Respiratory failure & ventilation
Clinical practice, decision-making, and use of clinical decision support systems in invasive mechanical ventilation: a narrative review
Authors' conclusion
There are gaps in our understanding of ventilation practice.
Study context
- Population
- Patients on invasive mechanical ventilation in intensive care; clinical practice, decision-making and clinical decision support systems (CDSS) use29 studies
- Outcome
- Evidence on ventilation practice, decision-making and CDSS implementation (narrative synthesis)
Methodological detailsSearch of MEDLINE (Ovid) and EMBASE
- Search of MEDLINE (Ovid) and EMBASE
Main finding
As reported in the abstract
- Role allocation well described; interprofessional collaboration dependent on culture, nurse:patient ratio, protocols, perception of responsibility
- No descriptions of process measures, quality metrics or clinical workflow
- Nurse-led weaning well described (patient, nurse, system factors); physician-led weaning heterogenous, guided by subjective and objective information and 'gestalt'
- No studies explored decision-making with CDSS
- Implementation facilitators and barriers grouped by clinician, intervention and organisation
- One study described factors that support CDSS implementation
Original publication
Clinical practice, decision-making, and use of clinical decision support systems in invasive mechanical ventilation: a narrative review. Br J Anaesth. Published 17 April 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →