Using P0.1 to Predict Extubation Success 

Our KT team is made up of four Respiratory Therapists (RTs) from Surrey Memorial Hospital: Jaimie Trodden and Scott Mattu, both Clinical Resource Therapists, who focus on site education, policy development, and procedure implementation; Jessica Lu, a Regional RT Educator, with a focus on transitioning new graduates into practice; and Sung Bin Choi, the current Core ICU Therapist, responsible for staff support and upholding standards of practice in the Intensive Care Unit. Together, we bring a range of experience, spanning over the past 14 years, in adult critical care, staff education, and quality improvement.
In the ICU, a major challenge is knowing when it’s safe to remove a patient from a ventilator, and RTs play a key role in this process. Even when patients pass the current test (a Spontaneous Breathing Trial), up to 20% still need to be reintubated, which increases risks and prolongs ICU stays. Our project focuses on adding a simple, objective ventilator measurement called P0.1 to better predict a patient’s readiness to breathe on their own.
The project will be implemented at the adult ICU at Surrey Memorial Hospital and will impact hundreds of patients annually, along with the staff caring for them.
Through targeted education, quick-reference tools, and peer coaching, we aim to integrate P0.1 into routine practice. This change will support more consistent, evidence-informed care, empower staff decision-making, and improve patient outcomes. Long term, we hope to embed this tool into regional protocols, setting the stage for broader adoption across BC’s health system and advancing knowledge translation at the bedside.