Reducing Mask-Related Pressure Injuries in Pediatric Patients During Noninvasive Ventilation by Targeting Patient Mask Leak: A Quality Improvement Initiative.

Purpose: To compare outcomes following implementation of patient mask leak range of 25 to 55 liters per minute (lpm) to guide strap tension of sleep masks during noninvasive ventilation against baseline data with no patient mask leak range on number of noninvasive mask-related pressure injuries (PIs).

Participants And Setting: All noninvasively ventilated pediatric acute care patients admitted to general wards and intensive care units between February 1, 2018, and February 1, 2019, in a quaternary hospital in the southwest United States.

Approach: Using the Plan Do Study Act model, we employed an intervention to examine the rate of PIs per noninvasive positive pressure ventilation (NIPPV) days and patient-days before and after implementation of patient mask leak parameters between 25 and 55 lpm to guide mask strap tension.

A Comparison of the Braden Q and the Braden QD Scale to Assess Pediatric Risk for Pressure Injuries During Noninvasive Ventilation.

Background: Noninvasive ventilation (NIV) masks are implicated in 59% of respiratory device-related pressure injuries in hospitalized children. Historically, the Braden Q scale was not adequate in identifying risk for pressure injury associated with devices and, therefore, was modified to the Braden QD scale. The purpose of this study was to evaluate whether the Braden QD scoring tool is better able to identify pediatric patients receiving NIV who are at risk for the development of pressure injury as compared to the previously used Braden Q scale.

Posttraumatic Tibiofibular Synostosis After Treatment of Distal Tibiofibular Fractures in Children.

Introduction: Posttraumatic pediatric distal tibiofibular synostosis is a rare complication following fracture. This is a retrospective, multicenter case series of synostosis of distal tibiofibular fractures in children. The purpose was to evaluate the incidence and pattern of posttraumatic distal tibiofibular synostosis in children.

Postoperative changes in spinal rod contour in adolescent idiopathic scoliosis: an in vivo deformation study.

Study Design: Prospective case series.

Objective: To evaluate the change in spinal rod contour from before implantation to after surgical correction of thoracic curves in patients with adolescent idiopathic scoliosis.

Summary Of Background Data: With segmental pedicle screw spinal instrumentation and vertebral derotation, many authors have reported a loss of thoracic kyphosis postoperatively.

The hip: MR imaging of uniquely pediatric disorders.

Many disease processes can affect the hip joints as a child grows, including developmental dysplasia of the hips; Legg-Calvé-Perthes disease; slipped capital femoral epiphysis; and traumatic, infectious, and noninfectious inflammatory causes. MR imaging is uniquely able to provide information about the structure of the hip joint, and information about active disease states for diagnosing, planning, and assessing therapy.