Respiratory-driven protocols

A respiratory driven protocol is an algorithmic medical process applied by respiratory practitioners as an extension of the physician.[1] Respiratory-driven protocols are implemented in hospitals for treatment of people suffering from asthma, bronchiolitis, and other respiratory illness. Respiratory-driven protocols are most widely applied in intensive-care units.[2] Respiratory practitioners are not utilized globally,[3] so most application of respiratory practitioners as physician-extenders in this fashion is in the United States.[4]

Cost-reduction

Respiratory practitioners applying respiratory-driven protocols was initially designed and has been since shown to reduce patient cost and improve overall patient outcomes.[4]

Benefits

Respiratory-driven protocols have been shown to decrease hospital stays and improve overall outcomes in pediatric populations requiring respiratory intervention such as mechanical ventilation.[5]

References
  1. Zimmerman L (1997). "Respiratory therapist-driven protocols". West J Med. 167 (6): 440–1. PMC 1304731. PMID 9426490.
  2. Chia JY, Clay AS (2008). "Effects of respiratory-therapist driven protocols on house-staff knowledge and education of mechanical ventilation". Clin Chest Med. 29 (2): 313–21, vii. doi:10.1016/j.ccm.2008.01.003. PMID 18440439.
  3. Li J, Zhan QY, Liang ZA, Tu ML, Sun B, Yao XL, et al. (2011). "Respiratory Care Practices and Requirement for Respiratory Therapists in Beijing ICUs". Respiratory Care. 57 (3): 370–6. doi:10.4187/respcare.01093. PMID 22005194.
  4. Ford RM, Phillips-Clar JE, Burns DM (1996). "Implementing therapist-driven protocols". Respir Care Clin N Am. 2 (1): 51–76. PMID 9390870.
  5. Hermeto F, Bottino MN, Vaillancourt K, Sant'Anna GM (2009). "Implementation of a respiratory therapist-driven protocol for neonatal ventilation: impact on the premature population". Pediatrics. 123 (5): e907–16. doi:10.1542/peds.2008-1647. PMID 19380428.
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