ABCDEF Bundle: An Undiscovered Golden Approachfor Acute Care Patients in Turkey

Abstract

Objective: The ABCDEF (Assess, prevent, and manage Pain, Both spontaneous awakening trials and spontaneous breath ing trials, Choice of analgesia and sedation, Delirium: assess, prevent, and manage, Early mobility and Exercise, and Familyengagement and empowerment) bundle is a path for optimal resource utilization. This study aimed to investigate the knowl edge level and views of physicians working at the intensive care units (ICUs) in Turkey, a developing country, on the use ofABCDEF bundle. Materials and Methods: A cross-sectional online survey was administered to ICU physicians in Turkey, using SupplementalDigital Content 1, on June 20, 2018. The survey was terminated and deactivated on September 30, 2018. Results: A multidisciplinary team oriented for compliance with the ABCDEF bundle was not found to be present in any ofthe responding ICUs in Turkey. Of 461 participants, 161 (35.1%) were knowledgeable about the bundle. The bundle couldnot be used due to lack of a team and shortage of trained personnel. Conclusion: The rates of using scales proposed by the ABCDEF bundle were remarkably low although most participantsacknowledged that the use of protocols and scales leads to decreased morbidity and mortality rates.