AI Article Synopsis
- The clinical management of critically ill patients has evolved to prioritize patient mobilization and reduced sedation while on mechanical ventilation.
- The ABCDEF bundle is a comprehensive, evidence-based strategy that focuses on pain assessment, delirium management, and facilitating communication with patients and families to enhance recovery and reduce complications.
- Involving respiratory therapists in the implementation of this bundle is crucial, as it has been shown to significantly decrease mortality, ventilator days, and other negative outcomes in critically ill patients.
Article Abstract
The clinical approach to the critically ill patient has changed dramatically over the last several decades from one of deep sedation to that of mobilizing patients on mechanical ventilation and limiting sedation. The ABCDEF bundle is a multidisciplinary, evidence-based approach to the holistic management of critically ill patients that aims to optimize patient recovery, minimize iatrogenesis, and engage and empower the patient and family during their hospitalization. To achieve this goal, the bundle includes assessments for pain, delirium, and readiness to stop sedation and to start spontaneous breathing trials. It also encourages early mobilization of the patient, avoidance of restraints, and engagement with the family in bedside rounds to improve communication. Performance of this bundle reduces mortality, ventilator days, intensive care readmissions, delirium, coma, restraint use, and discharge to facilities in a dose-dependent manner. The respiratory therapist, as a key member of the critical care team, is essential to the implementation, performance, and success of the ABCDEF bundle. This review aims to describe each component of the ABCDEF bundle, provide evidence for both the impact of individual interventions as well as the entire bundle, and detail the importance of this multidisciplinary approach to the care of the critically ill patient.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444368 | PMC |
| http://dx.doi.org/10.4187/respcare.07235 | DOI Listing |
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