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Improving Tracheostomy Care in Resource-Limited Settings

Mykayla L Sandler1, Nohamin Ayele1, Isaie Ncogoza2

  • 1Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.

The Annals of Otology, Rhinology, and Laryngology
|October 22, 2019
PubMed

Insights

Developing image-based tracheostomy care manuals and low-cost kits improved pediatric care skills in resource-limited settings. This educational approach enhanced confidence and technical abilities for nurses and residents, aiming to reduce complications.

Area of Science:

  • Global Health
  • Pediatric Medicine
  • Medical Education

Background:

  • Pediatric tracheostomy care is comprehensive in developed hospitals but challenging in resource-limited settings.
  • Lack of infrastructure and staff education hinders advanced tracheostomy care in underserved regions.

Purpose of the Study:

  • To enhance pediatric tracheostomy care within resource-limited environments.
  • To address the deficit in specialized training and accessible materials for tracheostomy management.

Main Methods:

  • Developed image-based, language-independent tracheostomy education materials and low-cost care kits.
  • Implemented a pilot training program using these materials and a simulated low-fidelity course in Kigali, Rwanda.
  • Included otolaryngologists, respiratory therapists, nurses, illustrators, and global health educators in the development process.

Main Results:

  • Created and published an accessible, image-based tracheostomy care manual on OPENPediatrics.
  • Pilot study participants reported high educational value and increased confidence in performing tracheostomy procedures.
  • The training program demonstrated effectiveness in improving practical skills.

Conclusions:

  • Image-based manuals, local kits, and simulation courses can significantly improve outpatient tracheostomy care.
  • The developed educational tools effectively enhanced technical skills and confidence among healthcare providers.
  • These interventions are expected to improve knowledge, skills, and reduce tracheostomy-related complications in resource-limited settings.
Abstract

Keywords:
equipment and supplieshealth educationpatient carepediatricsresource-limited settingstracheostomy

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