The ABCDEF Implementation Bundle.
10.4266/kjccm.2016.00682
- Author:
Annachiara MARRA
;
Kwame FRIMPONG
;
E. Wesley ELY
- Publication Type:Review
- Keywords:
delirium;
family;
ventilator weaning;
sedation;
spontaneous awakening trials (SAT);
spontaneous breathing trials (SBT)
- MeSH:
Analgesia;
Caregivers;
Cognition Disorders;
Critical Illness;
Delirium;
Humans;
Organizational Innovation;
Respiration;
Survivors;
Ventilator Weaning
- From:Korean Journal of Critical Care Medicine
2016;31(3):181-193
- CountryRepublic of Korea
- Language:English
-
Abstract:
Long-term morbidity, long-term cognitive impairment and hospitalization-associated disability are common occurrence in the survivors of critical illness, with significant consequences for patients and for the caregivers. The ABCDEF bundle represents an evidence-based guide for clinicians to approach the organizational changes needed for optimizing ICU patient recovery and outcomes. The ABCDEF bundle includes: Assess, Prevent, and Manage Pain, Both Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT), Choice of analgesia and sedation, Delirium: Assess, Prevent, and Manage, Early mobility and Exercise, and Family engagement. The purpose of this review is to describe the core features of the ABCDEF bundle.