About this trial
The goal of this study is to evaluate the impact of a clinical decision support system (CDSS) in children receiving mechanical ventilation (MV) after surgery for congenital heart disease (CHD). The main question it aims to answer is:
-What is the impact of a CDSS designed to facilitate weaning and discontinuation of MV on the duration of MV in post-operative congenital cardiac surgery patients?
Participants will be identified as eligible to initiate weaning from mechanical ventilation. Providers will decide whether or not to initiate weaning based on recommendations provided by the CDSS. Researchers will compare patients exposed to the CDSS with a historical cohort to see if the CDSS facilitated a decrease in MV duration.
Eligibility criteria
Qualifiers
Children < 12 years old
Post-cardiac surgery
Receiving mechanical ventilation for ≥ 48 hours in the Cardiac Intensive Care Unit at Boston Children's Hospital following surgery
Disqualifiers
Premature infants (<37 weeks' gestation)
Weight < 2kg
Baseline ventilator (via tracheostomy) or noninvasive positive pressure dependence
Trial design
Treatments tested in this trial
- Clinical decision support system (CDSS) for ventilator weaning
Treatment groups
Sponsors and collaborators
Boston Children's Hospital
Lead sponsor
The Brett Boyer Foundation
Collaborator