Effectiveness of an Invasive Mechanical Ventilation Weaning Protocol

Abstract

Objective: to know the effectiveness of the process of disconnection of invasive mechanical ventilation through the implementation of a standardized protocol led by the nursing team of a surgical Intensive Care Unit and implemented in a multidisciplinary way to reduce the ventilatory time of patients facing to the traditional clinical method of weaning. Method: case-control study. 91 patients who required invasive mechanical ventilation for 24 hours or more were included and a group with the application of the standardized protocol was compared with the group that followed the usual clinical method. Results: with the application of the standardized protocol, it was possible to reduce the time of invasive mechanical ventilation (85.29 ± 46.72 vs 116.92 ± 94.39); the time spent at weaning (2.40 ± 1.43 vs 41.250± 51.60) and the reintubation figures (2% vs 17%). Conclusion: the use of disconnection protocols carried out in a multidisciplinary way is a useful tool to reduce invasive mechanical ventilation times and achieve improvements in the patient’s health.