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KMID : 0604020160310030181
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Korean Journal of Critical Care Medicine
2016 Volume.31 No. 3 p.181 ~ p.193
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The ABCDEF Implementation Bundle
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Marra Annachiara
Frimpong Kwame
Ely E. Wesley
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Abstract
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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.
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KEYWORD
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delirium, family, ventilator weaning, sedation, spontaneous awakening trials (SAT), spontaneous breathing trials (SBT)
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