International Journal of Advance Research in Nursing
2021, Vol. 4, Issue 2, Part C
The ABCDE bundle to improve the clinical outcomes for mechanically ventilated patients
Asmaa A Ebrahim, Naglaa M El Mokadem, Asmaa H Abd-Elhy and Yasser F Ibrahim
Background: The ABCDE bundle incorporates Awakening and Breathing Coordination, Delirium monitoring/management, and Early exercise/mobility to optimizing patient outcomes such as reduce duration of mechanical ventilation, ICU length of stay and improve hemodynamic status.
Aim of the study: was to examine the effect of ABCDE bundle on selected clinical outcomes among mechanically ventilated patients.
Setting: The study was conducted at Surgical Intensive Care Unit (SICU) at Menoufia University Hospital.
Sample: A convenient sample of 100 mechanically ventilated patients who were admitted to SICU.
Design: A quasi-experimental design was utilized.
Tools: (1) A Semi Structured Demographic Questionnaire, and (2) Cardiorespiratory Parameters questionnaire.
Results: there was a highly statistically significant decrease in the mean score of ventilator free days of the study group compared with the control group (6.10 ± 1.77) (4.70 ± 1.53) respectively (p<0 .002) post intervention. The mean ICU length of stay decreased in the study group compared to the control group post intervention (10.00 ± 2.67 and 14.70 ± 3.72) (p< 0 .001). Additionally there was a statistically significant difference in the mean values of hemodynamic and oxygenation parameters (MAP, HR, CVP RR, PaO2, PH, PaCO2 and SaO2) post intervention.