Evidence map›Paper›PMID 38242961›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Use of an airway bundle to reduce unplanned extubations in a neonatal intensive care unit.

Faith Kim, Victoria Blancha Eckels, Sandhya S Brachio, Cristina Brooks, Caitlin Ehret, Gloria Gomez, Jessica E Shui, Sylvia Villaraza-Morales, Diana Vargas

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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Faith KimDivision of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA. fk2362@cumc.columbia.edu.ORCID 0000-0002-0344-0613
Victoria Blancha EckelsDivision of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.
Sandhya S BrachioDivision of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.ORCID 0000-0002-8094-4268
Cristina BrooksDivision of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.
Caitlin EhretDivision of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.
Gloria GomezDivision of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.
Jessica E ShuiDivision of Newborn Medicine, Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Sylvia Villaraza-MoralesDivision of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.
Diana VargasDivision of Neonatology, Department of Pediatrics, NewYork- Presbyterian Morgan Stanley Children's Hospital, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFollowing the opening of an infant cardiac neonatal intensive care unit, our aim was to determine a baseline UE rate and implement initiatives to target a goal less than 0.5 UEs/100 ventilator days.

methodsWe utilized the Model for Improvement. Key stakeholders included neonatal providers, nurses, and respiratory therapists. We focused on the creation of an airway bundle that addressed securement methods, communication and education.

resultsFrom October 2017 to January 2018, our baseline UE rate was 0.92 UEs/100 ventilator days. Subsequent to the implementation of an airway bundle with high compliance, we observed a significant change in the centerline (0.45 to 0.02 UEs/100 ventilator days) during the spring of 2021, followed by a period of 480 days with no UEs.

conclusionIn a unit where UEs were infrequent events, high compliance with an airway bundle led to a significantly sustained decrease in our UE rates.

Indexed as

Airway ExtubationIntensive Care Units, NeonatalCommunicationHumansInfantInfant, NewbornIntensive Care UnitsIntubation, IntratrachealRespiration, ArtificialVentilators, Mechanical

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.