Journal scan 1 : May 2014

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Protocolized versus non-protocolized weaning for reducing the duration of invasive mechanical ventilation in critically ill paediatric patients

Author: Bronagh Blackwood

Objective: was to compare the total duration of mechanical ventilation of critically ill children who are weaned using protocols versus those weaned through usual (non protocolized) practice and to detect any differences between protocolized weaning and usual care in terms of mortality, adverse events, length of stay and quality of life.

What is new? 
This is the first published systematic review comparing protocolized weaning with usual care in critically ill children in intensive care.

Conclusion: The authors concluded that there is limited evidence suggesting reduction in duration of mechanical ventilation and the available evidence is inadequate to determine whether achievement of shorter duration of ventilation causes children benefit or harm.
The article is available full and free here
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