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Liberation from Mechanical Ventilation E. Wesley Ely, MD, MPH

Liberation from Mechanical Ventilation E. Wesley Ely, MD, MPH

Liberation from Mechanical Ventilation E. Wesley Ely, MD, MPH

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Sedation Protocols: The Evidence<br />

Trial RCT Outcome(s) Improved by Protocol<br />

Brook et al.1999 Yes Ventilator days, ICU LOS<br />

Kress et al. 2000 Yes Ventilator days, ICU LOS<br />

Brattebo et al. 2002 No Ventilator days<br />

de Lemos et al. 2005 Yes Ventilator days, ICU LOS<br />

De Jonghe et al. 2005 No Ventilator days, time to awaken<br />

Chanques et al. 2006 No Ventilator days, pain/agitation, infection<br />

Quenot et al. 2007 No Ventilator days, extubation success, VAP<br />

Arias-Rivera et al. 2008 No Extubation success<br />

Bucknall et al. 2008 Yes None<br />

Girard et al. 2008 Yes Ventilator days, hospital LOS, survival<br />

Robinson et al. 2008 No Ventilator days, hospital LOS<br />

Tobar et al. 2008 Yes Oversedation rate

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