A comparative study of systemized Vs. random tracheostomy weaning

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A comparative study of systemized vs. random tracheostomy weaning.Doerksen K, Ladyshewsky A, Stansfield KAxone 1994 Sep, 16:1:5-13AbstractThe purpose of this study was to compare a systematic tracheostomy weaning procedure to a random weaning approach by asking the question: ''What is the benefit to the patient of a systematic vs. random weaning process for tracheostomy removal as defined by the number of weaning attempts and post-weaning complications?'' A tracheostomy weaning procedure was developed at St. Boniface General Hospital as a joint venture between the neuroscience nurses and neurosurgeons in response to a perceived clinical need. This project evaluated the systemic procedure in two neuroscience units in Manitoba on ten adult patients who met the assessment criteria for tracheostomy removal established in the procedure. The patients were monitored for thirty days post removal for complications. In addition, a retrospective chart review was completed on twenty charts of patients who had undergone random tracheostomy weaning from 1990-1992. Content analysis of the documentation immediately before, during and after each tracheostomy weaning procedure was undertaken. The results of the study indicate that there were fewer weaning attempts required for the patients with the systemized procedure than the random procedure, and although not statistically significant, there were fewer post-removal complications per patient in the systemized procedure than with the random procedure. Content analysis of the retrospective data indicates that the random tracheostomy weaning procedure was subject to the individual nurses' judgement. The systemized procedure was more standardized and conformed to the protocols in the procedure. Most importantly, the patient's comfort and safety were greatly enhanced through the use of standard tracheostomy weaning procedure.MeSHAdult; Comparative Study; Female; Human; Informed Consent; Male; Nursing Audit; Nursing Records; Prospective Studies; Retrospective Studies; Tracheostomy (*NU); Ventilator Weaning (MT/*NU); Medline Record details

Abstracted By:

Author

Publication Type:

CLINICAL TRIAL

Publication Type:

CONTROLLED CLINICAL TRIAL

Publication Type:

JOURNAL ARTICLE

ISSN:

0834-7824

Country:

CANADA

Language:

Eng

Journal Code:

AXO

Date of Entry:

19950413

Entry Month:

199506

Indexing Priority:

3

Journal Subset:

N

Machine Readable Identifier:

NLM008592116

Unique Identifier:

95186411© Copyright 2000. Some material in the NLM databases is from copyrighted publications of the respective copyright claimants. Users of the NLM databases are solely responsible for the compliance with any copyright restrictions and are referred to the publication data appearing in the bibliographic citations, as well as to the copyright notices appearing in the original publications, all of which are hereby incorporated by reference.

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