Using Video Recording to Identify Management Errors in Pediatric Trauma Resuscitation

Oakley, Ed; Stocker, Sergio; Staubli, Georg; Young, Simon

doi:10.1542/peds.2004-1803

Cited by 119 publications

(109 citation statements)

References 12 publications

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“…1,22,23 While others have gathered information from overhead viewing, our study is the first to use recordings from video laryngoscopic attempts to assess performance metrics related to intubation. We believe this approach adds a level of precision around the timing and details related to hypopharyngeal anatomy that is not available Data are reported as n (%), unless otherwise specified.…”

Section: Right-sided N=41mentioning

confidence: 99%

Using Video‐recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children

Green-Hopkins

Werner

Monuteaux

et al. 2015

Academic Emergency Medicine

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Objectives: Using recordings of endotracheal intubation attempts obtained with a video-enabled laryngoscope with Miller and Macintosh blades, the authors sought to evaluate the association between laryngoscopic approach (right-sided vs. midline) and intubation success, as well as adverse event rates in the pediatric emergency department (ED).Methods: This was a retrospective cohort study of children younger than 21 years who underwent endotracheal intubation with a C-MAC video laryngoscope in a tertiary care ED between August 2009 and May 2013. The primary outcome was successful endotracheal intubation on the first attempt. The secondary outcomes included time to intubation, video-recorded adverse events (oropharyngeal mucosal injury and aspiration), and physiologic adverse events. Multivariate regression models were used to determine the relationship between laryngoscope blade position and outcome measures adjusted for patient and provider factors.Results: The cohort consisted of complete video recordings for 105 of 143 (73%) patient encounters with intubations. The first-pass success rate did not significantly differ based on laryngoscopic approach (adjusted odds ratio [aOR] = 0.76, 95% confidence interval [CI] = 0.29 to 2.0). Among patients successfully intubated on the first attempt, the median time to intubation was longer for the right-sided approach compared to the midline approach (42 seconds vs. 31.5 seconds; p < 0.05). The odds of mucosal injury and aspiration were higher among patients intubated using a right-sided approach compared to a midline approach (aOR = 4.1, 95% CI = 1.2 to 14.5; aOR = 7.7, 95% CI = 1.5 to 39.5, respectively). Rates of physiologic adverse events did not differ based on approach.Conclusions: First-pass success rate did not differ based upon laryngoscopic approach type; however, a right-sided approach was associated with a longer time to intubation, as well as higher rates of mucosal injury and aspiration among patients undergoing video-enabled intubation in a pediatric ED.

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Section: Right-sided N=41mentioning

confidence: 99%

Using Video‐recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children

Green-Hopkins

Werner

Monuteaux

et al. 2015

Academic Emergency Medicine

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“…This group also noted that the absolute number of management errors was high in their trial because of the nature of video review and its superiority to clinician memory. 6 We have continued to use actual video recordings of human resuscitations in our institutionFit is now a biweekly quality improvement activity in our hospitalFand this process continues to highlight for us many areas of potential improvement. The current review focuses on our observations and practices as they relate to the resuscitation of preterm infants.…”

Section: Introductionmentioning

confidence: 99%

Neonatal resuscitation for the preterm infant: evidence versus practice

Finer

Rich

2010

J Perinatol

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In an effort to determine the actual conduct of neonatal resuscitation and the errors that may be occurring during this process, we developed a method of video recording neonatal resuscitations as an ongoing quality assurance project. We initiated video recordings of resuscitations using simple video recorders attached to an overhead warmer and reviewed the resultant tapes during biweekly quality improvement meetings. We also added the continuous recording of analog information such as heart rate, oximeter values, fraction of inspired oxygen and airway pressure. We subsequently developed a checklist that includes a preresuscitation briefing and a postresuscitation debriefing, all of which are reviewed at the same time as the video recording. We have examined the use of oxygen in the very preterm infant, the effectiveness of bag and mask ventilation, including the detection of airway obstruction during such ventilation, intubation in the delivery area and environment. In addition, we have trained our teams and leaders using Crew Resource Management and focused on improved communication. The availability of a dedicated room for resuscitation allows an increased ambient environment and the ability to provide a userfriendly setting similar to the neonatal intensive care unit to optimize performance. There are numerous opportunities for improving team and leader performance and outcomes following neonatal resuscitation. Further prospective studies are required to evaluate specific interventions.

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“…37 It is also more effective than medical record review in perceiving management errors and measuring adherence with the ATLS. 38 Nevertheless, further studies need to be conducted in order to identify the obstacles and improve the quality of trauma care, and further studies suggesting evidence based solutions should be conducted to optimize the available evidence it trauma care.…”

Section: Resultsmentioning

confidence: 99%

Difficulties in resuscitating adult skeletal injury and trauma: a systemic review

2017

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Background: Trauma resuscitations are complicated, high-risk, and time-sensitive actions that need the coordination of different specialists arriving from multiple areas in the hospital. This systematic review aimed to understand the main key challenges of trauma resuscitations using a broad search in various database.Methods: A systematic review of published articles between the years 2000 and 2016 was conducted using different electronic databases such as PubMed, Medline and Embase to identify studies evaluating trauma resuscitations challenges. Different keywords were used in this study to recognize relevant articles. The titles of all articles were scanned in the first stage. Irrelevant articles were omitted and the abstracts of the rest articles were reviewed in the second stage. Finally, the full text of all articles which met the inclusion and exclusion criteria were reviewed and a data extraction sheet was made to summarize all the articles. Data were analyzed descriptively.Results: Twenty studies were reviewed including; RCT (3 studies), QRCT (5 studies), and descriptive study (12 studies). The results showed that there are four main trauma resuscitation challenges including pre-hospital challenges, error-related challenges, equipment and technical challenges, and finally general challenges.Conclusions: Trauma resuscitation is one of the most critical aspects of emergency care. It is necessary to promote resuscitation care and focus on patient outcomes in terms of mortality and more importantly, functional outcomes. Considering these main factors affecting trauma resuscitation will improve patients’ outcomes and help those who are engaged in providing services.

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Using Video Recording to Identify Management Errors in Pediatric Trauma Resuscitation

Cited by 119 publications

References 12 publications

Using Video‐recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children

Using Video‐recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children

Neonatal resuscitation for the preterm infant: evidence versus practice

Difficulties in resuscitating adult skeletal injury and trauma: a systemic review

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