High Fidelity Simulation Training in Pediatric Tracheostomy Discharge Teaching

Henningfeld, J.; Flanagan, G.; Graf, Danielle; Griffith, C.; Jacobson, H.; Kump, Theresa; Lynn, J.; Meyer, MT; Molkentine, L.; Petersen, Tara; Wade, Thomas J.; Yan, Kun; Zhang, L.; Lang, Cecilia

doi:10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4358

Cited by 1 publication

(4 citation statements)

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“…[31][32][33] Most programs combine the use of the child's home equipment with a high-fidelity mannequin, although low-fidelity mannequins may produce similar results without the expense. 34,35 These exercises typically simulate emergency scenarios such as hypoxic episodes, mucus plugging, accidental decannulation, ventilator alarm management and troubleshooting, manual resuscitation, or cardiopulmonary resuscitation. Following the simulation, debriefing adds value to identify strengths and areas for improvement among the caregivers.…”

Section: Caregiver Competencementioning

confidence: 99%

“…Following the simulation, debriefing adds value to identify strengths and areas for improvement among the caregivers. 24,33,34,36,37 Caregivers should undergo a trial of independent care before their child's discharge, assuming full responsibility for all aspects of the child's care for 24-48 h. 18,19,38 This hands-on experience allows caregivers to demonstrate competence and readiness to provide comprehensive care. Tasks should not be limited to management of the tracheostomy or PHV.…”

Section: Caregiver Competencementioning

confidence: 99%

“…Simulation has been used for both teaching and assessing tracheostomy and ventilator management skills 31–33 . Most programs combine the use of the child's home equipment with a high‐fidelity mannequin, although low‐fidelity mannequins may produce similar results without the expense 34,35 . These exercises typically simulate emergency scenarios such as hypoxic episodes, mucus plugging, accidental decannulation, ventilator alarm management and troubleshooting, manual resuscitation, or cardiopulmonary resuscitation.…”

Section: Hospital Discharge Criteria For Himvmentioning

confidence: 99%

“…These exercises typically simulate emergency scenarios such as hypoxic episodes, mucus plugging, accidental decannulation, ventilator alarm management and troubleshooting, manual resuscitation, or cardiopulmonary resuscitation. Following the simulation, debriefing adds value to identify strengths and areas for improvement among the caregivers 24,33,34,36,37 …”

Section: Hospital Discharge Criteria For Himvmentioning

confidence: 99%

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Transitioning children using home invasive mechanical ventilation from hospital to home: Discharge criteria, disparities, and ethical considerations

Henningfeld,

Friedrich,

Flanagan

et al. 2024

Pediatric Pulmonology

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Children using home invasive mechanical ventilation (HIMV), a valuable therapeutic option for chronic respiratory failure, constitute a growing population. Transitioning children using HIMV from hospital to home care is a complex process that requires a multidisciplinary approach involving healthcare professionals, caregivers, and community resources. Medical stability, caregiver competence, and home environment suitability are essential factors in determining discharge readiness. Caregiver education and training play a pivotal role in ensuring safe and effective home care. Simulation training and staged education progression are effective strategies for equipping caregivers with necessary skills. Resource limitations, inadequate home nursing support, and disparities in available community resources are common obstacles to successful HIMV discharge. International perspectives shed light on diverse healthcare systems and challenges faced by caregivers worldwide. While standardizing guidelines for HIMV discharge may be complex, collaboration among healthcare providers and the development of evidence‐based regional guidelines can improve outcomes for children using HIMV and their caregivers. This review seeks to synthesize literature, provide expert guidance based on experience, and highlight components to safely discharge children using HIMV. It further assesses disparities and divergences within regional and international healthcare systems while addressing relevant ethical considerations.

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