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Updated: May 15, 2026

Mechanical Ventilation Boot Camp Curriculum
Published on: March 12, 2018
Dedicated multidisciplinary ventilator bundle team and compliance with sedation vacation
Michael P Mendez1, Michael H Lazar, Bruno Digiovine
1Division of Pulmonary and Critical Care Medicine at Henry Ford Health System, Detroit, MI 48202, USA.
A dedicated ventilator bundle rounding team improved compliance with sedation vacation. However, compliance with spontaneous breathing trials and peptic ulcer disease prophylaxis remained similar between dedicated and primary intensive care unit teams.
Area of Science:
- Critical Care Medicine
- Hospital Quality Improvement
- Patient Safety
Background:
- Ventilator bundle compliance monitoring varies across healthcare institutions.
- Practices range from primary intensive care unit (ICU) team reviews to dedicated multidisciplinary teams.
Purpose of the Study:
- To compare ventilator bundle compliance rates between a dedicated team and the primary ICU team.
- Evaluate the impact of dedicated rounding on specific bundle components.
Main Methods:
- Retrospective analysis of ICU database at a tertiary care hospital.
- Assessed compliance with ventilator bundle components over one year.
Main Results:
- The dedicated ventilator bundle rounding team showed significantly higher compliance with sedation vacation (61.7% vs 54.0%, P < .001).
- Compliance rates for spontaneous breathing trials and peptic ulcer disease prophylaxis were comparable between both teams.
Conclusions:
- A dedicated ventilator bundle rounding team enhances compliance with sedation vacation.
- Dedicated teams did not significantly improve compliance with spontaneous breathing trials or peptic ulcer disease prophylaxis.
- Dedicated teams may be more effective for certain ventilator bundle components in large tertiary centers.
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