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A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation
Critical Care Medicine · 1997 · Vol. 25(4) · pp. 567–574
Marin H. Kollef✉(Washington University in St. Louis)Steven D. Shapiro(Washington University in St. Louis)Patricia Silver(Washington University in St. Louis)Robert John(Washington University in St. Louis)Donna Prentice(Washington University in St. Louis)Sharon Sauer(Washington University in St. Louis)Tom S. Ahrens(Washington University in St. Louis)William D. Shannon(Washington University in St. Louis)Darnetta Baker-Clinkscale(Washington University in St. Louis)
Abstract
Protocol-guided weaning of mechanical ventilation, as performed by nurses and respiratory therapists, is safe and led to extubation more rapidly than physician-directed weaning.
Family and Patient Care in Intensive Care UnitsRespiratory Support and MechanismsPalliative Care and End-of-Life IssuesMedicineMechanical ventilationQuartileWeaningRandomized controlled trialHazard ratioConfidence intervalInterquartile rangeAnesthesiaSurgery
MeSH terms
WorkforceAdultAgedClinical ProtocolsCritical CareFemaleHospitals, TeachingHumansIntensive Care UnitsMaleMedical Staff, HospitalMiddle AgedNursing Staff, HospitalOhioRespiration, Artificial
Citations
820
FWCI
54.84
field-weighted impact
References
28
Percentile
100%
vs. same field & year
Citations per year
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American Journal of Respiratory and Critical Care Medicine · 1994 · 6,745 citations
Nonparametric Estimation from Incomplete Observations
Journal of the American Statistical Association · 1958 · 38,793 citations
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Critical Care Medicine · 1985 · 13,529 citations
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