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Clinical Decision Support for Mechanical Ventilation of Patients With ARDS

Acute Respiratory Distress Syndrome Clinical Trial

Official title:
Implementation of Computerized Clinical Decision Support for Mechanical Ventilation of Patients With Acute Respiratory Distress Syndrome

Clinical Trial Summary

Perform a pilot study of quality improvement interventions for critical care physicians (intensivists) and respiratory therapists (RTs) to improve application of low tidal volume mechanical ventilation (LTVV) for patients with the acute respiratory distress syndrome (ARDS) using the computerized mechanical ventilation protocols currently available in the investigator's Cerner electronic health record (EHR).

Clinical Trial Description

A multidisciplinary team of implementation researchers and clinical effectiveness researchers has been assembled to adapt the Consolidated Framework for Implementation Research (CFIR) for this planning study. The team identified the baseline clinical care delivery for LTVV in patients with ARDS across Intermountain hospitals and identified the barriers and facilitators to this standard of care. This pilot implementation study will focus on a Pilot Solution aimed at achieving ideal clinical care delivery of LTVV for patients with ARDS. Abbreviations for Mechanical Ventilation: PEEP: positive end expiratory pressure FIO2: fraction of inspired oxygen CPAP: continuous positive airway pressure PS: pressure support VC: volume control VC+: hybrid mode for volume targeted ventilation on Puritan Bennett ventilators PRVC: pressure regulated volume control, hybrid mode for volume targeted ventilation on Draeger ventilators PF ratio: ratio of partial pressure of arterial oxygen (PaO2 mmHg) divided by the FIO2 expressed in liters ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT03984175
Study type Interventional
Source Intermountain Health Care, Inc.
Contact Colin K Grissom, MD
Phone 801-507-6554
Email colin.grissom@imail.org
Status Recruiting
Phase N/A
Start date July 8, 2018
Completion date December 23, 2022
View Details
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