Publications by authors named "Dimas Mateos"
Objectives: To describe the current clinical practice patterns of Canadian pediatric respirologists at pediatric tertiary care institutions regarding chronic tracheostomy tube care and management of home invasive ventilation.
Methods: A pediatric respirologist/pediatrician with expertise in tracheostomy tube care and home ventilation was identified at each Canadian pediatric tertiary care center to complete a 59-item survey of multiple choice and short answer questions. Domains assessed included tracheostomy tube care, caregiver competency and home monitoring, speaking valves, medical management of tracheostomy complications, decannulation, and long-term follow-up.
Article Synopsis
- Caregivers of children using home mechanical ventilation (HMV) via tracheostomy need proper training, leading to the creation of a competency checklist, the KidsVent Checklist, to standardize knowledge and skills assessment.
- The development process involved a scoping review and input from an expert group, resulting in a three-round Delphi study that refined the checklist to 19 domains with specific mandatory and optional items.
- The final checklist aims to enhance the care for technology-dependent children and will require further research to evaluate its effectiveness in improving caregiver outcomes.