The impact of multidisciplinary huddle in decreasing time to extubation from mechanical ventilation

Abstract

Weaning from mechanical ventilator support is the optimal goal after the resolution of indications prompting need for this intervention. Failure of patient to pass weaning indicators will lead to prolonged mechanical ventilation duration and potentially more complications. The primary aim of this literature review was to determine if multidisciplinary huddle will effectively decreased time to extubation after passing a spontaneous breathing trial and length of mechanical ventilation. For this literature review, ProQuest, Medline, and PubMed were used to find articles about the influence of multidisciplinary approach on time to extubation. Search was narrowed to article between 2013 and 2018. A total of 20 articles were included, which were found to match inclusion criteria. This literature review searched a total of 20 articles between 2015 and 2018 to determine the influence of multidisciplinary approach on time to extubation. Inclusion criteria for this literature review included studies conducted on patients aged 18 years and above, admitted to intensive care units, and on mechanical ventilation for at least 48 h. Studies on re-intubated patients and patients with a tracheostomy were excluded from this review. Findings indicated that implementation of the multidisciplinary huddle along with ABCDEF bundle was associated with reduction in duration of intubation and time to extubation, but it did not affect the patient's length of hospital stay. The prevention of prolonged duration of mechanical ventilation should be the desired goal for all endotracheally intubated patients. Achievement of this requires a multidisciplinary team huddle to minimize the weaning delay and optimize the patient's outcome.