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Development of a Multidisciplinary Pediatric Airway Program: An Institutional Experience
- Source :
- Hospital Pediatrics. 9:468-475
- Publication Year :
- 2019
- Publisher :
- American Academy of Pediatrics (AAP), 2019.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 21541671 and 21541663
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Hospital Pediatrics
- Accession number :
- edsair.doi.dedup.....88f7a0c9b3cc3ac117bbd844e9dd3d19
- Full Text :
- https://doi.org/10.1542/hpeds.2018-0226