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The development of eCODES, a Web-based prolonged mechanical ventilation decision aid, included extension of a data entry and management system to include a study staff-directed electronic decision aid adapted from a printed version.
The original prolonged mechanical ventilation decision aid for surrogate decision makers was developed in accordance with the consensus guidelines and piloted in 2009 to 2011 as previously described [8,9].
The document also emphasized that their task was to decide what to do next with life support according to the goals of treatment options specified in the original printed prolonged mechanical ventilation decision aid (treatment with comfort as the main goal, aggressive care with survival as the main goal, or treatment that aimed for survival but without prolonged life support) [8].
In the Development Phase, we adapted our previously validated printed prolonged mechanical ventilation decision aid to create a Web-based version (eCODES).
To address these problems, we sought to expand a brief printed prolonged mechanical ventilation decision aid to a fully electronic, multi-function version that we termed 'electronic Collaborative Decision Support' (eCODES).
The original prolonged mechanical ventilation decision aid for surrogate decision makers was developed in accordance with the consensus guidelines and piloted in 2009 to 2011 as previously described [ 8, 9].
Similar(53)
For many decades, pressure-based respiratory mechanics have served to aid the judgment of clinicians when monitoring mechanical ventilation and making important decisions in respiratory care.
A model derived from age, oxygenation index, and cardiovascular failure three days after intubation predicts death or prolonged mechanical ventilation and may inform decisions regarding specific interventions such as tracheostomy, particularly in terms of clinical trial design.
Our findings indicate, according to nurse managers, that interprofessional collaboration was the predominant model for decisions about mechanical ventilation and weaning and nurses generally had a reasonable influence on decisions made.
For example, in the patient who is unable to breathe spontaneously, the active decision to stop mechanical ventilation will have the same immediate consequences as the 'passive' decision not to start mechanical ventilation in the first place – the patient will not be ventilated (Fig. 1).
To determine if and how the preoperative peak airway pressure and oxygen requirement of an infant (less than 6 months of age) who requires mechanical ventilation influences the physician's decision to perform a tracheostomy on that infant.
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