Official executive summary of an American Thoracic Society/American College of Chest Physicians clinical practice guideline: Liberation from mechanical ventilation in critically ill adults

Gregory A. Schmidt, Timothy D. Girard, John P. Kress, Peter E. Morris, Daniel R. Ouellette, Waleed Alhazzani, Suzanne M. Burns, Scott K. Epstein, Andres Esteban, Eddy Fan, Miguel Ferrer, Gilles L. Fraser, Michelle Ng Gong, Catherine L. Hough, Sangeeta Mehta, Rahul Nanchal, Sheena Patel, Amy J. Pawlik, William D. Schweickert, Curtis N. SesslerThomas Strøm, Kevin C. Wilson, Jonathon D. Truwit

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society and the American College of Chest Physicians. Methods: A multidisciplinary panel posed six clinical questions in a Population, Intervention, Comparator, and Outcomes format. A comprehensive literature search and evidence synthesis was performed for each question, which included appraising the certainty in the evidence (i.e., the quality of evidence) using the Grading of Recommendations, Assessment, Development, and Evaluation approach. The Evidence-to-Decision framework was applied to each question, requiring the panel to evaluate and weigh the importance of the problem, the confidence in the evidence, the certainty about how much the public values the main outcomes, the magnitude and balance of desirable and undesirable outcomes, the resources and costs associated with the intervention, the impact on health disparities, and the acceptability and feasibility of the intervention. Results: Evidence-based recommendations were formulated and graded initially by subcommittees and then modified after full-panel discussions. The recommendations were confirmed by confidential electronic voting; approval required that at least 80% of the panel members agree with the recommendation. Conclusions: The panel provides recommendations regarding liberation from mechanical ventilation. The details regarding the evidence and rationale for each recommendation are presented in the American Journal of Respiratory and Critical Care Medicine and Chest.

Original languageEnglish (US)
Pages (from-to)115-119
Number of pages5
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume195
Issue number1
StatePublished - Jan 1 2017
Externally publishedYes

Fingerprint

Practice Guidelines
Artificial Respiration
Critical Illness
Medicine Chests
Politics
Critical Care
Costs and Cost Analysis
Health
Population

ASJC Scopus subject areas

  • Medicine(all)
  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Official executive summary of an American Thoracic Society/American College of Chest Physicians clinical practice guideline : Liberation from mechanical ventilation in critically ill adults. / Schmidt, Gregory A.; Girard, Timothy D.; Kress, John P.; Morris, Peter E.; Ouellette, Daniel R.; Alhazzani, Waleed; Burns, Suzanne M.; Epstein, Scott K.; Esteban, Andres; Fan, Eddy; Ferrer, Miguel; Fraser, Gilles L.; Gong, Michelle Ng; Hough, Catherine L.; Mehta, Sangeeta; Nanchal, Rahul; Patel, Sheena; Pawlik, Amy J.; Schweickert, William D.; Sessler, Curtis N.; Strøm, Thomas; Wilson, Kevin C.; Truwit, Jonathon D.

In: American Journal of Respiratory and Critical Care Medicine, Vol. 195, No. 1, 01.01.2017, p. 115-119.

Research output: Contribution to journalArticle

Schmidt, GA, Girard, TD, Kress, JP, Morris, PE, Ouellette, DR, Alhazzani, W, Burns, SM, Epstein, SK, Esteban, A, Fan, E, Ferrer, M, Fraser, GL, Gong, MN, Hough, CL, Mehta, S, Nanchal, R, Patel, S, Pawlik, AJ, Schweickert, WD, Sessler, CN, Strøm, T, Wilson, KC & Truwit, JD 2017, 'Official executive summary of an American Thoracic Society/American College of Chest Physicians clinical practice guideline: Liberation from mechanical ventilation in critically ill adults', American Journal of Respiratory and Critical Care Medicine, vol. 195, no. 1, pp. 115-119.
Schmidt, Gregory A. ; Girard, Timothy D. ; Kress, John P. ; Morris, Peter E. ; Ouellette, Daniel R. ; Alhazzani, Waleed ; Burns, Suzanne M. ; Epstein, Scott K. ; Esteban, Andres ; Fan, Eddy ; Ferrer, Miguel ; Fraser, Gilles L. ; Gong, Michelle Ng ; Hough, Catherine L. ; Mehta, Sangeeta ; Nanchal, Rahul ; Patel, Sheena ; Pawlik, Amy J. ; Schweickert, William D. ; Sessler, Curtis N. ; Strøm, Thomas ; Wilson, Kevin C. ; Truwit, Jonathon D. / Official executive summary of an American Thoracic Society/American College of Chest Physicians clinical practice guideline : Liberation from mechanical ventilation in critically ill adults. In: American Journal of Respiratory and Critical Care Medicine. 2017 ; Vol. 195, No. 1. pp. 115-119.
@article{c656e4ec44e84d358c8c6ba3017f0f20,
title = "Official executive summary of an American Thoracic Society/American College of Chest Physicians clinical practice guideline: Liberation from mechanical ventilation in critically ill adults",
abstract = "Background: This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society and the American College of Chest Physicians. Methods: A multidisciplinary panel posed six clinical questions in a Population, Intervention, Comparator, and Outcomes format. A comprehensive literature search and evidence synthesis was performed for each question, which included appraising the certainty in the evidence (i.e., the quality of evidence) using the Grading of Recommendations, Assessment, Development, and Evaluation approach. The Evidence-to-Decision framework was applied to each question, requiring the panel to evaluate and weigh the importance of the problem, the confidence in the evidence, the certainty about how much the public values the main outcomes, the magnitude and balance of desirable and undesirable outcomes, the resources and costs associated with the intervention, the impact on health disparities, and the acceptability and feasibility of the intervention. Results: Evidence-based recommendations were formulated and graded initially by subcommittees and then modified after full-panel discussions. The recommendations were confirmed by confidential electronic voting; approval required that at least 80{\%} of the panel members agree with the recommendation. Conclusions: The panel provides recommendations regarding liberation from mechanical ventilation. The details regarding the evidence and rationale for each recommendation are presented in the American Journal of Respiratory and Critical Care Medicine and Chest.",
author = "Schmidt, {Gregory A.} and Girard, {Timothy D.} and Kress, {John P.} and Morris, {Peter E.} and Ouellette, {Daniel R.} and Waleed Alhazzani and Burns, {Suzanne M.} and Epstein, {Scott K.} and Andres Esteban and Eddy Fan and Miguel Ferrer and Fraser, {Gilles L.} and Gong, {Michelle Ng} and Hough, {Catherine L.} and Sangeeta Mehta and Rahul Nanchal and Sheena Patel and Pawlik, {Amy J.} and Schweickert, {William D.} and Sessler, {Curtis N.} and Thomas Str{\o}m and Wilson, {Kevin C.} and Truwit, {Jonathon D.}",
year = "2017",
month = "1",
day = "1",
language = "English (US)",
volume = "195",
pages = "115--119",
journal = "American Journal of Respiratory and Critical Care Medicine",
issn = "1073-449X",
publisher = "American Thoracic Society",
number = "1",

}

TY - JOUR

T1 - Official executive summary of an American Thoracic Society/American College of Chest Physicians clinical practice guideline

T2 - Liberation from mechanical ventilation in critically ill adults

AU - Schmidt, Gregory A.

AU - Girard, Timothy D.

AU - Kress, John P.

AU - Morris, Peter E.

AU - Ouellette, Daniel R.

AU - Alhazzani, Waleed

AU - Burns, Suzanne M.

AU - Epstein, Scott K.

AU - Esteban, Andres

AU - Fan, Eddy

AU - Ferrer, Miguel

AU - Fraser, Gilles L.

AU - Gong, Michelle Ng

AU - Hough, Catherine L.

AU - Mehta, Sangeeta

AU - Nanchal, Rahul

AU - Patel, Sheena

AU - Pawlik, Amy J.

AU - Schweickert, William D.

AU - Sessler, Curtis N.

AU - Strøm, Thomas

AU - Wilson, Kevin C.

AU - Truwit, Jonathon D.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Background: This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society and the American College of Chest Physicians. Methods: A multidisciplinary panel posed six clinical questions in a Population, Intervention, Comparator, and Outcomes format. A comprehensive literature search and evidence synthesis was performed for each question, which included appraising the certainty in the evidence (i.e., the quality of evidence) using the Grading of Recommendations, Assessment, Development, and Evaluation approach. The Evidence-to-Decision framework was applied to each question, requiring the panel to evaluate and weigh the importance of the problem, the confidence in the evidence, the certainty about how much the public values the main outcomes, the magnitude and balance of desirable and undesirable outcomes, the resources and costs associated with the intervention, the impact on health disparities, and the acceptability and feasibility of the intervention. Results: Evidence-based recommendations were formulated and graded initially by subcommittees and then modified after full-panel discussions. The recommendations were confirmed by confidential electronic voting; approval required that at least 80% of the panel members agree with the recommendation. Conclusions: The panel provides recommendations regarding liberation from mechanical ventilation. The details regarding the evidence and rationale for each recommendation are presented in the American Journal of Respiratory and Critical Care Medicine and Chest.

AB - Background: This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society and the American College of Chest Physicians. Methods: A multidisciplinary panel posed six clinical questions in a Population, Intervention, Comparator, and Outcomes format. A comprehensive literature search and evidence synthesis was performed for each question, which included appraising the certainty in the evidence (i.e., the quality of evidence) using the Grading of Recommendations, Assessment, Development, and Evaluation approach. The Evidence-to-Decision framework was applied to each question, requiring the panel to evaluate and weigh the importance of the problem, the confidence in the evidence, the certainty about how much the public values the main outcomes, the magnitude and balance of desirable and undesirable outcomes, the resources and costs associated with the intervention, the impact on health disparities, and the acceptability and feasibility of the intervention. Results: Evidence-based recommendations were formulated and graded initially by subcommittees and then modified after full-panel discussions. The recommendations were confirmed by confidential electronic voting; approval required that at least 80% of the panel members agree with the recommendation. Conclusions: The panel provides recommendations regarding liberation from mechanical ventilation. The details regarding the evidence and rationale for each recommendation are presented in the American Journal of Respiratory and Critical Care Medicine and Chest.

UR - http://www.scopus.com/inward/record.url?scp=85008599003&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85008599003&partnerID=8YFLogxK

M3 - Article

C2 - 27762608

AN - SCOPUS:85008599003

VL - 195

SP - 115

EP - 119

JO - American Journal of Respiratory and Critical Care Medicine

JF - American Journal of Respiratory and Critical Care Medicine

SN - 1073-449X

IS - 1

ER -