Long-Term Mechanical Ventilation - Toolkit for Adult Acute Care Providers - Critical Care Services Ontario - November 2013

Oct 5, 2026

Uploaded by Bulrr

Long-Term Mechanical Ventilation Toolkit for Adult Acute Care Providers supports acute care clinicians in managing adult patients who require long-term ventilation and long-term mechanical ventilation (LTV/LTMV). Developed by Critical Care Services Ontario with domain experts, it compiles curated educational and training resources suggested by provincial weaning and long-term ventilation centres of excellence. The toolkit outlines how to identify patients at risk, optimize weaning protocols, and provide supportive care for medically stable patients, including checklists, screening tools, and appendices. It is evidence-based and updated periodically as new data emerge.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages70

Reading Time2 h 56 min

AccessFree to download

How to Use This Document

Contents

SECTION 1 Introduction

SECTION 2 Early Identification of Patients at Risk for LTMV

SECTION 3 Optimize Weaning for Patients Requiring LTMV

SECTION 4 Supportive Care for Medically Stable LTMV Patients

SECTION 5 Conclusion

SECTION 6 Bibliography

SECTION 7 Appendices

LONG-TERM MECHANICAL VENTILATION Toolkit for Adult Acute Care Providers Critical Care Services Ontario | November 2013 Developed by Critical Care Services Ontario (CCSO) The Long-Term Mechanical Ventilation Toolkit for Adult Acute Care Providers is the result of a collaborative effort between CCSO, led by Dr. Bernard Lawless [Provincial Lead, Critical Care and Trauma], and a group of experts in the domain of long-term ventilation. CCSO established the Long-Term Ventilation Planning Committee to identify issues and priorities related to long-term ventilation in the province. Educational and training materials were collated and curated to form this toolkit targeted to acute care providers. How to Use This Document There are many resources available for acute care providers. The tools included in this document have been suggested by the provincial Prolonged-ventilation Weaning and Long-Term Ventilation Centres of Excellence, and this toolkit is not meant to be exhaustive. The tools are recommended; however, CCSO is not mandating how they should be used in practice. Please be aware that the terms long-term ventilation (LTV) and long-term mechanical ventilation (LTMV) are used interchangeably throughout this document. For information about this toolkit, please contact: Critical Care Services Ontario Phone: 416-340-4800 x 5577 Email: [ccsadmin@uhn.ca](ccsadmin@uhn.ca) Website: [www.criticalcareontario.ca](www.criticalcareontario.ca) CCSO is funded by the Government of Ontario Acknowledgements We wish to thank the following organizations for their support and guidance in the development of this toolkit. Toronto East General Hospital [Provincial Prolonged-ventilation Weaning Centre of Excellence] West Park Healthcare Centre [Long-Term Ventilation Centre of Excellence] The Ottawa Hospital Kingston General Hospital Parkwood Hospital Toronto Central Community Care Access Centre Toronto Central Local Health Integration Network CritiCall Ontario Ministry of Health and Long-Term Care Please see Appendix A for a list of committee members. Disclaimer: The contents of this toolkit may change over time. Clinicians should use sound judgment for individual patient encounters. The provincial Prolonged-ventilation Weaning and LTV Centres of Excellence [Toronto East General Hospital and West Park Healthcare Centre] and Critical Care Services Ontario strongly recommend practices that are evidence-based. This toolkit will be updated periodically as additional evidence becomes available. CONTENTS Long-Term Mechanical Ventilation: Toolkit for Adult Acute Care Providers Critical Care Services Ontario | November 2013 SECTION 1 Introduction 7 1.1 Ontario’s Critical Care Strategy 8 1.2 The Unique Needs of Mechanically Ventilated Patients 10 1.3 Data Analysis: Mechanically Ventilated Patients in Ontario’s ICUs 11 1.4 Orientation to the Toolkit 13 SECTION 2 Early Identification of Patients at Risk for LTMV 17 2.1 Factors Associated with Ventilator Dependence 20 2.2 Prolonged/Long-Term Mechanical Ventilation ICU Checklist 21 2.3 Long-Term ICU Stay Screening Tool 26 2.4 ProVent Prediction Summary 27 SECTION 3 Optimize Weaning for Patients Requiring LTMV 29 3.1 Weaning Protocols 33 3.2 Weaning Chart 36 SECTION 4 Supportive Care for Medically Stable LTMV Patients 39 4.1 Mobilization Protocol 42 4.2 Guidelines to Decrease Hemodynamic Monitoring 44 4.3 Guidelines to Re-Focus the Treatment Plan 45 4.4 LTV/Chronically Critically Ill Intervention Checklist 46 SECTION 5 Conclusion 49 SECTION 6 Bibliography 51 SECTION 7 Appendices 55 A) LTV Planning Committee Membership 56 B) Family Questionnaire and Meeting Note Record 57 C) LTV Patient Flow 64 D) The Role of Tracheostomy 67 E) Alignment with other CCSO Initiatives 68 1 Introduction Long-Term Mechanical Ventilation: Toolkit for Adult Acute Care Providers SECTION 1 1.1 Ontario’s Critical Care Strategy Following Onta

FAQs

What does the toolkit cover for adult acute care providers?

It provides resources focused on long-term mechanical ventilation, including early identification of patients at risk, optimizing weaning, and supportive care for medically stable LTMV patients.

How are “long-term ventilation” and “long-term mechanical ventilation” used in the toolkit?

The terms long-term ventilation (LTV) and long-term mechanical ventilation (LTMV) are used interchangeably throughout the document.

Who developed and recommends the tools in the toolkit?

Critical Care Services Ontario (CCSO) developed the toolkit with experts, and the included tools are suggested by provincial prolonged-ventilation weaning and long-term ventilation centres of excellence.

Oct 5, 2026

Uploaded by Bulrr