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Comparative Study
. 2014 May-Jun;29(3):252-7.
doi: 10.1016/j.pedn.2013.11.007. Epub 2013 Nov 27.

Change to a standardized airway clearance protocol for children with bronchiolitis leads to improved care

Kristen Jarvis  1 , Daniela Pirvu  2 , Kim Barbee  2 , Nancy Berg  2 , Michelle Meyer  2 , Lenny Gaulke  2 , Brian M Pate  2 , Cristine Roberts  2
Affiliations
Comparative Study

Change to a standardized airway clearance protocol for children with bronchiolitis leads to improved care

Kristen Jarvis et al. J Pediatr Nurs. 2014 May-Jun.

Abstract

Nurses at a pediatric hospital identified the liberal utilization of deep nasopharyngeal (NP) suction as the primary airway clearance modality in young children with bronchiolitis. This invasive practice lacked supporting evidence and a standardized approach. Nurses created an interdisciplinary team to develop a less invasive airway clearance protocol. Data from 2years, both pre and post protocol implementation, were analyzed. An 11% decrease in deep NP suctioning resulted in improved or unchanged balancing measures and perceptions of quality of care.

Keywords: Bronchiolitis; Infants; Standardized protocols; Suctioning.

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