Spontaneous breathing trials, which happen during a sedation vacation
, help clinicians determine if the patient is ready to be weaned from the ventilator.
The components of the bundle are: Elevation of head of bed to between 30 and 45 degrees, deep vein thrombosis prophylaxis, peptic ulcer disease prophylaxis, daily sedation vacation
and daily "sedation vacation
" and daily assessment of readiness to extubate
The changes included revising a mandatory ventilator bundle adding DVT and PUD prophylaxis, HOB elevation, daily sedation vacation
, daily weaning assessment, decreased frequency of tubing changes, and increased oral care, endotracheal and subglottic suctioning frequency.
The use of a sedation vacation
and titration of sedation to the lowest dose possible to achieve patient comfort are nursing interventions for mechanically ventilated patients.
The "classic" ventilator bundle has for major components; Elevated head of bed 30-45%, DVT prophylaxis, PUD prophylaxis and Sedation Vacation
Bundles that include head-of-bed elevation, sedation vacations
, oral care with chlorhexidine, and subglottic-suctioning endotracheal tubes to prevent ventilator-associated pneumonia