scholarly journals A quality improvement initiative to increase the safety of pediatric emergency airway management

2017 ◽  
Vol 27 (12) ◽  
pp. 1271-1277 ◽  
Author(s):  
Elliot Long ◽  
Domenic R. Cincotta ◽  
Joanne Grindlay ◽  
Stefano Sabato ◽  
Emmanuelle Fauteux-Lamarre ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Airway Management ◽  
Pediatric Emergency ◽  
Quality Improvement Initiative ◽  
Emergency Airway Management ◽  
Emergency Airway

scholarly journals Factors Associated With Pediatric Emergency Airway Management by the Difficult Airway Response Team

Cureus ◽  
2021 ◽  
Author(s):  
Nicholas M Dalesio ◽  
Lauren Burgunder ◽  
Natalia M Diaz-Rodriguez ◽  
Sara I Jones ◽  
Jordan Duval-Arnould ◽  
...  
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Pediatric Emergency ◽  
Factors Associated ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Response Team ◽  
Airway Response

scholarly journals 292 Emergency airway management outside the operating room; a three year prospective service evaluation and quality improvement project

2020 ◽  
Vol 37 (12) ◽  
pp. 836-837
Author(s):  
Daniel Horner ◽  
Benjamin Daniels ◽  
Nicola Murray ◽  
Gareth Allen ◽  
Claire Baylis
Keyword(s):  
Quality Improvement ◽  
Airway Management ◽  
Simulation Training ◽  
Service Evaluation ◽  
Video Laryngoscopy ◽  
Improvement Program ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Primary Induction ◽  
Induction Agents

Aims/Objectives/BackgroundEmergency airway management outside a controlled theatre environment has been previously associated with a high rate of adverse events. Several initiatives to improve safety (such as video laryngoscopy, checklists, simulation training etc..) have been studied in isolation.It remains unclear as to whether these interventions have been embedded in the Emergency Department (ED) and whether they offer cumulative marginal gains in safety.Methods/DesignA prospective 3-year service evaluation delivered at a major trauma and neurosciences centre between 2016 and 2019. We designed a rolling quality improvement program to mitigate procedural airway risk through collaborative multidisciplinary team (MDT) working, education and transparent metrics.PDSA cycles included documentary guidance (including flowcharts and checklists), high fidelity simulation training, equipment redesign, prefilled medications and mandatory reporting items (figure 1).Abstract 292 Figure 1Abstract 292 Figure 2Primary induction agents selected throughout the study periodAbstract 292 Figure 3Results/ConclusionsWe analysed prospectively collected data on 1181 intubation episodes outside a theatre environment over a 39 month period, of which 575 (48.7%) were performed out of hours and 635 (53.8%) were performed in the ED.Bedside consultant presence and periprocedural checklist use both showed a sustained increase during the study period. Use of ketamine and thiopentone as primary induction agents increased and decreased, respectively (figure 2). Cricoid pressure and video laryngoscopy (VL) utilisation rates remained relatively static throughout, as did a first pass success (FPS) rate of between 83.0 to 93.5%.Composite major complications (including sustained hypotension and/or critical hypoxia) were significantly reduced during the study period, as demonstrated via statistical process chart (SPC) mapping (figure 3).In conclusion, we found a quality improvement program to be associated with a sustained reduction in the risk of major complications following emergency airway management. This improvement was not explained by simple direct changes in procedural care, such as the use of VL or technique changes resulting in improved FPS, but may have been influenced by unknown confounding variables.

Rapid sequence intubation for pediatric emergency airway management

2002 ◽  
Vol 18 (6) ◽  
pp. 417-423 ◽  
Author(s):  
MARK J. SAGARIN ◽  
VINCENT CHIANG ◽  
JOHN C. SAKLES ◽  
ERIK D. BARTON ◽  
RICHARD E. WOLFE ◽  
...  
Keyword(s):  
Airway Management ◽  
Pediatric Emergency ◽  
Rapid Sequence Intubation ◽  
Emergency Airway Management ◽  
Emergency Airway ◽  
Rapid Sequence

scholarly journals Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure

MedEdPORTAL ◽  
2020 ◽  
Vol 16 (1) ◽  
pp. 10962
Author(s):  
Michael P. Goldman ◽  
Ambika Bhatnagar ◽  
Joshua Nagler ◽  
Marc A. Auerbach
Keyword(s):  
Airway Management ◽  
Pediatric Emergency ◽  
Emergency Airway Management ◽  
Emergency Airway

The Danger of Using Pop-Off Valves for Pediatric Emergency Airway Management

2020 ◽  
Vol 59 (4) ◽  
pp. 590-592
Author(s):  
Brian E. Driver ◽  
Alexandra H. Atkins ◽  
Robert F. Reardon
Keyword(s):  
Airway Management ◽  
Pediatric Emergency ◽  
Emergency Airway Management ◽  
Emergency Airway
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