An official American thoracic society clinical practice guideline

Pediatric chronic home invasive ventilation

Laura M. Sterni, Joseph M. Collaco, Christopher D. Baker, John L. Carroll, Girish D. Sharma, Jan L. Brozek, Jonathan Finder, Veda L. Ackerman, Raanan Arens, Deborah S. Boroughs, Jodi Carter, Karen L. Daigle, Joan Dougherty, David Gozal, Katharine Kevill, Richard M. Kravitz, Tony Kriseman, Ian MacLusky, Katherine Rivera-Spoljaric, Alvaro J. Tori & 2 others Thomas Ferkol, Ann C. Halbower

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Children with chronic invasive ventilator dependence living at home are a diverse group of children with special health care needs. Medical oversight, equipment management, and community resources vary widely. There are no clinical practice guidelines available to health care professionals for the safe hospital discharge and home management of these complex children. Purpose: To develop evidence-based clinical practice guidelines for the hospital discharge and home/community management of children requiring chronic invasive ventilation. Methods: The Pediatric Assembly of the American Thoracic Society assembled an interdisciplinary workgroup with expertise in the care of children requiring chronic invasive ventilation. The experts developed four questionsof clinical importance andusedan evidence-based strategy to identify relevant medical evidence. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology was used to formulate and grade recommendations. Results: Clinical practice recommendations for the management of children with chronic ventilator dependence at home are provided, and the evidence supporting each recommendation is discussed. Conclusions: Collaborative generalist and subspecialist comanagement is the Medical Home model most likely to be successful for the care of children requiring chronic invasive ventilation. Standardized hospital discharge criteria are suggested. An awake, trained caregiver should be present at all times, and at least two family caregivers should be trained specifically for the child's care. Standardized equipment for monitoring, emergency preparedness, and airway clearance are outlined. The recommendations presented are based on the current evidence and expert opinion and will require an update as new evidence and/or technologies become available.

Original languageEnglish (US)
Pages (from-to)e16-e35
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume193
Issue number8
DOIs
StatePublished - Apr 15 2016

Fingerprint

Practice Guidelines
Ventilation
Thorax
Pediatrics
Child Care
Mechanical Ventilators
Caregivers
Civil Defense
Delivery of Health Care
Equipment and Supplies
Patient-Centered Care
Evidence-Based Practice
Practice Management
Expert Testimony
Technology

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Sterni, L. M., Collaco, J. M., Baker, C. D., Carroll, J. L., Sharma, G. D., Brozek, J. L., ... Halbower, A. C. (2016). An official American thoracic society clinical practice guideline: Pediatric chronic home invasive ventilation. American Journal of Respiratory and Critical Care Medicine, 193(8), e16-e35. https://doi.org/10.1164/rccm.201602-0276ST

An official American thoracic society clinical practice guideline : Pediatric chronic home invasive ventilation. / Sterni, Laura M.; Collaco, Joseph M.; Baker, Christopher D.; Carroll, John L.; Sharma, Girish D.; Brozek, Jan L.; Finder, Jonathan; Ackerman, Veda L.; Arens, Raanan; Boroughs, Deborah S.; Carter, Jodi; Daigle, Karen L.; Dougherty, Joan; Gozal, David; Kevill, Katharine; Kravitz, Richard M.; Kriseman, Tony; MacLusky, Ian; Rivera-Spoljaric, Katherine; Tori, Alvaro J.; Ferkol, Thomas; Halbower, Ann C.

In: American Journal of Respiratory and Critical Care Medicine, Vol. 193, No. 8, 15.04.2016, p. e16-e35.

Research output: Contribution to journalArticle

Sterni, LM, Collaco, JM, Baker, CD, Carroll, JL, Sharma, GD, Brozek, JL, Finder, J, Ackerman, VL, Arens, R, Boroughs, DS, Carter, J, Daigle, KL, Dougherty, J, Gozal, D, Kevill, K, Kravitz, RM, Kriseman, T, MacLusky, I, Rivera-Spoljaric, K, Tori, AJ, Ferkol, T & Halbower, AC 2016, 'An official American thoracic society clinical practice guideline: Pediatric chronic home invasive ventilation', American Journal of Respiratory and Critical Care Medicine, vol. 193, no. 8, pp. e16-e35. https://doi.org/10.1164/rccm.201602-0276ST
Sterni, Laura M. ; Collaco, Joseph M. ; Baker, Christopher D. ; Carroll, John L. ; Sharma, Girish D. ; Brozek, Jan L. ; Finder, Jonathan ; Ackerman, Veda L. ; Arens, Raanan ; Boroughs, Deborah S. ; Carter, Jodi ; Daigle, Karen L. ; Dougherty, Joan ; Gozal, David ; Kevill, Katharine ; Kravitz, Richard M. ; Kriseman, Tony ; MacLusky, Ian ; Rivera-Spoljaric, Katherine ; Tori, Alvaro J. ; Ferkol, Thomas ; Halbower, Ann C. / An official American thoracic society clinical practice guideline : Pediatric chronic home invasive ventilation. In: American Journal of Respiratory and Critical Care Medicine. 2016 ; Vol. 193, No. 8. pp. e16-e35.
@article{566652c4effe46b7981d288bf9227105,
title = "An official American thoracic society clinical practice guideline: Pediatric chronic home invasive ventilation",
abstract = "Background: Children with chronic invasive ventilator dependence living at home are a diverse group of children with special health care needs. Medical oversight, equipment management, and community resources vary widely. There are no clinical practice guidelines available to health care professionals for the safe hospital discharge and home management of these complex children. Purpose: To develop evidence-based clinical practice guidelines for the hospital discharge and home/community management of children requiring chronic invasive ventilation. Methods: The Pediatric Assembly of the American Thoracic Society assembled an interdisciplinary workgroup with expertise in the care of children requiring chronic invasive ventilation. The experts developed four questionsof clinical importance andusedan evidence-based strategy to identify relevant medical evidence. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology was used to formulate and grade recommendations. Results: Clinical practice recommendations for the management of children with chronic ventilator dependence at home are provided, and the evidence supporting each recommendation is discussed. Conclusions: Collaborative generalist and subspecialist comanagement is the Medical Home model most likely to be successful for the care of children requiring chronic invasive ventilation. Standardized hospital discharge criteria are suggested. An awake, trained caregiver should be present at all times, and at least two family caregivers should be trained specifically for the child's care. Standardized equipment for monitoring, emergency preparedness, and airway clearance are outlined. The recommendations presented are based on the current evidence and expert opinion and will require an update as new evidence and/or technologies become available.",
author = "Sterni, {Laura M.} and Collaco, {Joseph M.} and Baker, {Christopher D.} and Carroll, {John L.} and Sharma, {Girish D.} and Brozek, {Jan L.} and Jonathan Finder and Ackerman, {Veda L.} and Raanan Arens and Boroughs, {Deborah S.} and Jodi Carter and Daigle, {Karen L.} and Joan Dougherty and David Gozal and Katharine Kevill and Kravitz, {Richard M.} and Tony Kriseman and Ian MacLusky and Katherine Rivera-Spoljaric and Tori, {Alvaro J.} and Thomas Ferkol and Halbower, {Ann C.}",
year = "2016",
month = "4",
day = "15",
doi = "10.1164/rccm.201602-0276ST",
language = "English (US)",
volume = "193",
pages = "e16--e35",
journal = "American Journal of Respiratory and Critical Care Medicine",
issn = "1073-449X",
publisher = "American Thoracic Society",
number = "8",

}

TY - JOUR

T1 - An official American thoracic society clinical practice guideline

T2 - Pediatric chronic home invasive ventilation

AU - Sterni, Laura M.

AU - Collaco, Joseph M.

AU - Baker, Christopher D.

AU - Carroll, John L.

AU - Sharma, Girish D.

AU - Brozek, Jan L.

AU - Finder, Jonathan

AU - Ackerman, Veda L.

AU - Arens, Raanan

AU - Boroughs, Deborah S.

AU - Carter, Jodi

AU - Daigle, Karen L.

AU - Dougherty, Joan

AU - Gozal, David

AU - Kevill, Katharine

AU - Kravitz, Richard M.

AU - Kriseman, Tony

AU - MacLusky, Ian

AU - Rivera-Spoljaric, Katherine

AU - Tori, Alvaro J.

AU - Ferkol, Thomas

AU - Halbower, Ann C.

PY - 2016/4/15

Y1 - 2016/4/15

N2 - Background: Children with chronic invasive ventilator dependence living at home are a diverse group of children with special health care needs. Medical oversight, equipment management, and community resources vary widely. There are no clinical practice guidelines available to health care professionals for the safe hospital discharge and home management of these complex children. Purpose: To develop evidence-based clinical practice guidelines for the hospital discharge and home/community management of children requiring chronic invasive ventilation. Methods: The Pediatric Assembly of the American Thoracic Society assembled an interdisciplinary workgroup with expertise in the care of children requiring chronic invasive ventilation. The experts developed four questionsof clinical importance andusedan evidence-based strategy to identify relevant medical evidence. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology was used to formulate and grade recommendations. Results: Clinical practice recommendations for the management of children with chronic ventilator dependence at home are provided, and the evidence supporting each recommendation is discussed. Conclusions: Collaborative generalist and subspecialist comanagement is the Medical Home model most likely to be successful for the care of children requiring chronic invasive ventilation. Standardized hospital discharge criteria are suggested. An awake, trained caregiver should be present at all times, and at least two family caregivers should be trained specifically for the child's care. Standardized equipment for monitoring, emergency preparedness, and airway clearance are outlined. The recommendations presented are based on the current evidence and expert opinion and will require an update as new evidence and/or technologies become available.

AB - Background: Children with chronic invasive ventilator dependence living at home are a diverse group of children with special health care needs. Medical oversight, equipment management, and community resources vary widely. There are no clinical practice guidelines available to health care professionals for the safe hospital discharge and home management of these complex children. Purpose: To develop evidence-based clinical practice guidelines for the hospital discharge and home/community management of children requiring chronic invasive ventilation. Methods: The Pediatric Assembly of the American Thoracic Society assembled an interdisciplinary workgroup with expertise in the care of children requiring chronic invasive ventilation. The experts developed four questionsof clinical importance andusedan evidence-based strategy to identify relevant medical evidence. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology was used to formulate and grade recommendations. Results: Clinical practice recommendations for the management of children with chronic ventilator dependence at home are provided, and the evidence supporting each recommendation is discussed. Conclusions: Collaborative generalist and subspecialist comanagement is the Medical Home model most likely to be successful for the care of children requiring chronic invasive ventilation. Standardized hospital discharge criteria are suggested. An awake, trained caregiver should be present at all times, and at least two family caregivers should be trained specifically for the child's care. Standardized equipment for monitoring, emergency preparedness, and airway clearance are outlined. The recommendations presented are based on the current evidence and expert opinion and will require an update as new evidence and/or technologies become available.

UR - http://www.scopus.com/inward/record.url?scp=84984846308&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84984846308&partnerID=8YFLogxK

U2 - 10.1164/rccm.201602-0276ST

DO - 10.1164/rccm.201602-0276ST

M3 - Article

VL - 193

SP - e16-e35

JO - American Journal of Respiratory and Critical Care Medicine

JF - American Journal of Respiratory and Critical Care Medicine

SN - 1073-449X

IS - 8

ER -