RecruitingNot ApplicableNCT05909566

Respiratory Support and Treatment for Efficient and Cost-Effective Care


Sponsor

Christopher Horvat

Enrollment

198 participants

Start Date

Oct 25, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This project aims to answer the essential questions about the management of acute, pediatric respiratory illness, accelerate recovery from these all-too-common diseases, curb unnecessary costs of care, and demonstrate UPMC Children's Hospital of Pittsburgh's capabilities as the premier, world-class leader in the arena of pediatric learning healthcare systems. REST EEC will focus on the question of whether clinical decision support (CDS) facilitates the standardization of the initiation and weaning of heated high flow nasal cannula (HHFNC) for bronchiolitis.REST EEC will focus on whether the application of CDS improves adherence to a standardized guideline and leads to improved patient-centered outcomes.


Eligibility

Max Age: 2 Years

Inclusion Criteria1

  • \<2 years of age Bronchiolitis WOB Score \>2

Exclusion Criteria4

  • Immunocompromised
  • Immunosuppressed
  • Chronic lung disease
  • Congenital heart disease with baseline cardiorespiratory manifestations

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Interventions

OTHERClinical Decision Support (CDS)

Education to front line clinicians and staff on standardized implementation and weaning of HHFNC and standardized assessments of patient work of breathing. HHFNC implementation and weaning strategies will be based on age-specific practices recommended by the American Academy of Pediatrics. Education will be undertaken by dedicated clinical educators.

DEVICEHHFNC Weaning

Wean patient off oxygen and flow as oxygenation and work of breathing improves.


Locations(1)

UPMC Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania, United States

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NCT05909566


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