Article type
Abstract
Background:The prolong use of the mechanical ventilator causes complication and increases the rate of mortality. To reduce the use of the ventilator, an evidence-based ventilator weaning protocol (EBVWP) was introduced.
Objectives:To examine the effectiveness of implementation of EBVWP among trauma patients in Trauma Critical C
Methods:The comparative study between before (pre-test) and after (post-test) implementing the EBVWP was conducted with 120 patients who were simple wean user and adults. 59 patients were measured weaning time, ventilator days, cost of using ventilator, length of stay in TCCU. 61 patients were measured by the same parameters for post-test scores. The instruments consisted of: 1) EBVWP for surgical patients of Maharaj Nakorn Chiang Mai Hospital modified by a multidisciplinary team (2015); and, 2) an outcome evaluation form. The study was based on framework of implementing clinical practice guideline of the Australian National Health and medical Research Council (NHMRC, 1999). T-test group was used to analyze the difference between group.
Results: It was found that implementation of the EBVWP significantly reduced weaning time, ventilator days, cost, length of stay in TCCU (p < .01). Re intubation rate between groups was not different (p > .05).
Conclusions:The evidence-based weaning protocol was a tool for improving quality of care among traumatic patients in Trauma Critical Care Unit at Maharaj Nakorn Chiang Mai Hospital and able to produce desirable outcome: increasing safety and decreasing complications. Therefore, these protocol should be incorporated in the routine care of the unit.
Objectives:To examine the effectiveness of implementation of EBVWP among trauma patients in Trauma Critical C
Methods:The comparative study between before (pre-test) and after (post-test) implementing the EBVWP was conducted with 120 patients who were simple wean user and adults. 59 patients were measured weaning time, ventilator days, cost of using ventilator, length of stay in TCCU. 61 patients were measured by the same parameters for post-test scores. The instruments consisted of: 1) EBVWP for surgical patients of Maharaj Nakorn Chiang Mai Hospital modified by a multidisciplinary team (2015); and, 2) an outcome evaluation form. The study was based on framework of implementing clinical practice guideline of the Australian National Health and medical Research Council (NHMRC, 1999). T-test group was used to analyze the difference between group.
Results: It was found that implementation of the EBVWP significantly reduced weaning time, ventilator days, cost, length of stay in TCCU (p < .01). Re intubation rate between groups was not different (p > .05).
Conclusions:The evidence-based weaning protocol was a tool for improving quality of care among traumatic patients in Trauma Critical Care Unit at Maharaj Nakorn Chiang Mai Hospital and able to produce desirable outcome: increasing safety and decreasing complications. Therefore, these protocol should be incorporated in the routine care of the unit.