POINT: Should Computerized Protocols Replace Physicians for Managing Mechanical Ventilation? Yes

Chest: The Journal of Circulation, Respiration and Related Systems

Colin K. Grissom¹ 

关键词: ASV;    adaptive support ventilation;    CDS;    clinical decision support;    PBW;    predicted body weight;    PEEP;    positive-end expiratory pressure;   

DOI  :  10.1016/j.chest.2018.06.009

学科分类：呼吸医学

来源: American College of Chest Physicians

【 摘 要 】

We begin with the premise that the objective of mechanical ventilator management is to use modes and settings for ventilation, oxygenation, and weaning that increase—based on valid evidence—the likelihood of favorable outcomes and avoidance of patient harm. Fundamental to this objective is for critical care physicians, nurses, and respiratory therapists (hereafter, clinicians) to operate the ventilator according to evidence-based practices. Unfortunately, extensive evidence documents that clinicians often make well-intended decisions that are inconsistent with evidence-based practices,¹ leading to needless and likely injurious variability in ventilator management.

【 授权许可】

CC BY