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
Full text not available from this repository.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 |
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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: | |
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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