Use of an airway bundle to reduce unplanned extubations in a neonatal intensive care unit.

Autor: Kim F; Division of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA. fk2362@cumc.columbia.edu.; Columbia University Irving Medical Center, New York, NY, USA. fk2362@cumc.columbia.edu., Eckels VB; Division of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA., Brachio SS; Division of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.; Columbia University Irving Medical Center, New York, NY, USA., Brooks C; Division of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA., Ehret C; Division of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA., Gomez G; Division of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA., Shui JE; Division of Newborn Medicine, Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA., Villaraza-Morales S; Division of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA., Vargas D; Division of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.; Columbia University Irving Medical Center, New York, NY, USA.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2024 Feb; Vol. 44 (2), pp. 314-320. Date of Electronic Publication: 2024 Jan 19.
DOI: 10.1038/s41372-024-01879-6
Abstrakt: Background: Following the opening of an infant cardiac neonatal intensive care unit, our aim was to determine a baseline UE rate and implement initiatives to target a goal less than 0.5 UEs/100 ventilator days.
Methods: We utilized the Model for Improvement. Key stakeholders included neonatal providers, nurses, and respiratory therapists. We focused on the creation of an airway bundle that addressed securement methods, communication and education.
Results: From October 2017 to January 2018, our baseline UE rate was 0.92 UEs/100 ventilator days. Subsequent to the implementation of an airway bundle with high compliance, we observed a significant change in the centerline (0.45 to 0.02 UEs/100 ventilator days) during the spring of 2021, followed by a period of 480 days with no UEs.
Conclusion: In a unit where UEs were infrequent events, high compliance with an airway bundle led to a significantly sustained decrease in our UE rates.
(© 2024. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
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