Skip to main content

Main menu

  • Home
  • Current issue
  • ERJ Early View
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Open access
    • COVID-19 submission information
    • Peer reviewer login
  • Alerts
  • Podcasts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • ERJ Early View
  • Past issues
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • Open access
    • COVID-19 submission information
    • Peer reviewer login
  • Alerts
  • Podcasts
  • Subscriptions

Daily weanscreen in mechanically ventilated patients; effects on sedation, analgesics and duration

J. van Rosmalen, F. van Beers, A. van Hees, P. Vos, P. van Berkom, J.A.H. van Oers
European Respiratory Journal 2011 38: p1317; DOI:
J. van Rosmalen
ICU, St Elisabeth Hospital, Tilburg, Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
F. van Beers
ICU, St Elisabeth Hospital, Tilburg, Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
A. van Hees
ICU, St Elisabeth Hospital, Tilburg, Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
P. Vos
ICU, St Elisabeth Hospital, Tilburg, Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
P. van Berkom
ICU, St Elisabeth Hospital, Tilburg, Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J.A.H. van Oers
ICU, St Elisabeth Hospital, Tilburg, Netherlands
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
Loading

Abstract

Introduction: The duration of mechanical ventilation (MV-duration) should be limited as much as possible to avoid complications.

Objective: The aim of the study was to find out the impact of a daily weanscreen on MV-duration.

Setting: A 20-bed mixed medical-(neuro-)surgical Intensive Care Unit.

Methods: In 2009 the sedationgoal was prescribed each day by the intensivist. In 2010 we introduced a 4 interventions weanscreenprotocol, including: Daily Spontaneous Awakening Trial (SAT), Rapid Shallow Breathing Index (RSBI), Spontaneous Breathing Trial (SBT) and MD enumerates reason to continue. From Januari to December 2010 we assessed all ventilated patients every day from Monday to Friday. The subsequent 4 steps of the weanscreenprotocol were carried out by a ventilation practitioner (R.N.) to promote extubation. The amount of sedatives per year was divided by the number of ventilated patients, resulting in an average dose midazolam/propofol/morphine per patient. The MV-duration was evaluated and compared with 2009.

Results: The 672 patients in 2010 were compared to 594 patients in 2009. SAPSII was the same in both cohorts, Median MV-duration decreased from 42 to 38 hours (n.s. Mann-Witney U test). Together with a small increase in the use of propofol we observed a substantial reduction in the use of midazolam and morphine.

View this table:
  • View inline
  • View popup

Conclusions: In our population we succeeded in reducing the use of midazolam and morphine by a daily 4 component-weanscreen, and a 10% decrease in MV-duration (statistically n.s.).

  • © 2011 ERS
Previous
Back to top
Vol 38 Issue Suppl 55 Table of Contents
  • Table of Contents
  • Index by author
Email

Thank you for your interest in spreading the word on European Respiratory Society .

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Daily weanscreen in mechanically ventilated patients; effects on sedation, analgesics and duration
(Your Name) has sent you a message from European Respiratory Society
(Your Name) thought you would like to see the European Respiratory Society web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Daily weanscreen in mechanically ventilated patients; effects on sedation, analgesics and duration
J. van Rosmalen, F. van Beers, A. van Hees, P. Vos, P. van Berkom, J.A.H. van Oers
European Respiratory Journal Sep 2011, 38 (Suppl 55) p1317;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Daily weanscreen in mechanically ventilated patients; effects on sedation, analgesics and duration
J. van Rosmalen, F. van Beers, A. van Hees, P. Vos, P. van Berkom, J.A.H. van Oers
European Respiratory Journal Sep 2011, 38 (Suppl 55) p1317;
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo

Jump To

  • Article
  • Figures & Data
  • Info & Metrics
  • Tweet Widget
  • Facebook Like
  • Google Plus One

More in this TOC Section

  • A phenomenological study of pain in patients suffering from COPD
  • Nurse care for patients with chest drainage and creation of local procedural standards
  • From theory to complex intervention. High fidelity simulation to advance nurses' experience with non-invasive ventilation
Show more 120. The eclectic world of respiratory nursing

Related Articles

Navigate

  • Home
  • Current issue
  • Archive

About the ERJ

  • Journal information
  • Editorial board
  • Reviewers
  • Press
  • Permissions and reprints
  • Advertising

The European Respiratory Society

  • Society home
  • myERS
  • Privacy policy
  • Accessibility

ERS publications

  • European Respiratory Journal
  • ERJ Open Research
  • European Respiratory Review
  • Breathe
  • ERS books online
  • ERS Bookshop

Help

  • Feedback

For authors

  • Instructions for authors
  • Publication ethics and malpractice
  • Submit a manuscript

For readers

  • Alerts
  • Subjects
  • Podcasts
  • RSS

Subscriptions

  • Accessing the ERS publications

Contact us

European Respiratory Society
442 Glossop Road
Sheffield S10 2PX
United Kingdom
Tel: +44 114 2672860
Email: journals@ersnet.org

ISSN

Print ISSN:  0903-1936
Online ISSN: 1399-3003

Copyright © 2022 by the European Respiratory Society