Standardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru

Introduction Acute lower respiratory tract infections are the top cause of nonneonatal mortality in children under 5 years of age. Since many resource-limited settings lack basic pediatric respiratory support modalities, introducing respiratory technology in these settings may improve survival. Unfo...

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Autores principales:	Laura E. Ellington, Rosario Becerra Velásquez, José Tantaleán da Fieno, Gabriela Mallma Arrescurrenaga, Katie R. Nielsen
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	High Flow Nasal Cannula Extubation Pediatric Critical Care Spanish Global Health Resource-Limited Settings Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/ddbf1a9b9c864987ac81f474b84f1094
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spelling	oai:doaj.org-article:ddbf1a9b9c864987ac81f474b84f10942021-11-19T14:09:57ZStandardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru10.15766/mep_2374-8265.109372374-8265https://doaj.org/article/ddbf1a9b9c864987ac81f474b84f10942020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10937https://doaj.org/toc/2374-8265Introduction Acute lower respiratory tract infections are the top cause of nonneonatal mortality in children under 5 years of age. Since many resource-limited settings lack basic pediatric respiratory support modalities, introducing respiratory technology in these settings may improve survival. Unfortunately, data suggest that many interventions in these settings are not sustainable and that after several months, local staff are no longer comfortable using newly implemented technology. Methods We aimed to create training modules for implementation of a standardized extubation process and high flow nasal cannula for physician and nurse providers at a tertiary care center in Lima, Peru. This training curriculum combined a didactic lecture with hands-on practicum and clinical case discussion over multiple sessions spanning a year. We created all materials in English and translated to Spanish for use. Participants completed evaluations after the training program to determine whether objectives were met. This training was intended for critical care providers but could be modified for other audiences. Results A total of 76 providers (12 attending/fellow critical care physicians, 40 bedside nurses, eight pediatric residents, and 14 medical technicians) participated in this multiday training. Almost all (75, 99%) participants felt the objectives were clearly stated, and 70 (92%) felt objectives were met. Discussion We have provided materials to help instructors set up and implement a standardized training curriculum with recommended timing and improvements based on feedback. The tools provided allow for adaptation depending on the instructors’ primary objectives, language of audience (English or Spanish), and learners’ level of training.Laura E. EllingtonRosario Becerra VelásquezJosé Tantaleán da FienoGabriela Mallma ArrescurrenagaKatie R. NielsenAssociation of American Medical CollegesarticleHigh Flow Nasal CannulaExtubationPediatric Critical CareSpanishGlobal HealthResource-Limited SettingsMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	High Flow Nasal Cannula Extubation Pediatric Critical Care Spanish Global Health Resource-Limited Settings Medicine (General) R5-920 Education L
spellingShingle	High Flow Nasal Cannula Extubation Pediatric Critical Care Spanish Global Health Resource-Limited Settings Medicine (General) R5-920 Education L Laura E. Ellington Rosario Becerra Velásquez José Tantaleán da Fieno Gabriela Mallma Arrescurrenaga Katie R. Nielsen Standardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru
description	Introduction Acute lower respiratory tract infections are the top cause of nonneonatal mortality in children under 5 years of age. Since many resource-limited settings lack basic pediatric respiratory support modalities, introducing respiratory technology in these settings may improve survival. Unfortunately, data suggest that many interventions in these settings are not sustainable and that after several months, local staff are no longer comfortable using newly implemented technology. Methods We aimed to create training modules for implementation of a standardized extubation process and high flow nasal cannula for physician and nurse providers at a tertiary care center in Lima, Peru. This training curriculum combined a didactic lecture with hands-on practicum and clinical case discussion over multiple sessions spanning a year. We created all materials in English and translated to Spanish for use. Participants completed evaluations after the training program to determine whether objectives were met. This training was intended for critical care providers but could be modified for other audiences. Results A total of 76 providers (12 attending/fellow critical care physicians, 40 bedside nurses, eight pediatric residents, and 14 medical technicians) participated in this multiday training. Almost all (75, 99%) participants felt the objectives were clearly stated, and 70 (92%) felt objectives were met. Discussion We have provided materials to help instructors set up and implement a standardized training curriculum with recommended timing and improvements based on feedback. The tools provided allow for adaptation depending on the instructors’ primary objectives, language of audience (English or Spanish), and learners’ level of training.
format	article
author	Laura E. Ellington Rosario Becerra Velásquez José Tantaleán da Fieno Gabriela Mallma Arrescurrenaga Katie R. Nielsen
author_facet	Laura E. Ellington Rosario Becerra Velásquez José Tantaleán da Fieno Gabriela Mallma Arrescurrenaga Katie R. Nielsen
author_sort	Laura E. Ellington
title	Standardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru
title_short	Standardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru
title_full	Standardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru
title_fullStr	Standardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru
title_full_unstemmed	Standardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru
title_sort	standardized extubation and high flow nasal cannula training program for pediatric critical care providers in lima, peru
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/ddbf1a9b9c864987ac81f474b84f1094
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Standardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru

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