Daily screening times are 11 a.m. and 1, 2, and 3 p.m., with extra shows on Saturday and Sunday at noon and 4 p.m.
Your parents will welcome your presence at the daily screening of the 11 P.M. news, throughout which both will claim that it is far too late for them to be up, that they don't know what the world is coming to, and also did you run into that Debbie who bartends at Patti's and graduated with your brother?
An active daily screening for potentially eligible patients will be performed at all the participating ICUs.
We compared this screening method with our existing traditional daily screening of all admission days for signs and symptoms of HAI.
Daily screening for delirium using either CAM-ICU or ICDSC is the gold standard for early identification of a patient with delirium.
Although underpowered, our study suggests that a systematic approach to weaning through daily screening using a written flow chart followed by a SBT does not significantly reduce the rate of reconnection to the ventilator, as opposed to direct disconnection based on physician's judgment only.
Patients were eligible for inclusion if they had been intubated and ventilated for at least 24 h and if they met predefined readiness-to-wean criteria on daily screening [18] and were therefore ready for a first spontaneous breathing trial (Additional file 1: readiness criteria to initiate a spontaneous breathing trial).
After ICU whole staff training, we conducted daily screening of the four CRF for IAH based on the World Society of Abdominal Compartment Syndrome (WSACS) guidelines (namely, diminished abdominal wall compliance, increased intraluminal content, increased abdominal content, and capillary leak syndrome or fluid resuscitation).
Vaschetto et al. [19] compared a systematic approach based on daily screening of meaningful physiologic and clinical variables followed by SBT with direct disconnection from the ventilator based on the sole physician's judgment in reducing the rate of reconnection to the ventilator within 48 h; however, the trial was prematurely interrupted due to a high rate of reconnections.
Sample size calculation is greatly influenced by the predicted effect size of the treatment under study compared to the control treatment on the outcome [37], suggesting that the proposed nurse-led weaning protocol might be superior to daily screening of clinically relevant variables.
Vaschetto et al. [19] conducted their RCT in a population of critically ill neurological and neurosurgical patients and found no difference in reconnection rate to MV comparing daily screening of readiness for SBT based on physiologic and clinical variables followed by SBT with direct disconnection from the ventilator based on physician's judgment, the same control arm we adopted in our trial.
