• LeeAnna Spiva, Patricia L Hart, Erin Gallagher, Frank McVay, Melida Garcia, Karen Malley, Marsha Kadner, Angela Segars, Betsy Brakovich, Sonja Y Horton, and Novlette Smith.
• WellStar Health System, Center for Nursing Excellence, WellStar Development Center, 2000 South Park Place, Atlanta, GA 30339, USA.
• Evid Based Compl Alt. 2015 Jan 1; 2015: 802865.

AbstractThe study purpose was to assess the effects of guided imagery on sedation levels, sedative and analgesic volume consumption, and physiological responses of patients being weaned from mechanical ventilation. Forty-two patients were selected from two community acute care hospitals. One hospital served as the comparison group and provided routine care (no intervention) while the other hospital provided the guided imagery intervention. The intervention included two sessions, each lasting 60 minutes, offered during morning weaning trials from mechanical ventilation. Measurements were recorded in groups at baseline and 30- and 60-minute intervals and included vital signs and Richmond Agitation-Sedation Scale (RASS) score. Sedative and analgesic medication volume consumption were recorded 24 hours prior to and after the intervention. The guided imagery group had significantly improved RASS scores and reduced sedative and analgesic volume consumption. During the second session, oxygen saturation levels significantly improved compared to the comparison group. Guided imagery group had 4.88 less days requiring mechanical ventilation and 1.4 reduction in hospital length of stay compared to the comparison group. Guided imagery may be complementary and alternative medicine (CAM) intervention to provide during mechanical ventilation weaning trials.

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