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Your search keyword '"Daphne I. Aukes"' showing total 2 results
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2 results on '"Daphne I. Aukes"'

1. Back to the 60s: The Heimlich Valve A patient- and family-centered care perspective

Author

Daphne I. Aukes, J. Marco Schnater, Marielle W.H. Pijnenburg, Patricia M.J. Kalkman, and Carine I. van Capelle

Subjects
Varicella pneumonia, Bronchopleural fistula, Persistent air leak, Heimlich valve, Patient-and-family centered care, Pediatrics, RJ1-570, Surgery, RD1-811
Abstract

In this case report we present a 5-year old boy with a bronchopleural fistula with persistent air leak following complicated empyema. Treatment with antibiotics and pleural drainage did not stop the air leak and consequently prolonged drainage of the pleural cavity was needed. As this would account for weeks of hospitalization, we decided together with the parents, following the main principles of Patient-and-Family Centered Care, to treat the child at home with the use of a Heimlich valve. A Heimlich valve may be an old-fashioned, but effective one-way-valve permitting evacuation of air and fluid from the thoracic cavity without the need of high technology solutions and with minimal risk to the patient. This may prevent prolonged hospitalization, increase quality of life of the patient and save medical costs.After 2 months the chest tube with Heimlich valve was successfully removed. Recovery was uneventful; long term follow up showed restricted lung function with a total lung capacity of around 78% and fibrotic changes of the right upper lobe on chest CT scan.

Published
2021
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2. Pain Management in Neonatal Intensive Care

Author

Monique van Dijk, Daniëlla W. E. Roofthooft, Dick Tibboel, Daphne I. Aukes, Sinno H.P. Simons, Pediatrics, and Pediatric Surgery

Subjects
medicine.medical_specialty, Nursing staff, Neonatal intensive care unit, medicine.drug_class, business.industry, Analgesic, Pain management, Anesthesiology and Pain Medicine, Primary outcome, Sedative, Intensive care, Emergency medicine, medicine, Dose reduction, Neurology (clinical), business
Abstract

BACKGROUND:: A pain management protocol was implemented in our Neonatal Intensive Care Unit in 2005, including individual pain assessments and pain treatment guidelines with a decision tree.OBJECTIVES:: To prospectively evaluate the degree of compliance of medical and nursing staff with the pain protocol.METHODS:: Prospectively recorded pain scores (COMFORTneo score) and all prescribed analgesics and sedatives for the calendar year 2011 were retrieved. The primary outcome is the degree of compliance to the protocol with respect to pain assessments and treatment; the secondary outcome consists of reasons for non-compliance.RESULTS:: Of the 732 included patients, 660 (90%) received fewer than the stipulated 3 assessments per day. Eighty-six per cent of all assessments yielded a score between 9 and 14, suggesting a comfortable patient. In cases of high pain scores (≥14), reassessment within 60 minutes took place in 31% of cases and in 40% treatment was started or adjusted. In cases of low pain scores (≤8) during treatment, 13% of the 457 assessments were reassessed within 120 minutes and in 17% a dose reduction was performed.CONCLUSIONS:: Although the majority of pain assessments suggested comfortable patients, there is room for improvement with respect to reassessments after adjustment of analgesic/sedative treatment. Some protocol violations such as oversedation in palliative patients are acceptable but should be well documented.

Published
2015

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