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Published on: January 17, 2011
The role of WhatsApp™ in pediatric difficult airway management: A study from the PeDI Collaborative
Evelina Pankiv1,2, Kira Achaibar1,2, Alomgir Hossain3
1Department of Anesthesia, The Hospital for Sick Children, Toronto, Ontario, Canada.
Insights
The Pediatric Difficult Intubation Collaborative (PeDI-C) WhatsApp™ group effectively facilitates global knowledge exchange on pediatric difficult airway management. Members found the discussions highly useful and applicable to their clinical practice.
Area of Science:
- Pediatric Anesthesiology
- Medical Education Technology
- Clinical Collaboration
Background:
- Pediatric difficult airway management presents unique clinical challenges.
- The Pediatric Difficult Intubation Collaborative (PeDI-C) is an international group focused on quality improvement and research in pediatric difficult airways.
- A WhatsApp™ group was established by PeDI-C for real-time discussions on managing pediatric difficult airways.
Purpose of the Study:
- To evaluate the usage patterns of the PeDI-C WhatsApp™ group.
- To identify key themes in messages concerning pediatric difficult airway management.
- To assess the perceived usefulness of the WhatsApp™ group among PeDI-C members.
Main Methods:
- Archived discussions from the PeDI-C WhatsApp™ group (2014-2019) were analyzed.
- A survey was administered to PeDI-C members to gauge their perception of the group's usefulness.
- Message content analysis focused on identifying types of posts and response rates.
Main Results:
- Analysis of 5781 messages revealed advice seeking (28%), announcements (24.2%), and clinical case-sharing (22.2%) as primary themes.
- Posts seeking advice on patient care or medication/equipment, and clinical case-sharing, received significantly more responses.
- 77% of surveyed members found the discussions translatable to their clinical practice, with advice on patient management being of most interest.
Conclusions:
- The PeDI-C WhatsApp™ group has successfully enabled rapid, worldwide knowledge sharing on pediatric difficult airway management.
- Members expressed satisfaction with the platform's role in their professional development and clinical practice.
Background:
Management of the pediatric difficult airway can present unique clinical challenges. The Pediatric Difficult Intubation Collaborative (PeDI-C) is an international collaborative group engaging in quality improvement and research in children with difficult airways. The PeDI-C established a WhatsApp™ group to facilitate real-time discussions around the management of the difficult airway in pediatric patients. The goals of this study were to evaluate the patterns of use of the WhatsApp™ group, themes on messages posted on pediatric difficult airway management and to assess the perceived usefulness of the WhatsApp™ group by the PeDI-C members.
Method:
Following research ethics approval, we performed a database analysis on the archived discussion of the PeDI-C WhatsApp™ group from 2014 to 2019 and surveyed members to assess the perceived usefulness of the PeDI-C WhatsApp™ group.
Results:
5781 messages were reviewed with 350 (6.0%) original stems. The three most common original stem types were advice seeking 98 (28%), announcements 85 (24.2%), and clinical case-sharing 78 (22.2%). The median number of responses to original stems was 9 [2-21.3]. Post types associated with increased responses included those seeking advice on medication/equipment (regression coefficient 0.78, 95% CI [0.41-1.16]; p < .0001); seeking advice on patient care (regression coefficient 1.16, 95% CI [0.86-1.45]; p < .0001), sharing advice on medication/equipment availability (regression coefficient 0.87, 95% CI [0.33-1.40], p < .0016), and clinical case-sharing (regression coefficient 1.2547, 95% CI [0.9401-1.5693] p < .0001). 46/64 members of the group responded to the survey. Replies offering advice regarding patient management scenarios were found to be of most interest and 77% of surveyed members found the discussion translatable into their own clinical practice.
Discussion:
The PeDI-C WhatsApp™ group has facilitated timely knowledge exchange on pediatric difficult airway management across the world. Participants are satisfied with the role the Whatsapp™ group is playing.
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