Application of a Clinical Decision Support System to Reduce Mechanical Ventilation Duration After Cardiac Surgery

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.

Inclusion Criteria:Children < 12 years oldPost-cardiac surgeryReceiving mechanical ventilation for ≥ 48 hours in the Cardiac Intensive Care Unit at Boston Children's Hospital following surgeryExclusion Criteria:Premature infants (<37 weeks' gestation)Weight < 2kgBaseline ventilator (via tracheostomy) or noninvasive positive pressure dependence