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ICU Liberation A-F

ICU Liberation Bundle (A-F)

Implement the A-F elements of the ICU Liberation Bundle to improve outcomes while transforming culture. 

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The Society of Critical Care Medicine's (SCCM) ICU Liberation Bundle (A-F) is unique because it can be applied to every patient, every day, by the full team. Your implementation does not have to be perfect right away. Small changes make a big difference. 

By fostering a holistic approach to treating patients and improving ICU team communication, the ICU Liberation Bundle has been proven in multiple studies involving more than 20,000 patients to: 

  • Decrease the likelihood of hospital death within seven days by 68%

  • Reduce delirium and coma days by 25% to 50%

  • Reduce physical restraint use by more than 60%

  • Cut ICU readmissions in half

  • Reduce discharges to nursing and rehabilitation facilities by 40%

The A-F elements of the ICU Liberation Bundle represent the implementation strategy used to provide each of the recommendations in the pain, agitation/sedation, delirium, immobility, and sleep disruption (PADIS) guidelines to every ICU patient.

The ICU Liberation Bundle consists of the following individual elements
  • A Element: Assess, Prevent, and Manage Pain
  • B Element: Both Spontaneous Awakening Trials (SATs) and Spontaneous Breathing Trials (SBTs)
  • C Element: Choice of Analgesia and Sedation
  • D Element: Delirium: Assess, Prevent, and Manage
  • E Element: Early Mobility and Exercise
  • F Element: Family Engagement and Empowerment

ICU Liberation Bundle (A-F)

ICU Liberation Implementation Toolkit

The ICU Liberation Implementation Toolkit provides adult and pediatric critical care teams with a variety of resources to champion and sustain bundle implementation. The toolkit contains:
  • An ICU Liberation Implementation Framework Booklet, with individual guidance for each bundle element
  • Data metrics and compliance definitions
  • A spreadsheet for data collection
  • Dashboard compliance and performance reports

Using these Resources 
Use of SCCM's ICU Liberation material is approved for free staff training in hospitals and, in most circumstances, for use in scientific presentations. If the use falls into this category, please ensure that appropriate acknowledgment is given to ICU Liberation. Some content on the website may require permissions from other creators that preceded the SCCM ICU Liberation program.

For medical education programs with associated registration fees or for use in commercial settings, requests for use of SCCM materials should be made in advance by contacting Society does not endorse any specific product, platform, or other information that may be mentioned.

ICU Liberation Bundle Video Overview 

A high-level overview of each bundle element that demonstrates bedside tools. 


Host an ICU Liberation course at your institution

The SCCM Hosted Training Team can provide details about bringing training to your institution.

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