RT Journal Article
SR Electronic
T1 Specific Training Improves the Detection and Management of Patient-Ventilator Asynchrony
JF Respiratory Care
FD American Association for Respiratory Care
SP respcare.11329
DO 10.4187/respcare.11329
A1 Ramírez, Iván I
A1 Gutiérrez-Arias, Ruvistay
A1 Damiani, L Felipe
A1 Adasme, Rodrigo S
A1 Arellano, Daniel H
A1 Salinas, Francisco A
A1 Roncalli, Angelo
A1 Núñez-Silveira, Juan
A1 Santillán-Zuta, Milton
A1 Sepúlveda-Barisich, Patrick
A1 Gordo-Vidal, Federico
A1 Blanch, Lluís
YR 2023
UL http://rc.rcjournal.com/content/early/2023/11/28/respcare.11329.abstract
AB BACKGROUND: Patient-ventilator asynchrony is common in patients undergoing mechanical ventilation. The proportion of health-care professionals capable of identifying and effectively managing different types of patient-ventilator asynchronies is limited. A few studies have developed specific training programs, but they mainly focused on improving patient-ventilator asynchrony detection without assessing the ability of health-care professionals to determine the possible causes.METHODS: We conducted a 36-h training program focused on patient-ventilator asynchrony detection and management for health-care professionals from 20 hospitals in Latin America and Spain. The training program included 6 h of a live online lesson during which 120 patient-ventilator asynchrony cases were presented. After the 6-h training lesson, health-care professionals were required to complete a 1-h training session per day for the subsequent 30 d. A 30-question assessment tool was developed and used to assess health-care professionals before training, immediately after the 6-h training lecture, and after the 30 d of training (1-month follow-up).RESULTS: One hundred sixteen health-care professionals participated in the study. The median (interquartile range) of the total number of correct answers in the pre-training, post-training, and 1-month follow-up were significantly different (12 [8.75–15], 18 [13.75–22], and 18.5 [14–23], respectively). The percentages of correct answers also differed significantly between the time assessments. Study participants significantly improved their performance between pre-training and post-training (P < .001). This performance was maintained after a 1-month follow-up (P = .95) for the questions related to the detection, determination of cause, and management of patient-ventilator asynchrony.CONCLUSIONS: A specific 36-h training program significantly improved the ability of health-care professionals to detect patient-ventilator asynchrony, determine the possible causes of patient-ventilator asynchrony, and properly manage different types of patient-ventilator asynchrony.