ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2017
Potential Acceptability of a Pediatric Ventilator Management Computer Protocol.
Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed.
- Computer clinical decision support that automates personalized clinical care: a challenging but needed healthcare delivery strategy.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Nonadherence to appropriate tidal volume and PEEP in children with pARDS at a single center.Pediatric pulmonology · 2022Article
- Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Lung- and Diaphragm-Protective Ventilation.American journal of respiratory and critical care medicine · 2020Article
- The role of computer-based clinical decision support systems to deliver protective mechanical ventilation.Current opinion in critical care · 2020Review
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Authors and funding
20 authors.
Funding
Abstract
objectivesTo examine issues regarding the granularity (size/scale) and potential acceptability of recommendations in a ventilator management protocol for children with pediatric acute respiratory distress syndrome.
designSurvey/questionnaire.
settingThe eight PICUs in the Collaborative Pediatric Critical Care Research Network.
participantsOne hundred twenty-two physicians (attendings and fellows).
interventionsNone. MEASUREMENTS AND MAIN
resultsWe used an online questionnaire to examine attitudes and assessed recommendations with 50 clinical scenarios. Overall 80% of scenario recommendations were accepted. Acceptance did not vary by provider characteristics but did vary by ventilator mode (high-frequency oscillatory ventilation 83%, pressure-regulated volume control 82%, pressure control 75%; p = 0.002) and variable adjusted (ranging from 88% for peak inspiratory pressure and 86% for FIO2 changes to 69% for positive end-expiratory pressure changes). Acceptance did not vary based on child size/age. There was a preference for smaller positive end-expiratory pressure changes but no clear granularity preference for other variables.
conclusionsAlthough overall acceptance rate for scenarios was good, there was little consensus regarding the size/scale of ventilator setting changes for children with pediatric acute respiratory distress syndrome. An acceptable protocol could support robust evaluation of ventilator management strategies. Further studies are needed to determine if adherence to an explicit protocol leads to better outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.