Survey of Respiratory Therapists' Attitudes and Concerns Regarding Terminal Extubation

Abstract

BACKGROUND:

There is little published information on the role of respiratory therapists in the process of withdrawal of mechanical ventilatory support.

METHODS:

We surveyed practicing respiratory therapists at 6 acute-care hospitals in a large urban area and asked about particular concerns and attitudes regarding terminal extubation.

RESULTS:

One hundred nineteen questionnaires were analyzed. The majority of respiratory therapists had participated in terminal extubation, but most were not regular participants in the decision-making process leading to withdrawal.

CONCLUSIONS:

Practicing respiratory therapists expressed a desire for a role in the decisionmaking process, education regarding terminal care, and more definitive orders for terminal extubation.