During invasive ventilatory support, infants and children are inherently at risk for developing injury or complications related to the insertion and maintenance of an endotracheal tube (ETT). It is essential for respiratory therapists to understand the factors that contribute to the propensity for harm while preparing for, inserting, securing, and maintaining the position of an ETT throughout the duration of use. Implementing care bundles based on the available literature is useful in reducing iatrogenic complications as well as the risk for morbidity and mortality of pediatric patients requiring an ETT to facilitate respiratory support.
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http://dx.doi.org/10.4187/respcare.10017 | DOI Listing |
Respir Care
June 2022
Department of Quality and Data Integration, The Centers, Cleveland, Ohio.
During invasive ventilatory support, infants and children are inherently at risk for developing injury or complications related to the insertion and maintenance of an endotracheal tube (ETT). It is essential for respiratory therapists to understand the factors that contribute to the propensity for harm while preparing for, inserting, securing, and maintaining the position of an ETT throughout the duration of use. Implementing care bundles based on the available literature is useful in reducing iatrogenic complications as well as the risk for morbidity and mortality of pediatric patients requiring an ETT to facilitate respiratory support.
View Article and Find Full Text PDFRespir Care
August 2013
American Association for Respiratory Care, 9425 N MacArthur Boulevard, Suite 100, Irving, TX 75063, USA.
For centuries, hospitals have served as the cornerstone of the United States healthcare system. Just like the majority of the general population, the respiratory care profession was born inside the hospital walls, just over 6 decades ago. While the knowledge, skills, and attributes of the respiratory therapist are critically necessary in acute care settings, the profession must move itself to a stronger position across the entire continuum of care of patients with acute and chronic cardiopulmonary diseases within the next several years to stay ahead of the curve of healthcare reform.
View Article and Find Full Text PDFRespir Care
August 2012
Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA 23298, USA.
Evidence-based medicine has assumed a major place in establishing the standard of care for many diseases. Yet practices based largely on clinical experience have often been difficult to change, even when clearly associated with patient harm. In this paper, based on the 27th Philip Kittredge Memorial Lecture, we highlight respiratory care practices that have clearly failed the tests of time and evidence yet sometimes tenaciously persist.
View Article and Find Full Text PDFRespir Care
March 2007
Department of Anesthesiology, University of Virginia Health Science Center, PO Box 800710, Charlottesville, VA 22908-0170, USA.
Though advances in medical science have created improved therapies, often these are not widely provided throughout the health-care system. Also, there is growing recognition of the lack of safety in health-care delivery. The development of evidence-based, best practice, national guidelines has been encouraged to reduce unnecessary variation in care and for improving quality.
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