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- Title
Implementing the Pediatric Ventilator Liberation Guidelines Using the Most Current Evidence.
- Authors
Loberger, Jeremy M.; Steffen, Katherine; Khemani, Robinder G.; Nishisaki, Akira; Abu-Sultaneh, Samer
- Abstract
Invasive mechanical ventilation is prevalent and associated with considerable morbidity. Pediatric critical care teams must identify the best timing and approach to liberating (extubating) children from this supportive care modality. Unsurprisingly, practice variation varies widely. As a first step to minimizing that variation, the first evidence-based pediatric ventilator liberation guidelines were published in 2023 and included 15 recommendations. Unfortunately, there is often a substantial delay before clinical guidelines reach widespread clinical practice. As such, it is important to consider bar- riers and facilitators using a systematic approach during implementation planning and design. In this narrative review, we will (1) summarize guideline recommendations, (2) discuss recent evidence and identify practice gaps relating to those recommendations, and (3) hypothesize about potential barriers and facilitators to their implementation in clinical practice.
- Subjects
MEDICAL protocols; ADRENOCORTICAL hormones; CRITICALLY ill; PATIENTS; PATIENT safety; NEONATAL intensive care units; NEONATAL intensive care; RESPIRATORY obstructions; PEDIATRICS; DISEASES; ARTIFICIAL respiration; VENTILATOR weaning; EVIDENCE-based medicine; AIRWAY (Anatomy); EXTUBATION; CRITICAL care medicine; ANESTHESIA
- Publication
Respiratory Care, 2024, Vol 69, Issue 7, p869
- ISSN
0020-1324
- Publication type
Article
- DOI
10.4187/respcare.11708