Implementing the Pediatric Ventilator Liberation Guidelines Using the Most Current Evidence Article Swipe
Jeremy Loberger
,
Katherine Steffen
,
Robinder G. Khemani
,
Akira Nishisaki
,
Samer Abu‐Sultaneh
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.4187/respcare.11708
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.4187/respcare.11708
Invasive mechanical ventilation is prevalent and associated with considerable morbidity. Pediatric critical care teams must identify the best timing and approach to liberating (extubating) children from this supportive care modality. Unsurprisingly, practice variation varies widely. As a first step to minimizing that variation, the first evidence-based pediatric ventilator liberation guidelines were published in 2023 and included 15 recommendations. Unfortunately, there is often a substantial delay before clinical guidelines reach widespread clinical practice. As such, it is important to consider barriers and facilitators using a systematic approach during implementation planning and design. In this narrative review, we will (1) summarize guideline recommendations, (2) discuss recent evidence and identify practice gaps relating to those recommendations, and (3) hypothesize about potential barriers and facilitators to their implementation in clinical practice.
Related Topics
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.4187/respcare.11708
- OA Status
- green
- Cited By
- 11
- References
- 76
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4391755454Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4187/respcare.11708Digital Object Identifier
- Title
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Implementing the Pediatric Ventilator Liberation Guidelines Using the Most Current EvidenceWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-02-12Full publication date if available
- Authors
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Jeremy Loberger, Katherine Steffen, Robinder G. Khemani, Akira Nishisaki, Samer Abu‐SultanehList of authors in order
- Landing page
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https://doi.org/10.4187/respcare.11708Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/11285495Direct OA link when available
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Medicine, Guideline, Clinical Practice, Narrative review, Intensive care medicine, MEDLINE, Best practice, Evidence-based medicine, Best evidence, Nursing, Alternative medicine, Pathology, Management, Law, Economics, Political scienceTop concepts (fields/topics) attached by OpenAlex
- Cited by
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11Total citation count in OpenAlex
- Citations by year (recent)
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2025: 8, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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76Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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