The ABCDE bundle to improve the clinical outcomes for mechanically ventilated patients

Abstract

Background: The ABCDE bundle incorporates Awakening and Breathing Coordination, Delirium monitoring/management, and Early exercise/mobility to optimizing patient outcomes such as reduce duration of mechanical ventilation, ICU length of stay and improve hemodynamic status.Aim of the study: was to examine the effect of ABCDE bundle on selected clinical outcomes among mechanically ventilated patients.Setting: The study was conducted at Surgical Intensive Care Unit (SICU) at Menoufia University Hospital. Sample: A convenient sample of 100 mechanically ventilated patients who were admitted to SICU. Design: A quasi-experimental design was utilized. Tools: (1) A Semi Structured Demographic Questionnaire, and (2) Cardiorespiratory Parameters questionnaire. Results: there was a highly statistically significant decrease in the mean score of ventilator free days of the study group compared with the control group (6.10 ± 1.77) (4.70 ± 1.53) respectively (p