Multidisciplinary team developed and implemented protocols to assist mechanical ventilation weaning : a systematic review of literature

White, Vicki, Currey, Judy and Botti, Mari 2011, Multidisciplinary team developed and implemented protocols to assist mechanical ventilation weaning : a systematic review of literature, Worldviews on evidence-based nursing, vol. 8, no. 1, pp. 51-59.

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Title Multidisciplinary team developed and implemented protocols to assist mechanical ventilation weaning : a systematic review of literature
Author(s) White, Vicki
Currey, Judy
Botti, Mari
Journal name Worldviews on evidence-based nursing
Volume number 8
Issue number 1
Start page 51
End page 59
Publisher Blackwell
Place of publication [Oxford, England]
Publication date 2011-03
ISSN 1545-102X
1741-6787
Keyword(s) mechanical ventilation weaning
systematic review
multidisciplinary team
protocols
intensive care
Summary Aim: The aim of this review was to determine if ventilation-weaning protocols developed and implemented by multidisciplinary teams (MDTs) reduced the duration of mechanical ventilation in adult intensive care patients compared to usual care.

Method: A systematic review was conducted to review published research studies from January 1999 to June 2009 to identify and analyse the best available evidence on MDT-based weaning protocols in adult intensive care patients. All relevant studies based on electronic searches of MEDLINE, EMBASE, CINAHL, the Cochrane Controlled Trials Registry and the Cochrane Database of Systematic Reviews were included. Where possible data were pooled and a meta-analysis performed. A narrative synthesis of data was conducted to provide a critical appraisal of nonrandomised controlled trials included in the review.

Results: Three pre- and postinterventional studies were identified for inclusion in this review. Results show equivocal support for weaning protocols developed and implemented by MDTs for reducing duration of mechanical ventilation.

Conclusion: Communication and organizational processes must be addressed for multidisciplinary protocols to be effective. Due to methodological limitations of included studies, large randomised controlled trials are required to provide high-level evidence of the effects of MDT-based protocols on duration of mechanical ventilation.
Language eng
Field of Research 111001 Aged Care Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, Sigma Theta Tau International
Persistent URL http://hdl.handle.net/10536/DRO/DU:30031114

Document type: Journal Article
Collections: School of Nursing and Midwifery
Higher Education Research Group
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Created: Tue, 09 Nov 2010, 12:47:57 EST by Jane Moschetti

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