Publications by authors named "A Kidman"
Reducing unplanned extubation in the neonatal intensive care unit: a quality improvement project.
Arch Dis Child Fetal Neonatal Ed
December 2024
Background And Aim: Unplanned extubation (UE) is an adverse event that can occur for neonates that are intubated and mechanically ventilated. UE is recognised as an important quality measure in the neonatal intensive care unit (NICU) due to the negative impact these events may have on the neonate. We aimed to use quality improvement (QI) methodology to reduce the rate of UE to the global standard of <1/100 ventilation days.
View Article and Find Full Text PDFArticle Synopsis
- Preterm infants often face the risk of respiratory failure after being extubated from invasive ventilation, and this can occur due to issues like apnoea and hypoxia. Traditionally, they were extubated to head box oxygen or low-flow nasal cannulas, but non-invasive support such as nasal continuous positive airway pressure (NCPAP) may enhance extubation success by stabilizing the airway and improving lung function.
- The objective of the reviewed study is to find out if using NCPAP right after extubation can lower the occurrence of reintubation and the need for further ventilatory support in preterm infants, while ensuring there are no significant negative side effects.
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Background: Extremely preterm infants often require invasive mechanical ventilation, and clinicians aim to extubate these infants as soon as possible. However, extubation failure occurs in up to 60% of extremely preterm infants and is associated with increased mortality and morbidity. Nasal continuous positive airway pressure (nCPAP) is the most common post-extubation respiratory support, but there is no consensus on the optimal nCPAP level to safely avoid extubation failure in extremely preterm infants.
View Article and Find Full Text PDFIntroduction: Respiratory distress syndrome is a complication of prematurity and extremely preterm infants born before 28 weeks' gestation often require endotracheal intubation and mechanical ventilation. In this high-risk population, mechanical ventilation is associated with lung injury and contributes to bronchopulmonary dysplasia. Therefore, clinicians attempt to extubate infants as quickly and use non-invasive respiratory support such as nasal continuous positive airway pressure (CPAP) to facilitate the transition.
View Article and Find Full Text PDFStaff awareness and bundling reduce skin breaks and blood tests in neonatal intensive care.
J Paediatr Child Health
September 2021
Aim: Skin breaks (SBs) for procedures and blood sampling are common in neonatal intensive care units (NICU), contributing to pain, infection risk and anaemia. We aimed to document their prevalence, identify areas for improvement and, through staff awareness, reduce their frequency.
Methods: Quality improvement project via prospective audit at a tertiary-level NICU in Australia was conducted.