Critical incidents, including cardiac arrest, associated with pediatric anesthesia at a tertiary teaching children's hospital

2016 ◽  
Vol 26 (4) ◽  
pp. 409-417 ◽  
Author(s):  
Ji-Hyun Lee ◽  
Eun-Kyung Kim ◽  
In-Kyung Song ◽  
Eun-Hee Kim ◽  
Hee-Soo Kim ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Critical Incidents ◽  
Pediatric Anesthesia ◽  
Children's Hospital ◽  
Tertiary Teaching ◽  
Children’S Hospital

Factors Associated with Pediatric In-Hospital Recurrent Cardiac Arrest

2022 ◽  
Author(s):  
Stephanie R. Brown ◽  
Joan S. Roberts ◽  
Elizabeth Y. Killien ◽  
Thomas V. Brogan ◽  
Reid Farris ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Spontaneous Circulation ◽  
Clinical Factors ◽  
Free Standing ◽  
Respiratory Dysfunction ◽  
Factors Associated ◽  
Children's Hospital ◽  
Early Ra ◽  
Point Increase ◽  
Children’S Hospital

AbstractThe objective of this article was to identify demographic and clinical factors associated with early recurrent arrest (RA) (<48 hours) and late RA (≥48 hours) among pediatric inpatients following an initial in-hospital cardiac arrest. A retrospective cohort study of inpatients was performed in a free-standing academic quaternary care children's hospital. All inpatients were <18 years old with a cardiac arrest event requiring ≥1 minute of cardiopulmonary resuscitation with the return of spontaneous circulation sustained for ≥20 minutes at Seattle Children's Hospital from February 1, 2012 to September 18, 2019. Of the 237 included patients, 20 (8%) patients had an early RA and 30 (13%) had a late RA. Older age and severe pre-arrest acidosis were associated with a higher risk of early RA, odds ratios (OR) 1.2 (95% confidence interval [CI] 1.1–1.3) per additional year and 4.6 (95% CI 1.2–18.1), respectively. Pre-arrest organ dysfunction was also associated with a higher risk of early RA with an OR of 3.3 (95% CI 1.1–9.4) for respiratory dysfunction, OR 1.4 (95% CI 1.1–1.9) for each additional dysfunctional organ system, and OR 1.1 (95% CI 1–1.2) for every one-point increase in PELOD2 score. The neonatal illness category was associated with a lower risk of late RA, OR 0.3 (95% CI 0.1–0.97), and severe post-arrest acidosis was associated with a higher risk of late RA, OR 4.2 (95% CI 1.1–15). Several demographic and clinical factors offer some ability to identify children who sustain a recurrent cardiac arrest, offering a potential opportunity for intervention to prevent early recurrent arrest.

Congenital Tracheal Diverticulum

1980 ◽  
Vol 89 (5) ◽  
pp. 406-408 ◽  
Author(s):  
Saul Frenkiel ◽  
Irene K. Assimes ◽  
Jose K. Rosales
Keyword(s):  
Cardiac Arrest ◽  
Respiratory Distress ◽  
Successful Intubation ◽  
Severe Respiratory Distress ◽  
Children's Hospital ◽  
Tracheal Diverticulum ◽  
Children’S Hospital ◽  
History Of ◽  
Rare Diagnosis

A six-month-old female with a history of recurrent bronchopulmonary infections was admitted to the Montreal Children's Hospital in severe respiratory distress. Cardiac arrest ensued and although ventilation by mask was always possible during the resuscitation procedure, there was a confusing inability to aerate the lungs after successful intubation. A right-sided tracheal diverticulum was identified at autopsy. It was assumed, in retrospect, that the intubating tube entered and abutted against the wall of the diverticulum, thus obstructing its distal lumen. The embryology, morphology and pathophysiology of congenital tracheal diverticuli are discussed. This rare diagnosis should be entertained when successful intubation leads to ineffectual ventilation.

350: COMPLIANCE WITH POST-CARDIAC ARREST CARE (PCAC) GUIDELINES IN A CHILDREN’S HOSPITAL

2018 ◽  
Vol 46 (1) ◽  
pp. 157-157
Author(s):  
Malarvizhi Thangavelu ◽  
Kathleen Marcos ◽  
Stephanie Lam ◽  
Donna Doerr ◽  
Arun Bansal ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Children's Hospital ◽  
Children’S Hospital

346: COMPLIANCE WITH RESUSCITATION GUIDELINES FOR IN-HOSPITAL CARDIAC ARREST IN A CHILDREN’S HOSPITAL

2018 ◽  
Vol 46 (1) ◽  
pp. 155-155
Author(s):  
Malarvizhi Thangavelu ◽  
Kathleen Marcos ◽  
Stephanie Lam ◽  
Donna Doerr ◽  
Arun Bansal ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Children's Hospital ◽  
Resuscitation Guidelines ◽  
Children’S Hospital ◽  
Hospital Cardiac Arrest

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

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