Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial

(2021) Effective Implementation of Ventilator Care Bundles in Improves Outcomes: A Multicenter Randomized Controlled Clinical Trial. Crit Care Explor. e0509. ISSN 2639-8028

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Abstract

OBJECTIVES: To evaluate the effect of 17-ventilator care bundles and different training strategies for critical care nurses on clinical outcomes. DESIGN: A randomized controlled triple-blinded clinical trial. SETTING: The multicenter study was conducted in four academic teaching hospitals in Tehran, Iran, from October 2011 to June 2015. PATIENTS: A total of 1,600 adult patients (age ≥ 18 yr) who were admitted to mixed medical-surgical ICUs (> 72 hr) and received invasive ventilation (> 48 hr) were included in this study. In addition, 160 critical care nurses were recruited through letters and telephone and face-to-face invitations. INTERVENTIONS: Seventeen-ventilator care bundles applied by four different groups of nurses. MEASUREMENTS AND MAIN RESULTS: Clinical outcomes were compared between four groups of study which include three intervention groups (who received 17-ventilator care bundles by trained nurses) and one control group (who received routine care). According to the results, ICU length of stay, non-ICU length of stay, ventilator-associated pneumonia occurrence date, ventilator-associated pneumonia, and mortality rates were significantly higher in control group compared with other groups. CONCLUSIONS: Critical care nurses training program to accurately implement 17-ventilator care bundles improves outcomes.

Item Type: Article
Keywords: education intensive care unit mechanical ventilation ventilator care bundles ventilator-associated pneumonia intubation and inclusion in the study. Consent covered both study participation and consent to publish the findings. Surrogate consent from the patient’s legal guardian or healthcare proxy was permitted in cases where the patient did not have decision-making capacity.The authors have disclosed that they do not have any potential conflicts of interest.
Page Range: e0509
Journal or Publication Title: Crit Care Explor
Journal Index: Pubmed
Volume: 3
Number: 9
Identification Number: https://doi.org/10.1097/cce.0000000000000509
ISSN: 2639-8028
Depositing User: مهندس مهدی شریفی
URI: http://eprints.bmsu.ac.ir/id/eprint/9414

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