Journal article

Implementation of NAP4 emergency airway management recommendations in a quaternary-level pediatric hospital

Elliot Long, Domenic Cincotta, Joanne Grindlay, Anastasia Pellicano, Michael Clifford, Stefan Sabato

PEDIATRIC ANESTHESIA | WILEY | Published : 2017

Abstract

Emergency airway management, particularly outside of the operating room, is associated with a high incidence of life-threatening adverse events. Based on the recommendations of the 4th National Audit Project, we aimed to develop hospital-wide systems changes to improve the safety of emergency airway management. We describe a framework for governance in the form of a hospital airway special interest group. We describe the development and implementation of the following systems changes: 1. A local intubation algorithm modified from the Difficult Airway Society's plan A-B-C-D approach, including clear pathways for airway escalation, and emphasizing the concepts of resuscitation prior to intubat..

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Grants

Awarded by Royal Australasian College of Physicians, a National Health and Medical Research Council Centre of Research Excellence Grant for Pediatric Emergency Medicine


Funding Acknowledgements

This study was supported in part by a Shields Scholarship provided through the Royal Australasian College of Physicians, a National Health and Medical Research Council Centre of Research Excellence Grant for Pediatric Emergency Medicine (GNT1058560), Canberra, ACT, Australia, and the Victorian Governments Infrastructure Support Program, Melbourne, Australia.