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Abstract
During invasive ventilatory support, infants and children are inherently at risk for developing injury or complications related to the insertion and maintenance of an endotracheal tube (ETT). It is essential for respiratory therapists to understand the factors that contribute to the propensity for harm while preparing for, inserting, securing, and maintaining the position of an ETT throughout the duration of use. Implementing care bundles based on the available literature is useful in reducing iatrogenic complications as well as the risk for morbidity and mortality of pediatric patients requiring an ETT to facilitate respiratory support.
Footnotes
- Correspondence: Teresa A Volsko MBA MHHS RRT FAARC, Department of Quality and Data Integration, The Centers, 3500 Euclid Avenue, Cleveland, Ohio 44103. E-mail: teresa.volsko{at}thecentersohio.org
Ms Volsko discloses relationships with First Energy, Actuated Medical, and Neotech.
Ms Volsko presented a version of this paper as the Philip Kittredge Memorial Lecture at AARC Congress 2021 LIVE!, held virtually December 9, 2021.
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- Article
- Abstract
- Introduction
- Anatomic and Physiologic Features of the Pediatric Airway
- Interventions to Improve Safety During Endotracheal Intubation
- Practices to Safely Predict and Verify ETT Intratracheal Position
- Care Bundle Use to Maintain an ETT Safely and Effectively for the Duration of Use
- Summary
- Footnotes
- References
- Figures & Data
- Info & Metrics
- References