ABCDEF Bundle

The ABCDEF care bundle elements individually and collectively can help reduce delirium, improve pain management and reduce long-term consequences for adult intensive care unit (ICU) patients. First, ZOOM OUT, evaluating the entirety of the patient's clinical status. Then, ZOOM IN on each element of the bundle as the multiprofessional team sets daily goals for the patient and reassesses these goals throughout the day based on the patient's evolving status.

ICU Liberation: The Importance of the ABCDEF Bundle

ICU Liberation Bundles Chart
MICU Rounding Tool
Provider Rounding Tool

Assess Pain


Assess, Prevent, and Manage Pain
Understand pain and find tools for its assessment, treatment and prevention.
Spontaneous Trials


Both SAT and SBT
Both Spontaneous Awakening Trials and Spontaneous Breathing Trails
Choice of Medication


Choice of analgesia and Sedation
Understand the importance of defining the depth of sedation choosing the right medication.
Delirium


Delirium: Assess, Prevent and Manage 
Understand delirium risk factors and find tools for its assessment, treatment and prevention.
Early Mobility


Early Mobility and exercise 
ICU early mobility involves more than changing the patient's position.
Family Engagement


Family Engagement and Empowerment
Involving the family in patient care can help recovery.