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121 results for “ventilation volume”
Data from: Increasing compliance with low tidal volume ventilation in the ICU with two nudge-based interventions: evaluation through intervention time-series analyses
Objectives: Low tidal volume (TVe) ventilation improves outcomes for ventilated patients, and the majority of clinicians state they implement it. Unfortunately, most patients never receive low TVes. 'Nudges' influence decision-making with subtle cognitive mechanisms and are effective in many contexts. There have been few studies examining their impact on clinical decision-making. We investigated the impact of 2 interventions designed using principles from behavioural science on the deployment of low TVe ventilation in the intensive care unit (ICU). Setting: University Hospitals Bristol, a tertiary, mixed medical and surgical ICU with 20 beds, admitting over 1300 patients per year. Participants: Data were collected from 2144 consecutive patients receiving controlled mechanical ventilation for more than 1 hour between October 2010 and September 2014. Patients on controlled mechanical ventilation for more than 20 hours were included in the final analysis. Interventions: (1) Default ventilator settings were adjusted to comply with low TVe targets from the initiation of ventilation unless actively changed by a clinician. (2) A large dashboard was deployed displaying TVes in the format mL/kg ideal body weight (IBW) with alerts when TVes were excessive. Primary outcome measure: TVe in mL/kg IBW. Findings: TVe was significantly lower in the defaults group. In the dashboard intervention, TVe fell more quickly and by a greater amount after a TVe of 8 mL/kg IBW was breached when compared with controls. This effect improved in each subsequent year for 3 years. Conclusions: This study has demonstrated that adjustment of default ventilator settings and a dashboard with alerts for excessive TVe can significantly influence clinical decision-making. This offers a promising strategy to improve compliance with low TVe ventilation, and suggests that using insights from behavioural science has potential to improve the translation of evidence into practice.
Volume Guarantee Ventilation in Preterm Infants With Frequent Episodes of Hypoxemia
ClinicalTrials.gov study NCT01727505. IPD Sharing: Not stated. Countries: 1. Publications: 0.
EIT Assessment of Lung Volume and Tidal Distribution: A Comparison of Non-Invasive Ventilation Devices
ClinicalTrials.gov study NCT02930174. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Effect of Eliminating Gastric Residual Volume Monitoring on Ventilator Associated Events
ClinicalTrials.gov study NCT06059040. IPD Sharing: Not stated. Countries: 0. Publications: 3.
Data from: Increasing compliance with low tidal volume ventilation in the ICU with two nudge-based interventions: evaluation through intervention time-series analyses
Open the record for dataset details and reuse information.
Effects of High and Low Tidal Volumes on Arterial Oxygenation and Pulmonary Shunt During One-Lung Ventilation
ClinicalTrials.gov study NCT01513018. IPD Sharing: Not stated. Countries: 1. Publications: 0.
The Effect of Pressure Controlled Ventilation on the Pulmonary Mechanics in Prone Position Using the Wilson Frame: A Comparison With Volume Controlled Ventilation
ClinicalTrials.gov study NCT01272700. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Efficacy of Average Volume Assured Pressure Support With Bi-Level Pressure Support Nocturnal Ventilation
ClinicalTrials.gov study NCT00479284. IPD Sharing: Not stated. Countries: 1. Publications: 0.
End-tidal Carbon Dioxide Monitoring in Low Tidal Volume Ventilation
ClinicalTrials.gov study NCT04281589. IPD Sharing: NO. Countries: 1. Publications: 0.
Influence of Tidal Volume During Mechanical Ventilation on Postoperative Clinical Outcome in Pediatric Patients Undergoing Congenital Heart Surgery
ClinicalTrials.gov study NCT02081274. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Influence of Lung Volume Optimization Maneuver in Ventilated Children on Cardiac Output and Lung Compliance in Children With Congenital Heart Disease Undergoing Surgical Repair and on Prevention of Ne
ClinicalTrials.gov study NCT07193719. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
Pressure-limited Ventilation Versus Volume-targeted Ventilation in Term Newborns
ClinicalTrials.gov study NCT02358460. IPD Sharing: Not stated. Countries: 1. Publications: 0.
A Comparison of High vs. Low Tidal Volumes in Ventilator Weaning for Individuals With Cervical Spinal Cord Injuries
ClinicalTrials.gov study NCT00412308. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Low Frequency, Ultra-low Tidal Volume Ventilation in Patients With ARDS and ECMO
ClinicalTrials.gov study NCT03764319. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Feasabilty and Physiological Effects of a Ventilation Strategy Combining PEEP and Tidal Volume Titration According to Inspiratory and Expiratory Transpulmonary Pressures in ARDS Patients.
ClinicalTrials.gov study NCT05337059. IPD Sharing: NO. Countries: 1. Publications: 0.
Ultrasound Measurement of Pleural Line Sliding as a Surrogate Indicator of Lung Volume Change: A Comparative Study With Ventilator Volume Data
ClinicalTrials.gov study NCT06833151. IPD Sharing: NO. Countries: 1. Publications: 0.
Effects of TCAV and Volume Control Ventilation on the Distribution of Aerated Lung Parenchyma in ARDS Patients
ClinicalTrials.gov study NCT05874973. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Assessment of Ventilation Using Respiratory Volume Monitor Compared to Capnography During Intravenous Sedation
ClinicalTrials.gov study NCT02860143. IPD Sharing: NO. Countries: 1. Publications: 0.
Effects of Large Tidal Volumes Despite Minimal Inspiratory Support in Spontaneously Ventilated Intubated Resuscitation Patients. Pathophysiological Exploratory Study.
ClinicalTrials.gov study NCT05056961. IPD Sharing: Not stated. Countries: 1. Publications: 0.
A Feasibility Study of a Low Tidal Volume Ventilation Strategy in One Lung Ventilation
ClinicalTrials.gov study NCT03467607. IPD Sharing: NO. Countries: 1. Publications: 0.
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OpenNeuro
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