Can I read Mechanical Ventilation, Weaning Practices, and Decision Making in European PICUs* on EtoBox?

Mechanical Ventilation, Weaning Practices, and Decision Making in European PICUs* by Lyvonne N. Tume; Martin C. J. Kneyber; Bronagh Blackwood; Louise Rose is a Medicine article available to read on EtoBox.

What is Mechanical Ventilation, Weaning Practices, and Decision Making in European PICUs* about?

## Objectives: This survey had three key objectives: 1) To describe responsibility for key ventilation and weaning decisions in European PICUs and explore variations across Europe; 2) To describe the use of protocols, spontaneous breathing trials, noninvasive ventilation, high-flow nasal cannula use, and automated weaning systems; and 3) To describe nurse-to-patient staffing ratios and perceived nursing autonomy and influence over ventilation decision making. ## Design: Cross-sectional electronic survey. ## Setting: European PICUs. ## Participants: Senior ICU nurse and physician from participating PICUs. ## Interventions: None. ## Measurements and Main Results: Response rate was 64% (65/102) representing 19 European countries. Determination of weaning failure was most commonly based on collaborative decision making (81% PICUs; 95% CI, 70–89%). Compared to this decision, selection of initial ventilator settings and weaning method was least likely to be collaborative (relative risk, 0.30; 95% CI, 0.20–0.47 and relative risk, 0.45; 95% CI, 0.32–0.45). Most PICUs (> 75%) enabled physicians in registrar (fellow) positions to have responsibility for key ventilation decisions. Availabilit

Who reads Mechanical Ventilation, Weaning Practices, and Decision Making in European PICUs*?

Author

Lyvonne N. Tume; Martin C. J. Kneyber; Bronagh Blackwood; Louise Rose

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2017

Language

EN

Field

Medicine (Health Sciences)