Respiratory-driven protocols

A respiratory driven protocol is an algorithmic medical process applied by respiratory practitioners as an extension of the physician.[1] Respiratory-driven protocols are implemented in hospitals for treatment of people suffering from asthma, bronchiolitis, and other respiratory illness. Respiratory-driven protocols are most widely applied in intensive-care units.[2] Respiratory practitioners are not utilized globally,[3] so most application of respiratory practitioners as physician-extenders in this fashion is in the United States.[4]

Cost-reduction

Respiratory practitioners applying respiratory-driven protocols was initially designed and has been since shown to reduce patient cost and improve overall patient outcomes.[4]

Benefits

Respiratory-driven protocols have been shown to decrease hospital stays and improve overall outcomes in pediatric populations requiring respiratory intervention such as mechanical ventilation.[5]

References

  1. ↑ Zimmerman L (1997). "Respiratory therapist-driven protocols". West J Med. 167 (6): 440–1. PMC 1304731. PMID 9426490.
  2. ↑ Chia JY, Clay AS (2008). "Effects of respiratory-therapist driven protocols on house-staff knowledge and education of mechanical ventilation". Clin Chest Med. 29 (2): 313–21, vii. doi:10.1016/j.ccm.2008.01.003. PMID 18440439.
  3. ↑ Li J, Zhan QY, Liang ZA, Tu ML, Sun B, Yao XL, et al. (2011). "Respiratory Care Practices and Requirement for Respiratory Therapists in Beijing ICUs". Respiratory Care. 57 (3): 370–6. doi:10.4187/respcare.01093. PMID 22005194.
  4. 1 2 Ford RM, Phillips-Clar JE, Burns DM (1996). "Implementing therapist-driven protocols". Respir Care Clin N Am. 2 (1): 51–76. PMID 9390870.
  5. ↑ Hermeto F, Bottino MN, Vaillancourt K, Sant'Anna GM (2009). "Implementation of a respiratory therapist-driven protocol for neonatal ventilation: impact on the premature population". Pediatrics. 123 (5): e907-16. doi:10.1542/peds.2008-1647. PMID 19380428.
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