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IMPACT OF A VENTILATORY WEANING PROTOCOL IN AN INTENSIVE CARE UNIT FOR ADULTS

EL EFECTO DE UN PROTOCOLO DE INTERRUPCIÓN DE LA VENTILACIÓN MECÁNICA EN UNA UNIDAD DE CUIDADOS INTENSIVOS PARA ADULTOS

ABSTRACT

Objective:

to evaluate the impact of a ventilatory weaning protocol on the weaning quality and on the outcomes of the patients.

Method:

a quasi-experimental quantitative study, consisting of comparing a prospective study with a retrospective study. Data was collected through a weaning log sheet applied between September and December 2015 at an intensive care unit in northern Portugal following the implementation of a weaning protocol and compared with a base-line constituted in the year preceding the implementation of the ventilatory weaning protocol.

Results:

the experimental group had a score mean of higher overall quality of weaning, with a reduction in the timing for initiating the weaning in 27.3% and the weaning time in 36.6%.

Conclusion:

the implementation of the ventilatory weaning protocol improved the overall quality of the weaning, facilitating the identification of patients with criteria to initiate the process, starting earlier, resulting in a reduction in ventilatory weaning time.

DESCRIPTORS
Intensive care units; Artificial breathing; Mechanical ventilator weaning; Ventilatory weaning protocol; Critical care nursing

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br