11. • -Of the 485 patients, 417 (86%) received 50% or less and 68 (14%)
received more than 50% of their twice daily ventilator settings adherent
to lung protective ventilation. A total of 180 (37%) patients never received
lung protective ventilation during any of their twice daily ventilator
settings.-
17. SUMMARIZE THE EVIDENCE
• To change practice, the evidence must be
summarized concisely into several key
interventions….
18. • For ALI, the evidence supports LPV, which can be defined as
providing a tidal volume less than or equal to 6 ml/kg of
predicted body weight and a plateau pressure of less than or
equal to 30 cm H2O….
27. • Overall, organizational
barriers and perceived
barriers related to
clinician attitudes and
behaviors were lower
among physicians
compared with nurses
and respiratory
therapists.
28. • Physicians specializing in internal medicine
(including pulmonary/critical care) perceived
lower barriers and scored higher on the
Knowledge Test compared with surgery
29. • Barriers were lower and Knowledge Test
scores higher among fellows and attending
physicians vs. interns and residents, who have
much less experience working in the ICU.