Weaning success among COPD patients following ventilator care bundle application

Abstract

Objective: Several studies evaluated the effectiveness of the ventilator care bundle in reducing the occurrence of ventilator-associated pneumonia. The ventilator care bundle efficacy in early mechanical ventilation weaning has not been adequately assessed. The study aimed to investigate the weaning success among chronic obstructive pulmonary disease (COPD) patients following ventilator care bundle application.
Methods: This study is quasi-experimental, recruiting 80 mechanically ventilated COPD patients (40 patients for each bundle and control group). It was conducted at the respiratory intensive care units (ICUs) at Mansoura University Hospital, Egypt. Data were collected using a mechanically ventilated patient (MVP) assessment tool, a ventilator care bundle compliance checklist, and MVP evaluation tools based on the Burns’ Wean Assessment Program (BWAP) checklist and the patient’s ventilation indicators.
Results: The results revealed that almost 75% of the bundle group was successfully weaned from invasive mechanical ventilation at the first attempt of the spontaneous breathing trial compared with 32.5% of the control group. The ventilation duration and length of ICU stay were reduced in the bundle compared with the control group.
Conclusions: The bundle group demonstrated higher weaning scores than the control group. Therefore, we recommend the integration of the ventilator care bundle in the weaning trial of MVPs to accelerate weaning and reduce the duration of mechanical ventilation.

Keywords

Ventilator care bundle / Chronic obstructive pulmonary disease / Weaning

ACKNOWLEDGEMENTS

Special thanks and appreciation go to my supervisors for their support, valuable instruction, and prompt assistance. I would also like to extend my deep thanks to physicians, nurses, patients who accepted to take a part in this study. and to all those who directly or indirectly helped me to accomplish this thesis.

CONFLICTS OF INTEREST DISCLOSURE

The authors declare they have no conflicts of interest.

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