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Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
An evidence-based guideline for children presenting with acute breathing difficulty
M Lakhanpaul1, R MacFaul, U Werneke
1Academic Division of Child Health, Department of Medical Education and Social Care, Leicester Royal Infirmary, Leicester, UK. ml103@leicester.ac.uk
Emergency Medicine Journal : EMJ
|November 26, 2009
Summary
This study developed an evidence-based guideline to help junior clinicians manage pediatric patients with acute breathing difficulties. The guideline was created using a systematic literature review and expert consensus, and has been successfully implemented.
Area of Science:
- Pediatric Emergency Medicine
- Clinical Guideline Development
- Evidence-Based Practice
Background:
- Children presenting with acute breathing difficulty require prompt and effective management.
- Junior clinicians need clear guidance for managing pediatric respiratory emergencies.
- Existing management strategies may lack a unified, evidence-based approach.
Framework:
- A systematic literature review formed the basis for clinical questions.
- Articles were appraised for quality, informing evidence grading.
- A national panel of 50 clinicians participated in a Delphi consensus process.
Implementation:
- The guideline was developed through two iterative rounds of expert review and consensus.
- Recommendations were graded based on evidence quality (Grade A to D).
- The final guideline includes key recommendations and a management algorithm.
Implications:
- An evidence-based guideline for pediatric acute breathing difficulty has been successfully developed.
- The guideline has been implemented in pediatric emergency departments and disseminated nationally.
- Further studies will report on the guideline's impact on clinical practice.
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