• Michael P Mendez, Michael H Lazar, Bruno Digiovine, Stephanie Schuldt, Robert Behrendt, Michael Peters, and Jeffrey H Jennings.
• Division of Pulmonary and Critical Care Medicine at Henry Ford Health System, Detroit, MI 48202, USA.
• Am. J. Crit. Care. 2013 Jan 1; 22 (1): 54-60.

BackgroundHow compliance with a ventilator bundle is monitored varies from institution to institution. Some institutions rely on the primary intensive care unit team to review the bundle during their rounds; others rely on a separate team of health care personnel that may include representatives from disciplines such as nursing, respiratory therapy, and pharmacy.ObjectivesTo compare rates of compliance with ventilator bundle components between a dedicated ventilator bundle rounding team and the primary intensive care unit rounding team in a 68-bed medical intensive care unit.MethodsA query of the medical intensive care unit's database was used to retrospectively determine rates of compliance with specific ventilator bundle components at a tertiary care hospital in an urban community for 1 year.ResultsCompared with the intensive care unit rounding team, the ventilator bundle rounding team had better compliance with sedation vacation (61.7% vs 54.0%, P < .001). Rates of compliance with spontaneous breathing trials and prophylaxis of peptic ulcer disease were similar in both study groups.ConclusionsA dedicated ventilator bundle rounding team improves compliance with sedation vacation, but not with spontaneous breathing trials and prophylaxis of peptic ulcer disease. In a large-volume tertiary center, a dedicated ventilator bundle rounding team may be more effective than the primary rounding team in achieving compliance with some bundle components.

19 keywords...

hide…