is clear evidence for the use of a protective ventilation protocol in patients with acute respiratory distress syndrome (ARDS). There is evidence to suggest that protective ventilation is beneficial in patients at risk of ARDS. A protective ventilation strategy was implemented on our intensive care unit in critical care patients who required mechanical ventilation for over 48 h, with and at risk for ARDS. A complete audit cycle was performed over 13 months to assess compliance with a safe ventilation protocol in intensive care. The ARDS network mechanical ventilation protocol was used as the standard for our protective ventilation strategy. This recommends ventilation with a tidal volume (V t) of 6 ml/kg of ideal body weight (IBW) and plateau airway pressure of ≤30 cm H2O. The initial audit failed to meet this standard with V t's of 9.5 ml/kg of IBW. Following the implementation of a ventilation strategy and an educational program, we demonstrate a significant improvement in practice with V t's of 6.6 ml/kg of IBW in the re-audit. This highlights the importance of simple interventions and continuous education in maintaining high standards of care.

Item Type:	Article
Additional Information:	This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects:	WD Diseases and disorders of systemic, metabolic or environmental origin > WD400 Emergency medicine WF Respiratory system. Respiratory medicine
Divisions:	Clinical Support > Anaesthetics Clinical Support > Critical Care Planned IP Care > Respiratory Medicine
Related URLs:	http://www.ncbi.nlm.nih.gov/pubmed/?term...
Depositing User:	Mrs Caroline Tranter
Date Deposited:	06 Jul 2015 13:32
Last Modified:	06 Jul 2015 13:32
URI:	http://www.repository.heartofengland.nhs.uk/id/eprint/1010

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