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 consc...
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| Veröffentlicht in: | Kita Kantō igaku (The Kitakanto Medical Journal) 2016/05/01, Vol.66(2), pp.123-127 |
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| container_end_page | 127 |
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| container_issue | 2 |
| container_start_page | 123 |
| container_title | Kita Kantō igaku (The Kitakanto Medical Journal) |
| container_volume | 66 |
| creator | Muraoka, Sayaka Tobe, Masaru Tanuma, Sayuri Usami, Chisato Saito, Takehiro Hikita, Mieko Kunimoto, Fumio Saito, Shigeru |
| description | 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. |
| doi_str_mv | 10.2974/kmj.66.123 |
| format | Article |
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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.</description><identifier>ISSN: 1343-2826</identifier><identifier>EISSN: 1881-1191</identifier><identifier>DOI: 10.2974/kmj.66.123</identifier><language>eng ; jpn</language><publisher>The Kitakanto Medical Society</publisher><subject>delirium ; extubation protocol ; SAT (Spontaneous Awakening Trial) ; SBT (Spontaneous Breathing Trial) ; sedation</subject><ispartof>The Kitakanto Medical Journal, 2016/05/01, Vol.66(2), pp.123-127</ispartof><rights>2016 The Kitakanto Medical Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1953-ca61bf57bb87d0e9f2dbd61c65683db8ddabc23a997436a0a14fd31ae97403893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids></links><search><creatorcontrib>Muraoka, Sayaka</creatorcontrib><creatorcontrib>Tobe, Masaru</creatorcontrib><creatorcontrib>Tanuma, Sayuri</creatorcontrib><creatorcontrib>Usami, Chisato</creatorcontrib><creatorcontrib>Saito, Takehiro</creatorcontrib><creatorcontrib>Hikita, Mieko</creatorcontrib><creatorcontrib>Kunimoto, Fumio</creatorcontrib><creatorcontrib>Saito, Shigeru</creatorcontrib><title>Investigation of the Effects of Implementation of SAT/SBT Protocol</title><title>Kita Kantō igaku (The Kitakanto Medical Journal)</title><addtitle>Kitakanto Med J</addtitle><description>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.</description><subject>delirium</subject><subject>extubation protocol</subject><subject>SAT (Spontaneous Awakening Trial)</subject><subject>SBT (Spontaneous Breathing Trial)</subject><subject>sedation</subject><issn>1343-2826</issn><issn>1881-1191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNo9kE1rAjEQhkNpoWK99BfsubCaSdaYHHpQsa0gtKA9h3zq2v2QJBT67xupdS4z7_AwMA9Cj4DHRMyqyVd7HDM2BkJv0AA4hxJAwG2eaUVLwgm7R6MYa40xySVINUCLdfftYqr3KtV9V_S-SAdXrLx3JsVzXLenxrWuS1dgO99Ntotd8RH61Ju-eUB3XjXRjS59iD5fVrvlW7l5f10v55vSgJjS0igG2k9nWvOZxU54YrVlYNiUcWo1t1ZpQ6gS-RXKFFZQeUtBuZwx5YIO0dPfXRP6GIPz8hTqVoUfCVieBcgsQDIms4AMP__Bx5jU3l1RFVJtGvePkgt_3ZuDCtJ19BemoWRQ</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Muraoka, Sayaka</creator><creator>Tobe, Masaru</creator><creator>Tanuma, Sayuri</creator><creator>Usami, Chisato</creator><creator>Saito, Takehiro</creator><creator>Hikita, Mieko</creator><creator>Kunimoto, Fumio</creator><creator>Saito, Shigeru</creator><general>The Kitakanto Medical Society</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>2016</creationdate><title>Investigation of the Effects of Implementation of SAT/SBT Protocol</title><author>Muraoka, Sayaka ; Tobe, Masaru ; Tanuma, Sayuri ; Usami, Chisato ; Saito, Takehiro ; Hikita, Mieko ; Kunimoto, Fumio ; Saito, Shigeru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1953-ca61bf57bb87d0e9f2dbd61c65683db8ddabc23a997436a0a14fd31ae97403893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>2016</creationdate><topic>delirium</topic><topic>extubation protocol</topic><topic>SAT (Spontaneous Awakening Trial)</topic><topic>SBT (Spontaneous Breathing Trial)</topic><topic>sedation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Muraoka, Sayaka</creatorcontrib><creatorcontrib>Tobe, Masaru</creatorcontrib><creatorcontrib>Tanuma, Sayuri</creatorcontrib><creatorcontrib>Usami, Chisato</creatorcontrib><creatorcontrib>Saito, Takehiro</creatorcontrib><creatorcontrib>Hikita, Mieko</creatorcontrib><creatorcontrib>Kunimoto, Fumio</creatorcontrib><creatorcontrib>Saito, Shigeru</creatorcontrib><collection>CrossRef</collection><jtitle>Kita Kantō igaku (The Kitakanto Medical Journal)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Muraoka, Sayaka</au><au>Tobe, Masaru</au><au>Tanuma, Sayuri</au><au>Usami, Chisato</au><au>Saito, Takehiro</au><au>Hikita, Mieko</au><au>Kunimoto, Fumio</au><au>Saito, Shigeru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Investigation of the Effects of Implementation of SAT/SBT Protocol</atitle><jtitle>Kita Kantō igaku (The Kitakanto Medical Journal)</jtitle><addtitle>Kitakanto Med J</addtitle><date>2016</date><risdate>2016</risdate><volume>66</volume><issue>2</issue><spage>123</spage><epage>127</epage><pages>123-127</pages><issn>1343-2826</issn><eissn>1881-1191</eissn><abstract>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.</abstract><pub>The Kitakanto Medical Society</pub><doi>10.2974/kmj.66.123</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1343-2826 |
| ispartof | The Kitakanto Medical Journal, 2016/05/01, Vol.66(2), pp.123-127 |
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| language | eng ; jpn |
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| source | J-STAGE Free; Open Access Titles of Japan; EZB-FREE-00999 freely available EZB journals |
| subjects | delirium extubation protocol SAT (Spontaneous Awakening Trial) SBT (Spontaneous Breathing Trial) sedation |
| title | Investigation of the Effects of Implementation of SAT/SBT Protocol |
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