A study looking into advanced airway management for critically unwell children has resulted in innovative, specially designed pediatric equipment being adopted at a Glasgow hospital.
The quality improvement project aimed to reduce “adverse events” related to airway management in emergency situations at the Royal Hospital for Children in Glasgow, specifically outside of its pediatric intensive care unit and theatre environments.
Recent evidence had shown that for critically unwell children, “adverse events associated with tracheal intubation can have significant effects on mortality and morbidity.” It was further suggested that critically unwell children are significantly more likely to suffer an adverse event due to intubation, and “there is a high frequency of difficult airways in these patients even when expert teams and clinicians are involved.
From January 2019 to October 2020, all emergency calls to the wards at the Royal Hospital for Children were reviewed with 43 relevant cases identified and four in particular where advanced airway management was performed. Related Stories“From June to September 2021, there was one case of difficult airway management. Encouragingly, there were two cases of excellent practice regarding both basic and advanced airway management and a further case of a patient requiring advanced airway management in the ward setting with no equipment issues recorded.”
He further emphasized that “Paediatric SCRAM™ was developed to enhance the performance of emergency pediatric airway management for the benefit of both patients and staff working in these demanding medical situations. Seeing the positive results is fantastic and is testament to significant partnership working that informed the development of SCRAM™.”
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