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A Systematic Approach to Ventilator Management for the Pediatric Patient during Air Medical Transport

Chris Stansell1

  • 1Med-Trans Corporation-AeroCare.

Air Medical Journal
|October 4, 2019
PubMed

Insights

A new checklist significantly improved pediatric ventilator management for AeroCare, reducing patient care outside recommended parameters by over 75%. The checklist also enhanced team comfort during transport.

Area of Science:

  • Pediatric critical care medicine
  • Healthcare quality improvement
  • Respiratory therapy

Background:

  • Effective ventilator management is crucial for pediatric patients during transport.
  • AeroCare aimed to enhance their pediatric ventilator management protocols.
  • Existing protocols had a high percentage of patients outside recommended parameters.

Purpose of the Study:

  • To develop and implement a checklist to improve pediatric ventilator management.
  • To reduce the incidence of patients managed outside of target SpO2 and EtCO2 parameters.
  • To assess the impact of the checklist on team comfort and proficiency.

Main Methods:

  • A checklist was developed based on current guidelines.
  • Effectiveness was evaluated through chart reviews of pediatric patients (5-18 years) pre- and post-implementation (July 2018-January 2019).
  • Patient parameters (SpO2, EtCO2, bag-valve use) and team comfort via Likert survey were assessed.

Main Results:

  • The rate of patients outside recommended parameters decreased significantly from 41.3% pre-intervention to 10% post-intervention (p=0.008).
  • The checklist implementation led to a substantial improvement in pediatric ventilator management.
  • Team feedback indicated improved comfort (4.68/5) after checklist use.

Conclusions:

  • The developed checklist effectively improved pediatric ventilator management proficiency.
  • The intervention enhanced the comfort and confidence of transport teams.
  • Checklist utilization is a valuable tool for optimizing critical care in pediatric transport.
Abstract

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