Pilot Study of Two Nurse-Led Weaning Protocols in Patients with Tracheostomies. (January 2014)

• Record Type: Journal Article
• Authors: Pattani, Hina; Ehlers, Mark; Girling, Keith; Hird, Caroline; Gardiner, Dale
• Is Part Of: Journal of the Intensive Care Society. Volume 15:Number 1(2014:Jan.)
• Page Start: 18
• Page End: 23
• Publication Date: 2014-01
• Subjects: tracheostomy -- intensive care -- ventilator weaning -- ventilators -- mechanical -- intensive care; Critical care medicine -- Periodicals; Intensive care units -- Periodicals; 616.028
• DOI: 10.1177/175114371401500105
• Languages: English
• ISSNs: 1751-1437

Abstract

This is a pilot study, comparing two commonly-used weaning techniques in patients with a tracheostomy to establish if one technique resulted in shorter time to successful weaning. In a prospective, single-centre randomised, controlled trial, conducted in a 15-bed multidisciplinary intensive care unit, fifty patients mechanically ventilated for at least 48 hours and who had a tracheostomy inserted primarily for weaning purposes, were randomised to one of two weaning techniques: increasing periods of spontaneous ventilation, or reducing pressure support ventilation. Each technique was protocolised for implementation by the nursing staff and consisted of two stages: a weaning and a verification stage. This pilot study did not find a statistically significant difference in the length of time spent weaning when two nurse-led protocolised weaning techniques of increasing periods of spontaneous ventilation or reducing pressure support ventilation were compared in patients with a tracheostomy inserted primarily for weaning purposes. No safety issues were identified in either protocol.