Improving Time to Goals of Care Discussions in Invasively Ventilated Preterm Infants.

ABSTRACT:

Background and objectives

The challenge of identifying preterm infants with bronchopulmonary dysplasia (BPD) that need tracheostomy placement may delay goals of care (GOC) discussions. By identifying infants with a low probability of ventilation liberation, timely GOC discussions may reduce the time to tracheostomy. Our SMART aim was to reduce the postmenstrual age (PMA) of GOC discussions by 20% in infants with BPD and prolonged invasive ventilatory requirement by October 2020.

Methods

Our group conducted a quality improvement initiative at the University of Alabama at Birmingham. Infants were included if born at <32 weeks' gestation and exposed to invasive ventilation for ≥2 weeks beyond 36 weeks' PMA. Interventions included (1) consensus of BPD infants at risk for tracheo

SUBMITTER: Gentle SJ 

PROVIDER: S-EPMC11524032 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature