Ved, Sejal M.. Program evaluation: weaning protocol utilizing Dexmedetomidine (Precedex) to result in decreased mechanical ventilation (MV) time. Retrieved from https://doi.org/doi:10.7282/t3-7mms-g706
DescriptionPurpose of Project: This project's aim was to complete a program evaluation of the use of Dexmedetomidine for sedation by conducting a gap analysis of current practices with evidence based research, in order to present a modified protocol with the goal of improving duration of MV time and rate of reintubation within 24 hours of extubation in the ICU setting.
Methodology:
Design: Gap analysis with resulting program evaluation and user feedback surveys
Setting: 24 bed mixed MICU/SICU.
Sample: Purposeful sample 100 charts reviewed in order to have 50 charts in control group and 50 charts to be experimental. Specific inclusion and exclusion criteria with age, MV time, comorbidities, and admission in 2019 over 24 hours.
Recruitment & Interventions: 100 charts from 2019 of patients on Dexmedetomidine for greater than 24 hours were reviewed for inclusion/exclusion criteria. User feedback surveys were distributed via email, survey monkey and on paper in ICU staff lounge.
Measures: Survey used Likert type scale to extract feedback; mean length of stay and MV time was measured as well as rate of reintubation via percentage.
Results: User feedback surveys were conducted to assess if the use of Dexmedetomidine in a mixed ICU setting was favorable or not favorable. A retrospective chart review was also conducted in order to evaluate mechanical ventilation (MV) time, rate of reintubation, and length of stay (LOS). Outcomes were measured using measures of central tendency in the form of percentages of mean answer per question asked and mean MV time, LOS, and rate of reintubation.
Implications for Practice: A designated protocol for sedation weaning in conjunction with MV weaning based off of past medical history and current vital signs would be extremely beneficial to future outcomes in this ICU.This project will be continued by the nursing research council and ICU staff in order to formulate a sustainable order set for Dexmedetomidine and MV weaning.