Asitha D L Jayawardena, Zelda J Ghersin, Luis Jose Guzman, Jose A Bonilla, Susana Abrego, Alejandra Aguilar, Daniel Ramos, Evelyn Zablah, Kevin Callans, Megan Macduff, Makara Cayer, Thomas Q Gallagher, Mark G Vangel, Mark H Peikin, Phoebe H Yager, Christopher J Hartnick
INTRODUCTION: Unplanned extubation (UE) is orders of magnitude worse in low-income Pediatric Intensive Care Units (PICUs) than their high-income counterparts. Furthermore, a significant percent (20 %) of UEs result in a destabilizing event or cardiac collapse that negatively contributes to morbidity and mortality. As the principles of safe airway management are universal, we hypothesize that a multi-disciplinary educational intervention bundle which included provision of low-cost cuffed endotracheal tubes (ETT) and ETT tape will decrease the rate of unplanned extubation (UE) in a low-resourced PICU...
October 2021: International Journal of Pediatric Otorhinolaryngology