Mechanical ventilation in the ICU- is there a gap between the time available and time used for nurse-led weaning?

2008

Nurse-led Weaning from Mechanical Ventilation in the ICU

Sample size: 68 publication Evidence: moderate

Author Information

Author(s): Hansen Britt Sætre, Fjælberg Wenche Torunn Mathiesen, Nilsen Odd Bjarte, Lossius Hans Morten, Søreide Eldar

Primary Institution: Stavanger University Hospital

Is there a gap between the time available and time used for nurse-led weaning in the ICU?

There is a significant gap between the time available for weaning and the time actually used for weaning in the ICU.

Only 46% of the available ventilator shifts for weaning were actually used.
Physician prescription of weaning was associated with increased weaning activity.
22% of weaning occurred without physician prescription.
Increased nursing workload and night shifts were linked to reduced weaning activity.
There was a significant increase in weaning activity over the study period.

Nurses in the ICU often don't use all the time they have to help patients stop using ventilators, which can lead to more problems.

This retrospective study analyzed weaning data from 68 adult patients on mechanical ventilation in a 12-bed ICU.

The definition of weaning used may be criticized for being too liberal and not fully capturing the complexity of the weaning process.

The study was conducted in a single ICU, which may limit the generalizability of the findings.

The study included 68 adult patients, with 56% men and 44% women, with a median age of 63.

< 0.001

Not provided

p<0.001

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