Development of a Multidisciplinary Pediatric Airway Program: An Institutional Experience
| العنوان: | Development of a Multidisciplinary Pediatric Airway Program: An Institutional Experience |
|---|---|
| المؤلفون: | Renee Cover, Nicholas M. Dalesio, Lynette Mark, Natalia M. Diaz-Rodriguez, Robert H. Brown, David E. Tunkel, Sapna R. Kudchadkar, Sara I. Jones, Rahul Koka, Vinciya Pandian |
| المصدر: | Hospital Pediatrics. 9:468-475 |
| بيانات النشر: | American Academy of Pediatrics (AAP), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Emergency Medical Services, medicine.medical_treatment, Pediatrics, 03 medical and health sciences, 0302 clinical medicine, Multidisciplinary approach, 030225 pediatrics, Intubation, Intratracheal, medicine, Humans, Intubation, Medical history, 030212 general & internal medicine, Airway Management, Program Development, Child, Referral and Consultation, Patient Care Team, business.industry, General Medicine, respiratory system, medicine.disease, Quality Improvement, respiratory tract diseases, Increased risk, Pediatrics, Perinatology and Child Health, Airway management, Medical emergency, Pediatric airway, Emergency Service, Hospital, Advanced airway management, Airway, business, Hospital Rapid Response Team |
| الوصف: | Rapid response teams have become necessary components of patient care within the hospital community, including for airway management. Pediatric patients with an increased risk of having a difficult airway emergency can often be predicted on the basis of clinical scenarios and medical history. This predictability has led to the creation of airway consultation services designed to develop airway management plans for patients experiencing respiratory distress and who are at risk for having a difficult airway requiring advanced airway management. In addition, evolving technology has facilitated airway management outside of the operating suite. Training and continuing education on the use of these tools for airway management is imperative for clinicians responding to airway emergencies. We describe the comprehensive multidisciplinary, multicomponent Pediatric Difficult Airway Program we created that addresses each component identified above: the Pediatric Difficult Airway Response Team (PDART), the Pediatric Difficult Airway Consult Service, and the pediatric educational airway program. Approximately 41% of our PDART emergency calls occurred in the evening hours, requiring a specialized team ready to respond throughout the day and night. A multitude of devices were used during the calls, obviating the need for formal education and hands-on experience with these devices. Lastly, we observed that the majority of PDART calls occurred in patients who either were previously designated as having a difficult airway and/or had anatomic variations that suggest challenges during airway management. By instituting the Pediatric Difficult Airway Consult Service, we have decreased emergent Difficult Airway Response Team calls with the ultimate goal of first-attempt intubation success. |
| تدمد: | 2154-1671 2154-1663 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::88f7a0c9b3cc3ac117bbd844e9dd3d19 https://doi.org/10.1542/hpeds.2018-0226 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....88f7a0c9b3cc3ac117bbd844e9dd3d19 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21541671 21541663 |
|---|