Implementing the awakening and breathing coordination, delirium monitoring/management and early exercise/mobility bundle into everyday care

Implementing the awakening and breathing coordination, delirium monitoring/management and early exercise/mobility bundle into everyday care: Opportunities, challenges and lessons learned for implementing the ICU pain, agitation and delirium guidelines. Critical care medicine, Sept 2013, Vol. 41(9), p.S116-127.

Balas, M.C., et al.

http://journals.lww.com/ccmjournal/Abstract/2013/09001/Implementing_the_Awakening_and_Breathing.10.aspx

The awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle is an evidence-based interprofessional multicomponent strategy for minimizing sedative exposure, reducing duration of mechanical ventilation, and managing ICU-acquired delirium and weakness. The purpose of this study was to identify facilitators and barriers to awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle adoption and to evaluate the extent to which bundle implementation was effective, sustainable, and conducive to dissemination.