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Kittredge Lecture: Airway Safety in Neonatal and Pediatrics

Teresa A Volsko1

  • 1Department of Quality and Data Integration, The Centers, Cleveland, Ohio. teresa.volsko@thecentersohio.org.

Respiratory Care
|May 23, 2022
PubMed

Insights

Pediatric patients on mechanical ventilation face risks from endotracheal tubes (ETTs). Respiratory therapists can minimize harm and improve outcomes by understanding ETT-related complications and implementing evidence-based care bundles.

Area of Science:

  • Pediatric critical care medicine
  • Respiratory therapy
  • Medical device safety

Background:

  • Invasive ventilatory support using endotracheal tubes (ETTs) in infants and children carries inherent risks of injury and complications.
  • Proper management of ETTs is crucial for patient safety during respiratory support.

Purpose of the Study:

  • To highlight the risks associated with endotracheal tube (ETT) insertion and maintenance in pediatric patients.
  • To emphasize the importance of respiratory therapists understanding factors contributing to ETT-related harm.
  • To advocate for the implementation of care bundles to reduce complications.

Main Methods:

  • Review of existing literature on endotracheal tube management in pediatric patients.
  • Identification of risk factors for ETT-related complications.
  • Discussion of evidence-based care bundle strategies.

Main Results:

  • Understanding factors contributing to ETT-related harm is essential for respiratory therapists.
  • Care bundles are effective in mitigating iatrogenic complications.
  • Implementation of care bundles can reduce morbidity and mortality.

Conclusions:

  • Care bundles based on literature are vital for reducing complications in pediatric patients requiring ETTs.
  • Proactive management and understanding of risks are key to improving patient outcomes.
  • Minimizing ETT-related harm is critical for pediatric respiratory support.

Keywords:
airway careendotracheal tubemalpositionneonatalpediatric

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