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Ontario | November 2013  \nDeveloped by Critical Care Services Ontario (CCSO)  \nThe 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.  \nHow to Use This Document  \nThere 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.  \nFor information about this toolkit, please contact:  \nCritical Care Services Ontario  \nPhone: 416-340-4800 x 5577  \nEmail: [ccsadmin@uhn.ca](ccsadmin@uhn.ca)  \nWebsite: [www.criticalcareontario.ca](www.criticalcareontario.ca)  \nCCSO is funded by the Government of Ontario  \nAcknowledgements  \nWe wish to thank the following organizations for their support and guidance in the development of this toolkit.  \nToronto East General Hospital  \n[Provincial Prolonged-ventilation Weaning Centre of Excellence] West Park Healthcare Centre [Long-Term Ventilation Centre of Excellence] The Ottawa Hospital  \nKingston General Hospital  \nParkwood Hospital  \nToronto Central Community Care Access Centre Toronto Central Local Health Integration Network CritiCall Ontario  \nMinistry of Health and Long-Term Care Please see Appendix A for a list of committee members.  \nDisclaimer: 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.  \nCONTENTS  \nLong-Term Mechanical Ventilation: Toolkit for Adult Acute Care Providers Critical Care Services Ontario | November 2013  \nSECTION 1 Introduction 7  \n1.1 Ontario’s Critical Care Strategy 8  \n1.2 The Unique Needs of Mechanically Ventilated Patients 10  \n1.3 Data Analysis: Mechanically Ventilated Patients in Ontario’s ICUs 11  \n1.4 Orientation to the Toolkit 13  \nSECTION 2 Early Identification of Patients at Risk for LTMV 17  \n2.1 Factors Associated with Ventilator Dependence 20  \n2.2 Prolonged/Long-Term Mechanical Ventilation ICU Checklist 21  \n2.3 Long-Term ICU Stay Screening Tool 26  \n2.4 ProVent Prediction Summary 27  \nSECTION 3 Optimize Weaning for Patients Requiring LTMV 29  \n3.1 Weaning Protocols 33  \n3.2 Weaning Chart 36  \nSECTION 4 Supportive Care for Medically Stable LTMV Patients 39  \n4.1 Mobilization Protocol 42  \n4.2 Guidelines to Decrease Hemodynamic Monitoring 44  \n4.3 Guidelines to Re-Focus the Treatment Plan 45  \n4.4 LTV/Chronically Critically Ill Intervention Checklist 46  \nSECTION 5 Conclusion 49  \nSECTION 6 Bibliography 51  \nSECTION 7 Appendices 55  \nA) LTV Planning Committee Membership 56  \nB) Family Questionnaire and Meeting Note Record 57  \nC) LTV Patient Flow 64  \nD) The Role of Tracheostomy 67  \nE) Alignment with other CCSO Initiatives 68  \n1  \nIntroduction  \nLong-Term Mechanical Ventilation: Toolkit for Adult Acute Care Providers SECTION 1  \n1.1 Ontario’s Critical Care Strategy  \nFollowing Onta","cbCaiiZIo5RPTJub","https://ap.wps.com/l/cbCaiiZIo5RPTJub","pdf",3569528,"English","# How to Use This Document\n# Contents\n## SECTION 1 Introduction\n## SECTION 2 Early Identification of Patients at Risk for LTMV\n## SECTION 3 Optimize Weaning for Patients Requiring LTMV\n## SECTION 4 Supportive Care for Medically Stable LTMV Patients\n## SECTION 5 Conclusion\n## SECTION 6 Bibliography\n## SECTION 7 Appendices","[{\"question\":\"What does the toolkit cover for adult acute care providers?\",\"answer\":\"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.\"},{\"question\":\"How are “long-term ventilation” and “long-term mechanical ventilation” used in the toolkit?\",\"answer\":\"The terms long-term ventilation (LTV) and long-term mechanical ventilation (LTMV) are used interchangeably throughout the document.\"},{\"question\":\"Who developed and recommends the tools in the toolkit?\",\"answer\":\"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.\"}]","Long-Term Mechanical Ventilation - Toolkit for Adult Acute Care Providers - Critical Care Services Ontario - November 2013 | PDF",1791165176,176]