Pilot study of two nurse-led weaning protocols in patients with tracheostomies
Hird, Caroline Pattani, Hina Ehlers, Mark Girling, Keith Gardiner, Dale
Hird, Caroline
Pattani, Hina
Ehlers, Mark
Girling, Keith
Gardiner, Dale
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. © The Intensive Care Society 2014.
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Date
2014-01-01
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Pattani H, Ehlers M, Girling K, Hird C, Gardiner D. Pilot study of two nurse-led weaning protocols in patients with tracheostomies. Journal of the Intensive Care Society. 2014;15(1):18-23. doi: 10.1177/175114371401500105.