id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-011418-hy8xmtiq	Walz, Alice	The ICU Liberation Bundle and Strategies for Implementation in Pediatrics	2020-05-16		.txt	text/plain	5257	253	34	The effects of the full ICU liberation bundle in children have not been published, but in adults, bundle implementation (even partial) resulted in significant improvement in survival, mechanical ventilation use, coma, delirium, restraint-free care, ICU readmissions, and post-ICU discharge disposition. The ICU Liberation Collaborative was a quality improvement initiative hosted by the Society of Critical Care Medicine among 76 hospitals (67 adult and 9 pediatric) formed to implement and assess changes in clinical practice aimed at improving patient outcomes. In two large multicenter studies at varied types of ICUs [18••, 19] , even partial bundle implementation resulted in improvement in survival, mechanical ventilation use, coma, delirium, restraint-free care, ICU readmissions, and post-ICU discharge disposition. This large-scale quality improvement strategy offers guidance for the daily care of critically ill patients that can reduce pain, agitation, and delirium, in an effort to prevent physical, psychological, and cognitive morbidities that limit or prolong recovery.	./cache/cord-011418-hy8xmtiq.txt	./txt/cord-011418-hy8xmtiq.txt