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Critical Care: Mechanical Ventilation & Respiratory Failure II |

Post-ICU Mechanical Ventilation: Characteristics and Outcomes of Patients With Prolonged Mechancial Ventilation at a Long-term Acute Care Hospital

Lorry Lewis, MS; DiAnn Larson, RRT; Charlotte Marshall, RRT; Terri Tenhoor, MD
Author and Funding Information

Dekalb Medical, Decatur, GA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):320A. doi:10.1016/j.chest.2016.08.333
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SESSION TITLE: Mechanical Ventilation & Respiratory Failure II

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: DeKalb Medical Long Term Acute Care Hospital, located in Decatur, Georgia, is a 40 bed long term acute care (LTAC) hospital that admits patients from hospitals in Georgia for weaning from prolonged mechanical ventilation (PMV). In 2000, a multidiciplinary team developed a therapist driven PMV weaning protocol which begins on admissiona nd progresses to decannulation. The ventilator weaning program employs daily multidisciplinary huddles, a progressive mobility program, protocol compliance monitoring, education of the protocol across disciplines, and utilization of the IHI VAP bundle. We report five years of patient characteristics, weaning outcomes, and discharge dispositions for critically ill patients transferred to DeKalb Medical LTAC hospital for weaning from PMV. We also present select data from two time periods to show the effects of quality improvement efforts.

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