Investigation of the Effects of Implementation of SAT/SBT Protocol

Background: Although sedation is required in critically ill patients receiving intensive care, prolonged and excessive sedation can increase delirium risk, potentially impacting the mechanical ventilation time and hospitalization length. Consequently, daily discontinuance of sedation to assess consciousness (Spontaneous Awakening Trial [SAT]) and assessment of readiness for extubation to spontaneous breathing (Spontaneous Breathing Trial [SBT]) are needed. Objectives: To introduce of SAT/SBT protocol and execute it safely. Methods: After protocol development and a study session, patients who received SAT/SBT during 6 months beginning in October 2013 were surveyed. Results: Of the 27 patients who underwent SATs, 18 patients who passed their SATs received SBTs. No unplanned extubation occurred, 2 patients were reintubated within 72 hours, and 2 patients experienced delirium. The duration of intubation was 5 ± 3 days and re-intubation rate was 7.2%. Conclusion: The implemented SATs/SBTs were performed successfully and safely.