Author : Sadiq mirza
Keyword : Pediatric critical care fellow, invasive critical procedure, picu, endotracheal intubation, ultrasound-guided central venous catheter insertion.
Subject : Medical
Article Type : Short communication
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Abstract : ABSTRACT: OBJECTIVE: The objective of this study is to describe the frequency of invasive critical procedures (ICPs) performed by pediatric critical care medicine (PCCM) fellows during their training period. DESIGN: Retrospective study. SETTING: Multidisciplinary, closed 6-bed pediatric intensive care unit (PICU) staffed by four pediatric critical care physicians. MATERIAL AND METHODS: We reviewed the electronic medical record and logbook of each fellows from January 2018 to December 2019. Two most commonly performed Invasive Critical Procedures (ICPs) included in this study were Endotracheal intubation and US-Guided Central Venous Catheter (USG-CVC) insertion. Demographic data and details of ICPs performed were collected on structured data collection sheet. Primary outcome was the frequency of ICPs performed by clinical fellows during the training period and their success rate. RESULTS: Of total 1080, 352 Invasive Critical Procedures (ICPs) were performed on 560 (51.8%) patients by four PCCM fellows during two years period. Only two most commonly performed procedures i.e. ET-intubation and UG-CVC insertion were included in this study. These ICPs comprised of Endotracheal tube placement (52.85%, n=186) and Ultrasound Guided Central Venous Line insertion (47.15%, n=166). 64.4% of patients was under five-years, 56% were male and 72% were admitted with cardio-respiratory failure. The frequency of endotracheal intubation3 was 23 / fellow / year and USG-CVC insertion was 21 / fellow / year and the success rate was >90%. CONCLUSION: Our clinical fellows performed adequate numbers of endotracheal intubation and USG-CVC insertion to achieve competency of procedural skills during their training period. KEY WORDS: Pediatric Critical Care Fellow, Invasive Critical Procedure, PICU, Endotracheal intubation, Ultrasound-Guided central venous catheter insertion.
Article by : Sadiq Mirza
Article add date : 2020-07-26
How to cite : Sadiq mirza. (2020-July-26). Spectrum of invasive critical procedures performed by clinical fellows in pediatric intensive care (picu) of a developing country. retrieved from https://www.openacessjournal.com/abstract/53