Emergency tracheal intubation of severely head-injured children: Changing daily practice after implementation of national guidelines*

Martinon, Claire; Duracher, Caroline; Blanot, Stéphane; Escolano, Sylvie; Agostini, Maria De; Périé-Vintras, Anne Catherine; Orliaguet, Gilles; Carli, Pierre; Meyer, Philippe

doi:10.1097/pcc.0b013e3181e2a244

Cited by 36 publications

(15 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our result is in agreement with those reported by Martinon et al [8] from Paris who found that the prevalence of automated ventilator use following RSI on paediatric TBI patients rose to 88% after the implementation of their guideline. Our result compares favourably to those found by Bosse et al [5] and Francis et al [6] from the physician-staffed EMS in Berlin.…”

Section: Discussionsupporting

confidence: 94%

“…The same research group also found that introducing an SOP for patient documentation did improve the quality of the patient care reports [7]. Martinon et al from the physician-staffed Service d’Aide Médicale Urgente (SAMU) in Paris reported that the implementation of an SOP for pre-hospital rapid sequence intubation (RSI) and post-RSI treatment of children with severe traumatic brain injury (TBI) significantly improved quality of care on several, but not all quality indicators [8]. Hejselbaek et al from the anaesthesiologist-staffed EMS in Copenhagen reported difficulties in getting pre-hospital critical care anaesthesiologists to follow clinical guidelines for the pre-hospital use of hypertonic saline [9].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Standard operating procedure changed pre-hospital critical care anaesthesiologists’ behaviour: a quality control study

Rognås

Hansen

Kirkegaard

et al. 2013

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

IntroductionThe ability of standard operating procedures to improve pre-hospital critical care by changing pre-hospital physician behaviour is uncertain. We report data from a prospective quality control study of the effect on pre-hospital critical care anaesthesiologists’ behaviour of implementing a standard operating procedure for pre-hospital controlled ventilation.Materials and methodsAnaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region prospectively registered pre-hospital advanced airway-management data according to the Utstein-style template. We collected pre-intervention data from February 1st 2011 to January 31st 2012, implemented the standard operating procedure on February 1st 2012 and collected post intervention data from February 1st 2012 until October 31st 2012. We included transported patients of all ages in need of controlled ventilation treated with pre-hospital endotracheal intubation or the insertion of a supraglottic airways device. The objective was to evaluate whether the development and implementation of a standard operating procedure for controlled ventilation during transport could change pre-hospital critical care anaesthesiologists’ behaviour and thereby increase the use of automated ventilators in these patients.ResultsThe implementation of a standard operating procedure increased the overall prevalence of automated ventilator use in transported patients in need of controlled ventilation from 0.40 (0.34-0.47) to 0.74 (0.69-0.80) with a prevalence ratio of 1.85 (1.57-2.19) (p = 0.00). The prevalence of automated ventilator use in transported traumatic brain injury patients in need of controlled ventilation increased from 0.44 (0.26-0.62) to 0.85 (0.62-0.97) with a prevalence ratio of 1.94 (1.26-3.0) (p = 0.0039). The prevalence of automated ventilator use in patients transported after return of spontaneous circulation following pre-hospital cardiac arrest increased from 0.39 (0.26-0.48) to 0.69 (0.58-0.78) with a prevalence ratio of 1.79 (1.36-2.35) (p = 0.00).ConclusionWe have shown that the implementation of a standard operating procedure for pre-hospital controlled ventilation can significantly change pre-hospital critical care anaesthesiologists’ behaviour.

show abstract

Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Standard operating procedure changed pre-hospital critical care anaesthesiologists’ behaviour: a quality control study

Rognås

Hansen

Kirkegaard

et al. 2013

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

show abstract

“…Es ist jedoch unbestritten, dass aufgrund der niedrigen Fallzahl von präklinischen Säuglings-oder Kinderintubationen die notwendige Expertise nicht allein in der notfallmedizinischen Praxis erworben werden kann [1,9]. Demnach erlangt das Thema des alternativen Atemwegsmanagements für Rettungsdienstpersonal, Notärzte und innerklinische Erstversorger von lebensbedrohlichen Kindernotfällen eine zunehmende Bedeutung [17,20,22].…”

unclassified

Interdisziplinär konsentierte Stellungnahme zum Atemwegsmanagement mit supraglottischen Atemwegshilfen in der Kindernotfallmedizin

et al. 2015

View full text Add to dashboard Cite

Considering the scientific data and the large clinical experience with the LM in medical routine and emergency situations in children, currently only the LM can be recommended for alternative (i.e. non-intubation) airway management in children. If alternative airway management is part of a local emergency strategy, the LM should be provided in all pediatric sizes (1, 1.5, 2, 2.5, 3, 4 and 5) for prehospital and in-hospital emergency use and all users should be regularly trained in its application.

show abstract

“…Multiple other studies have indicated that airway PHIs have been detrimental to mortality and functional outcome when compared with manual bag mask ventilation. 3,9,33 DiRusso et al retrospectively studied intubation in 50,199 pediatric trauma patients and found that PH intubation was associated with significantly higher death rates when compared with intubation in an ED setting. Moreover, multiple other studies have suggested that PHI-As in the setting of pediatric TBIs may be associated with adverse outcomes.…”

Section: Discussionmentioning

confidence: 97%

Prehospital interventions in severely injured pediatric patients

Sokol

Black

Azarow

et al. 2015

Journal of Trauma and Acute Care Surgery

View full text Add to dashboard Cite

show abstract

Emergency tracheal intubation of severely head-injured children: Changing daily practice after implementation of national guidelines*

Cited by 36 publications

References 31 publications

Standard operating procedure changed pre-hospital critical care anaesthesiologists’ behaviour: a quality control study

Standard operating procedure changed pre-hospital critical care anaesthesiologists’ behaviour: a quality control study

Interdisziplinär konsentierte Stellungnahme zum Atemwegsmanagement mit supraglottischen Atemwegshilfen in der Kindernotfallmedizin

Prehospital interventions in severely injured pediatric patients

Contact Info

Product

Resources

About