Recommendations supporting the utilization of protocolized weaning to improve clinical outcomes in mechanically ventilated patients

Society/Agency
Guideline
Recommendation

Agency for Healthcare Policy and Research/ McMaster University

Mechanical ventilator weaning protocols driven by nonphysician healthcare professionals: evidence-based clinical practice guidelines15

Weaning protocols are recommended to reduce time on mechanical ventilation

American College of Chest Physicians/ American Association for Respiratory Care/ American College of Critical Care Medicine

Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine16

ICU clinicians should utilize weaning and discontinuation protocols for mechanical ventilated patients

European Respiratory Society/ American Thoracic Society/ European Society of Intensive Care Medicine/ Society of Critical Care Medicine/ Socie´te´ de Re´animation de Langue Francaise

Weaning from mechanical ventilation4

Mechanically ventilated patients should undergo regular assessment for discontinuation potential. Formal discontinuation assessments should be performed via spontaneous breathing trials.

Institute for Healthcare Improvement

Ventilator bundle17

Daily interruption of sedation and evaluation for weaning readiness is recommended for the prevention of VAP