Abstract
The ABCDEF bundle was created 10 years ago after new data through clinical practice guidelines emerged via the Society of Critical Care Medicine (SCCM). This bundle provided a novel way for interprofessional teams in intensive care units (ICUs) to work together to focus on pain reduction, appropriate sedation for delirium prevention, increased mobility to reduce ventilator days, and improved sleep hygiene.A lot has happened in the decade since the ABCDEF bundle’s inception. Updated in 2018, the ABCDEF bundle continues to be our driving force and the reference standard around which much of our work is centered in our critical care units. According to data released by SCCM,1 implementing this ICU Liberation Bundle (A-F)2 decreases the likelihood of hospital death within 7 days by 68%, reduces delirium and coma days by 25% to 50%, reduces physical restraint use by more than 60%, cut ICU readmissions in half, and reduces discharges to nursing and rehabilitation facilities by 40%.Quick ways to implement the ABCDEF bundle during your morning rounds:
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