Correlation Between Adherence to a Ventilator Weaning Protocol and Successful Extubations in an Intensive Care Nursery

Since the implementation of the Jefferson VWP, 62% of eligible babies had protocol initiation from birth. Median gestational age was 27wks and average weight was 1023g. 80% received surfactant. In 2004-2006, compliance with the VWP was achieved 75% of the time with a 92% extubation rate. 93% of these patients remained extubated for >72 hours. From 20072011, compliance with VWP declined to 54% with a 61% extubation rate. Patients in this group who were extubated when extubation criteria were met, remained off of mechanical ventilation for >72 hours 86% of the time.