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- Title
Specific Training Improves the Detection and Management of Patient-Ventilator Asynchrony.
- Authors
Ramírez, Iván; Gutiérrez-Arias, Ruvistay; Damiani, L. Felipe; Adasme, Rodrigo S.; Arellano, Daniel H.; Salinas, Francisco A.; Roncalli, Angelo; Núñez-Silveira, Juan; Santillán-Zuta, Milton; Sepúlveda-Barisich, Patrick; Gordo-Vidal, Federico; Blanch, Lluís
- Abstract
BACKGROUND: Patient-ventilator asynchrony is common in patients undergoing mechanical ventilation. The proportion of health-care professionals capable of identifying and effectively managing different types of patient-ventilator asynchronies is limited. A few studies have developed specific training programs, but they mainly focused on improving patient-ventilator asynchrony detection without assessing the ability of health-care professionals to determine the possible causes. METHODS: We conducted a 36-h training program focused on patient-ventilator asynchrony detection and management for health-care professionals from 20 hospitals in Latin America and Spain. The training program included 6 h of a live online lesson during which 120 patient-ventilator asynchrony cases were presented. After the 6-h training lesson, health-care professionals were required to complete a 1-h training session per day for the subsequent 30 d. A 30-question assessment tool was developed and used to assess health-care professionals before training, immediately after the 6-h training lecture, and after the 30 d of training (1-month follow-up). RESULTS: One hundred sixteen health-care professionals participated in the study. The median (interquartile range) of the total number of correct answers in the pre-training, post-training, and 1-month follow-up were significantly different (12 [8.75-15], 18 [13.75-22], and 18.5 [14-23], respectively). The percentages of correct answers also differed significantly between the time assessments. Study participants significantly improved their performance between pre-training and post-training (P < .001). This performance was maintained after a 1-month follow-up (P = .95) for the questions related to the detection, determination of cause, and management of patient-ventilator asynchrony. CONCLUSIONS: A specific 36-h training program significantly improved the ability of health-care professionals to detect patient-ventilator asynchrony, determine the possible causes of patient-ventilator asynchrony, and properly manage different types of patient-ventilator asynchrony.
- Subjects
SPAIN; LATIN America; EXPERIMENTAL design; INTENSIVE care units; STATISTICS; EVALUATION of human services programs; ANALYSIS of variance; RESEARCH methodology; MECHANICAL ventilators; PATIENTS; CONTINUING education units; PATIENT-ventilator dyssynchrony; ARTIFICIAL respiration; HUMAN services programs; PATIENT monitoring; REPEATED measures design; CHI-squared test; DESCRIPTIVE statistics; NURSES; DATA analysis; DATA analysis software; PHYSICIANS; EDUCATIONAL outcomes; DISEASE management
- Publication
Respiratory Care, 2024, Vol 69, Issue 2, p166
- ISSN
0020-1324
- Publication type
Article
- DOI
10.4187/respcare.11329