Document Type


Publication Date



Presented at: American Association of Respiratory Care.


Chronic lung disease (CLD) is a multi-factorial respiratory disease of the preterm neonate for which mechanical ventilation is a significant contributor. Mechanical ventilator weaning protocols have been shown to reduce the duration of mechanical ventilation. A ventilator weaning protocol (VWP) based on Level I-III evidence was instituted in 2004. Compliance with existing VWP is unknown. CLD rates in our unit have increased over the past 3 years. Assessment of and understanding protocol compliance is an important first step in identifying internal factors which may contribute to CLD. Based on increasing rates of CLD, we hypothesize that compliance with existing VWP falls below 80%.