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Your search keyword '"Matlock, David N."' showing total 17 results
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17 results on '"Matlock, David N."'

1. The Diaphragmatic Initiated Ventilatory Assist (DIVA) trial: study protocol for a randomized controlled trial comparing rates of extubation failure in extremely premature infants undergoing extubation to non-invasive neurally adjusted ventilatory assist versus non-synchronized nasal intermittent positive pressure ventilation

Author

Matlock, David N., Ratcliffe, Sarah J., Courtney, Sherry E., Kirpalani, Haresh, Firestone, Kimberly, Stein, Howard, Dysart, Kevin, Warren, Karen, Goldstein, Mitchell R., Lund, Kelli C., Natarajan, Aruna, Demissie, Ejigayehu, and Foglia, Elizabeth E.

Published
2024
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12. Implementing aWeaning Protocol for Noninvasive Respiratory Support in Neonates Decreases Overuse and Length of Stay.

Author

Matlock, David N., Perez, Sarah M., Borchert, Heather A., Proffitt, Betty L., Peeples, Sara E., Chandler, Angela L., Courtney, Sherry E., Bai, Shasha, and Ross, Ashley S.

Subjects
LENGTH of stay in hospitals, HUMAN growth, NEONATAL intensive care, MECHANICAL ventilators, CONTINUOUS positive airway pressure, GESTATIONAL age, MANN Whitney U Test, FISHER exact test, ARTIFICIAL respiration, MEDICAL protocols, INFANT nutrition, T-test (Statistics), QUALITY assurance, OXYGEN therapy, DESCRIPTIVE statistics, CHI-squared test, DATA analysis software, POISSON distribution
Abstract

BACKGROUND: As part of efforts to decrease length of hospital stay, a protocol for weaning noninvasive respiratory support was implemented using quality improvement methodology. The objective of this study was to determine whether protocol implementation decreased the time to wean to no respiratory support by 24 h (30% reduction) over 3 months in preterm infants 30--34 weeks gestational age. METHODS: A quality improvement project was conducted with the following outcome measures: primary outcome measured was hours to wean; secondary out- comes included duration of respiratory support, length of stay, and postmenstrual age at feeding milestones; and balance measures were duration of oxygen exposure and growth velocity. RESULTS: Data from 89 subjects were included. Following implementation, decreases were seen in time to wean (40% reduction, P < .001), length of stay (25% reduction, P 5 .02), and growth velocity (21% reduction, P 5 .02). CONCLUSIONS: Implementing a weaning protocol decreases duration of support and length of stay in infants 30--34 weeks gestational age. Weaning respiratory support more quickly may decrease growth velocity. [ABSTRACT FROM AUTHOR]

Published
2021
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