Organization Characteristics in Europe

 

% of mechanically ventilated children

% of mechanically ventilated >48 h
 
Total

N-PICUs

PICUs

Total

N-PICUs

PICUs

Mean

47

48

45

30

30

28

Median

43

46

41

26

26

28

1st quartile

37

34

40

24

25

19

3rd quartile

61

64

54

37

38

36

Maximum

80

80

68

44

44

42

Minimum

20

20

21

13

14

13


N–PICUs neonatal and pediatric intensive care units, PICUs pediatric intensive care units




Table 71.2
Caregiver coverage



































 
Yes

n (%)
No

n (%)

Is a pediatric intensivist in-house 24 h a day?
9 (45 %)
11 (55 %)

Is a fellow in-house 24 h a day?
14 (70 %)
6 (30 %)

Is at least one respiratory therapist available in the unit?
2 (10 %)
18 (90 %)

If yes, is he (she) present 24 h a day?
0 %
2 (100 %)

Is a physiotherapist available?
18 (90 %)
2 (10 %)

If yes, is he (she) available 24 h a day (on call or in-house)?
5 (28 %)
13 (72 %)



Table 71.3
Caregiver(s) who intubate(s) the children in the PICU



























 
n (%)

Pediatric intensivist
20 (100 %)

Fellow in pediatric intensive care
18 (90 %)

Resident in the unit
14 (70 %)

Anesthesiologist present in the hospital
10 (50 %)

Trained nurse
1 (5 %)

Respiratory therapist
NA


NA not applicable



Table 71.4
Involvement of caregivers in mechanical ventilation during acute illness



















































 
Prescription of ventilation (%)
Settings modification on the ventilator (%)
Ventilation monitoring (%)
Ventilation weaning (%)

Medical doctor
100
100
90
100

Nurse
0
45
95
40

Respiratory therapist
0a

0a

0a

0a

Physiotherapist
0
0
10
15

Parents
0
0
0
0

Others
0
0
5
0


a2 N-PICUs and PICUs have a respiratory therapist



Table 71.5
Utilization of protocols






























 
Yes

n (%)
No

n (%)

Is it frequent to use a protocol that allows caregivers to change ventilation settings in the absence of prescription (delegation of treatment)?
5 (25 %)
15 (75 %)

If yes, which kind of protocol is it (select all applicable)?
n (%)

 ARDS protocol
2 (40 %)

 Weaning protocol
4 (80 %)

 Sedation protocol
3 (60 %)

 Other protocol (Specify)
0 %


A nurse cares for 2 children in 12 (60 %) units, for 1 in 5 (25 %) units, for 3 in 2 (10 %) units, and for four or more in 1 (5 %) unit.



71.1.2 Equipment and Monitoring (Tables 71.6 and 71.7)





Table 71.6
Respiratory support equipment



























































































Country (number of responses)
How many PICUs in your country?

n/million of inhabitantsa

How many beds in a standard PICU?
How many ventilators with conventional modes in such a PICU?

n/bed
How many ventilators with high-frequency oscillatory ventilation in such a PICU?

n/unit
How many ventilators dedicated to noninvasive MV in such a PICU?

n/unit

Belgium (2)
0,8
6–14
0.5–1
1–4
1–10

Denmark (1)
4,9
8–15
1
0–2
1–4

Finland (1)
0,76
5–10
1
2–5
2–7

France (2)
0,68
2–20
1
1–6
0–3

Germany (1)
0,48
8–12
1
1–3
2–6

Ireland (1)
0,47
9–15
1
2–4
1–5

Italy (1)
0,25
5–8
1
1
1–2

Spain (3)
1,25
5–15
1
0–2
1–4

Sweden (1)
1,5
6–12
1
1–2
0–8

Switzerland (1)
0,77
6–18
0.5–1
1–6
0–4

The Netherlands (1)
0,5

Only gold members can continue reading. Log In or Register to continue

Related posts:

  1. Development of the Respiratory System (Including the Preterm Infant)
  2. Monitoring Interactions Between Spontaneous Respiration and Mechanical Inflations
  3. Airway Humidification
  4. Long-Term Outcomes After Mechanical Ventilation in Neonates

Stay updated, free articles. Join our Telegram channel
Tags:
Sep 26, 2016 | Posted by in PEDIATRICS | Comments Off on Organization Characteristics in Europe

Full access? Get Clinical Tree

 Get Clinical Tree app for offline access