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OPENPediatrics

Video Laryngoscopy to Improve Intubation Success in Pediatrics by A. Nishisaki | OPENPediatrics

Sep 20, 2023
Dr. Akira Nishisaki, an Attending Physician in Pediatric Critical Care at Children's Hospital of Philadelphia, delves into his groundbreaking work on pediatric airway management. He unveils the NEAR4KIDS project and its mission to enhance intubation safety through video laryngoscopy-assisted coaching. The conversation highlights significant reductions in adverse events, especially benefiting less experienced practitioners. Nishisaki additionally discusses the project's evolution from adult practices, collaborative strategies, and the broader implications for improving pediatric care.
25:17

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Quick takeaways

  • The NEAR4KIDS project significantly reduces adverse tracheal intubation events in pediatrics through video laryngoscopy-assisted coaching in critical care settings.
  • Future initiatives aim to enhance pediatric airway management by developing digital checklists and promoting inclusive training for clinicians worldwide.

Deep dives

Overview of NEAR for Kids

The NEAR for Kids initiative was established to improve the safety and success rates of airway management in pediatric intensive care units (PICUs) by collecting data on intubation practices. This project originated from the National Emergency Airway Registry and began at the Children’s Hospital of Philadelphia, evolving over the years to involve more than 40 ICUs and 17 emergency department sites. It aims to eliminate preventable harm from critical airway management, showcasing substantial growth and extensive collaboration among healthcare professionals. Research outputs from NEAR for Kids include nearly 40 published manuscripts, which reflect its commitment to enhancing pediatric airway management practices.

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