Respiratory-driven protocols

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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]


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


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]


  1. ^ Zimmerman L (1997). "Respiratory therapist-driven protocols.". West J Med. 167 (6): 440–1. PMC 1304731Freely accessible. 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. PMID 18440439. doi:10.1016/j.ccm.2008.01.003. 
  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. PMID 22005194. doi:10.4187/respcare.01093. 
  4. ^ a b 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. PMID 19380428. doi:10.1542/peds.2008-1647.