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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
[Nursing intervention in a child diagnosed with ineffective airway clearance: a case report]
Renata Pereira-de-Melo1, Francisca Aline Arrais-Sampaio, Marcos Venícios de Oliveira-Lopes
1Departamento de Enfermería, Facultad de Farmacia, Odontologia y Enfermería, Universidad Federal de Ceará, Fortaleza (CE), Brasil.
Insights
This study shows a 75% improvement in pediatric airway clearance using a structured nursing intervention. The effective airway management reduced hospital stays and costs for children.
Area of Science:
- Pediatric Nursing
- Respiratory Care
- Nursing Outcomes Classification
Background:
- Inefficient airway clearance is a common nursing diagnosis in pediatric patients.
- Effective airway management is crucial for improving respiratory status in children.
- The Nursing Outcomes Classification (NOC) provides standardized outcomes for nursing care.
Observation:
- A 5-day airway management intervention was implemented in a pediatric unit.
- The intervention utilized indicators such as respiratory rate, ease, rhythm, and breath sounds.
- Monitoring followed informed consent, ensuring patient anonymity and data confidentiality.
Findings:
- The intervention led to a 75% improvement in the child's health status.
- A consistent upward trend in recovery was observed.
- The intervention demonstrated significant positive outcomes with minimal variation in daily means.
Implications:
- This nursing intervention effectively improved respiratory status: airway patency in a pediatric patient.
- The intervention hastened recovery, reduced hospital length of stay, and lowered associated costs.
- The described airway management protocol is painless, easy to perform, and clinically satisfactory.
Abstract:
The nursing diagnosis of inefficient airway clearance is prevalent in children. The present report describes the airway management intervention carried out over 5 consecutive days in a child admitted to a pediatric unit, using an instrument based on the indicators of respiratory rate, respiratory ease, respiratory rhythm, and adventitious breath sounds, included in the nursing outcome of "respiratory status: airway patency" of the Nursing Outcomes Classification. Monitoring was started after informed consent was obtained. The anonymity and confidentiality of the data were guaranteed. The monitoring started with a baseline evaluation of the child, followed by implementation of each activity in a pre-established order. On the following days, the nursing interventions implemented were evaluated once a day in the morning by the researcher. After implementing the selected activities, an improvement of 75% in health status was observed, generating an ascendant tendency line. The difference in means per follow-up day showed variations of 0.25 and 0.5. The final health status mean, i.e. the mean difference between the value of the last follow-up day and the initial status, showed a variation of 0.25. In conclusion, the intervention was satisfactory and hastened recovery, reduced length of hospital stay and the associated economic costs, and was painless and easy to perform.
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