Document Detail

An evaluation of the impact of a tracheostomy weaning protocol on extubation time.
MedLine Citation:
PMID:  19366410     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To avoid the possible complications of prolonged intubation, it is necessary and advisable to attempt weaning from the tracheostomy tube at the earliest opportunity. However, while weaning protocols have proven successful in reducing ventilation time of critical care patients, there is little evidence of their use and impact on tracheostomy tube weaning time. AIMS: This pilot study sought to determine if the introduction of a new tracheostomy weaning protocol would reduce the time to extubation of the tracheostomy. METHOD: A quasi-experimental design used two groups of patients. A retrospective control group of patients (n = 20) who had been weaned using standard practice were identified by a search of medical records. A prospective experimental group (n = 20) had care planned using a new tracheostomy weaning protocol. Data relating to time to extubation were collected on both groups who were all patients in an eight-bedded Critical Care Unit of a District General Hospital. The same inclusion and exclusion criteria were applied to both groups. RESULTS: The results revealed a reduction of 1.35 days from commencement of weaning to extubation in the prospective (experimental) group. This was not statistically significant (P = 0.181) CONCLUSION: Although the findings from the study were not statistically significant, they can be seen as clinically significant in terms of patient comfort and reduced dependency in care by a reduction of time with a tracheostomy. It is recommended that a larger scale study be carried out to determine if a tracheostomy weaning protocol does make an impact on length of time to extubation in wider care settings.
Alison Spencer; Collette Clifford
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Nursing in critical care     Volume:  14     ISSN:  1478-5153     ISO Abbreviation:  Nurs Crit Care     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-04-15     Completed Date:  2009-07-23     Revised Date:  2009-11-13    
Medline Journal Info:
Nlm Unique ID:  9808649     Medline TA:  Nurs Crit Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  131-8     Citation Subset:  N    
School of Health and Population Sciences, University of Birmingham, Edgbaston, UK.
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MeSH Terms
Chi-Square Distribution
Clinical Nursing Research
Clinical Protocols / standards*
Critical Care / methods*,  standards
Evidence-Based Practice
Middle Aged
Patient Care Planning / standards
Pilot Projects
Prospective Studies
Research Design
Retrospective Studies
Time Factors
Tracheostomy / adverse effects,  nursing*
Ventilator Weaning / methods*,  nursing,  standards
Erratum In:
Nurs Crit Care. 2009 Sep-Oct;14(5):274

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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