About: Apneic Oxygenation for Emergency Intubations in the Pediatric Emergency Department

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About: Apneic Oxygenation for Emergency Intubations in the Pediatric Emergency Department—A Quality Improvement Initiative Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Apneic Oxygenation for Emergency Intubations in the Pediatric Emergency Department—A Quality Improvement Initiative
Creator	Hui, ; Ong, Gene Pek, Jen Shen, Germac Tan, Cheng Yong-Kwang, ;
Source	PMC
abstract	INTRODUCTION: Emergency airway management of critically ill children in the Emergency Department (ED) is associated with the risk of intubation-related desaturation, which can be minimized by apneic oxygenation. We evaluated the use of apneic oxygenation in the pediatric ED and reported a quality improvement initiative to incorporate apneic oxygenation as a routine standard of care during rapid sequence intubations (RSIs). METHODS: A baseline period from June 2016 to April 2017 highlighted the practice gaps. Quality improvement interventions were subsequently developed and implemented as a care bundle consisting of a pre-intubation checklist, placing reminders and additional oxygen source in resuscitation bays, incorporating into the responsibilities of the airway doctor and the airway nurse (copiloting), education during airway workshops and simulation training for doctors and nurses, as well as enhancing documentation of the intubation process. We monitored a post-intervention observation period from May 2017 to April 2018 for the effectiveness of the care bundle. RESULTS: Apneic oxygenation was not performed in all 22 RSIs during the baseline period. Among 25 RSIs in the post-intervention observation period, providers performed apneic oxygenation in 17 (68%) cases. There was no significant difference in the utilization of apneic oxygenation among emergency physicians and pediatric anesthetists performing RSIs in the pediatric ED. CONCLUSIONS: We successfully implemented a care bundle targeted at incorporating apneic oxygenation as a routine standard of care during emergency intubations performed in ED. This method could be adopted by other pediatric EDs to improve airway management in critically ill children.
has issue date	2020-02-13(xsd:dateTime)
bibo:doi	10.1097/pq9.0000000000000255
bibo:pmid	32426623
has license	cc-by-nc-nd
sha1sum (hex)	be1e13437d29edb3951dca08e3d27223b698b421
schema:url	https://doi.org/10.1097/pq9.0000000000000255
resource representing a document's title	Apneic Oxygenation for Emergency Intubations in the Pediatric Emergency Department—A Quality Improvement Initiative
has PubMed Central identifier	PMC7190240
has PubMed identifier	32426623
schema:publication	Pediatr Qual Saf
resource representing a document's body	covid:be1e13437d29edb3951dca08e3d27223b698b421#body_text
is schema:about of	named entity 'apneic' named entity 'period' named entity 'April' named entity 'intubations' named entity 'airway management' named entity 'standard' named entity 'apneic' named entity 'providers' named entity 'checklist' named entity 'incorporate' named entity 'Initiative' named entity 'Emergency' named entity 'NURSES' named entity 'PHYSICIANS' named entity 'ADDITIONAL' named entity 'CASES' named entity 'SIMULATION TRAINING' named entity 'RAPID' named entity 'INITIATIVE' named entity 'REPORTED' named entity 'JUNE' named entity 'COULD BE' named entity 'ROUTINE' named entity '2018' named entity 'OBSERVATION' named entity 'PLACING' named entity 'RSIs' named entity 'apneic' named entity 'improve' named entity 'bays' named entity 'performed' named entity '2017' named entity 'Results' named entity 'sequence' named entity 'oxygen' named entity 'risk' named entity 'performed' named entity 'RSIs' named entity 'resuscitation' named entity 'critically ill' named entity 'intubation' named entity 'apneic oxygenation' named entity 'RSIs' named entity 'intubation' named entity 'pediatric' named entity 'apneic oxygenation' named entity 'Pediatric Emergency Department' named entity 'Quality improvement' named entity 'nurse' named entity 'RSIs' named entity 'apneic oxygenation' named entity 'Mann-Whitney U test' named entity 'Singapore' named entity 'lung' named entity 'apneic oxygenation' named entity 'intubations' named entity 'intubation' named entity 'standard of care' named entity 'RSIs' named entity 'Pediatric' named entity 'respiratory drive' named entity 'airway management' named entity 'RSI' named entity 'apneic oxygenation' named entity 'pathology' named entity 'apneic oxygenation' named entity 'airway management' named entity 'consciousness' named entity 'pediatric' named entity 'cognitive load' named entity 'Triage' named entity 'apneic oxygenation' named entity 'apneic oxygenation' named entity 'apneic oxygenation' named entity 'pediatric' named entity 'apneic oxygenation'

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