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A nurse-led ventilator weaning protocol successfully reduced mechanical ventilation hours for cardiac surgery patients, increasing the percentage extubated within six hours. The protocol also enhanced nurses

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Area of Science:

  • Cardiovascular Surgery
  • Critical Care Medicine
  • Nursing Education

Background:

  • Mechanical ventilation is standard post-cardiac surgery but causes patient stress.
  • The Society of Thoracic Surgeons recommends a 6-hour extubation goal.
  • Currently, 60% of patients do not meet the 6-hour extubation target.

Purpose of the Study:

  • To decrease mechanical ventilation duration in cardiac surgery patients.
  • To reduce intensive care unit (ICU) length of stay.
  • To implement an evidence-based ventilator weaning protocol.

Main Methods:

  • Developed an evidence-based ventilator weaning protocol.
  • Implemented a simulation education program for nursing staff.
  • Trained nurses on protocol implementation and patient weaning.

Main Results:

  • Reduced average ventilation hours from 7.74 to 6.27 (P = .012).
  • Increased the percentage of patients extubated within 6 hours from 40% to 63.5% (P = .005).
  • Significantly improved nurses' knowledge (P < .001) and confidence (P = .007) in weaning and protocol use.

Conclusions:

  • A nurse-led ventilator weaning protocol effectively decreases patient ventilation time.
  • The protocol implementation led to improved nursing knowledge and confidence.
  • Further research may explore impact on ICU length of stay.