An evaluation of the impact of a tracheostomy weaning protocol on extubation time

Abstract

Although the findings from the study were not statistically significant, they can be seen as clinically significant in terms of patient comfort and reduced dependency in care by a reduction of time with a tracheostomy. It is recommended that a larger scale study be carried out to determine if a tracheostomy weaning protocol does make an impact on length of time to extubation in wider care settings.

Standardizing Care for High-Risk Patients in Spine Surgery

“…Protocol-based care has been shown to successfully decrease the number of days on mechanical ventilation, [1][2][3][4][5][6] reduce the incidence of thromboembolism, 7 improve mortality from sepsis, 8,9 reduce costs of a hospitalization, 9 and reduce the incidence of drug-resistant bacterial infections. 10 Our protocol facilitates improved collaboration and communication between the surgical, medical, and anesthetic teams.…”

AARC Clinical Practice Guideline: Management of Adult Patients with Tracheostomy in the Acute Care Setting

“…1). Of these studies, 10 focused on the use of tracheostomy teams, [14][15][16][17][18][19][20][21][22][23] 5 focused on the use of a tracheostomy weaning/decannulation protocol, [24][25][26][27][28] 1 study focused on the use of a tracheostomy-related acquired pressure ulcer (TRAPU) bundle, 29 and 1 study focused on a tracheostomy management bundle. 30…”

“…With regard to patients with tracheostomies, the inherent complexity of providing safe, efficacious care for them merits the use of evidence-based protocols. A review of the literature yielded a total of 5 studies [24][25][26][27][28] that focused on the use of protocols in the management of tracheostomized adult patients in the acute care setting. All 5 studies were observational and were judged to be of low to moderate quality.…”

“…All 5 studies were observational and were judged to be of low to moderate quality. Three of the studies used a weaning/decannulation protocol, 24,26,27 while 1 study used a swallow evaluation protocol in conjunction with a weaning/decannulation protocol, 25 and 1 study compared 2 different swallow evaluation protocols. 28 Most of the studies that investigated the effectiveness of protocols in the care of subjects with tracheostomies used time to decannulation as the primary outcome (Table 3).…”