scholarly journals Hospital to Home: A Quality Improvement Initiative to Implement High-fidelity Simulation Training for Caregivers of Children Requiring Long-term Mechanical Ventilation

2018 ◽  
Vol 38 ◽  
pp. 114-121 ◽  
Author(s):  
Jodi Thrasher ◽  
Joyce Baker ◽  
Kathleen M. Ventre ◽  
Sara E. Martin ◽  
Jessica Dawson ◽  
...  
Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 580
Author(s):  
Steven M. Conlon ◽  
Allison Osborne ◽  
Julie Bodie ◽  
Jaime Marasch ◽  
Rita M. Ryan ◽  
...  

Less-invasive surfactant administration (LISA), a newer technique of delivering surfactant via a thin catheter, avoids mechanical ventilation. LISA has been widely adopted in Europe but less so in the US. Our goal was to increase the percentage of surfactant delivered via LISA from 0% to 51% by 12/2020. Project planning and literature review started 12/2019, and included a standardized equipment kit and simulation training sessions. We began Plan–Do–Study–Act (PDSA) cycles in 6/2020. Initial exclusions for LISA were gestational age (GA) <28 weeks (w) or ≥36 w, intubation in the delivery room, or PCO2 >70 if known; GA exclusion is now <25 w. From 6 to 12/2020, 97 patients received surfactant, 35 (36%) via LISA. When non-LISA-eligible patients were excluded, 35/42 (83%) received LISA successfully. There were only 2/37 patients for whom LISA was not able to be performed. Three LISA infants required mechanical ventilation in the first week of life. Sedation remained an initial challenge but improved when sucrose was used routinely. LISA was safely and successfully introduced in our NICU.


2017 ◽  
Vol 7 (Suppl 1) ◽  
pp. A20.2-A20
Author(s):  
Rina Patel ◽  
Sally Middleton ◽  
Martine Meyer ◽  
Jennifer Blair

2016 ◽  
Vol 44 (12) ◽  
pp. 308-308 ◽  
Author(s):  
Bryan Boling ◽  
Melanie Hardin-Pierce ◽  
Lynne Jensen ◽  
Zaki-Udin Hassan

2013 ◽  
Vol 30 ◽  
pp. 230-230
Author(s):  
A. M. González ◽  
M. A. Ballesteros ◽  
F. Merino ◽  
R. Abajas ◽  
S. González ◽  
...  

2016 ◽  
Vol 44 (12) ◽  
pp. 466-466
Author(s):  
Patrick Reeves ◽  
Elizabeth Mann-Salinas ◽  
Jennifer Gurney ◽  
Zsolt Stockinger ◽  
Tuan Le ◽  
...  

2013 ◽  
Vol 33 (4) ◽  
pp. 212-219 ◽  
Author(s):  
Randal J. Thomas ◽  
Kashish Goel ◽  
Marwan Jumean ◽  
Charles Mullany ◽  
Brian Lahr ◽  
...  

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