Both SATs and SBTs are incorporated into the Wake Up and Breathe Protocol, a two-step process that focuses on creating a synergy between SAT and SBT protocols. These protocols typically incorporate safety screens and failure criteria.
The SAT safety screen includes the absences of seizures, alcohol withdrawal, paralysis and increased intracranial pressure. SAT failure criteria focus attention on the signs of pain, agitation and delirium (PAD), along with signs common to respiratory distress in aroused patients.
The SBT safety screen includes evaluation of the need for ventilator support; this helps facilitate ventilation weaning and decreases reintubation rates.
To enable successful implementation of SATs and SBTs, it is important to create an interprofessonal team. The
ABCDEF bundle is most effective when implemented by a team that includes a physician, a nurse, a respiratory therapist, and a physical therapist at all levels of care.
Wake Up and Breath Protocol