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Pediatric Protocols Kid-Sizing Your Protocols Pediatric ventilator patients aren't just little adults -- they need protocols of their very own When it's a child lying in the bed, mechanical ventilation
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In the 1990s, pediatric teams were still using “skin color codes” -- white for children up to 12 weeks old, and black for children up to 36 weeks -- to tell whether an adult or pediatric patient needed a more powerful ventilator. In the early 2000s, the American Society for Mechanical Ventilation said that a patient's size “may become an important factor” in determining gentile- nation settings. The idea that a child is physically small in relation to other potential ventilator patients is counterintuitive. “But when you look at it, some infants have a higher level of oxygen saturation when intubated, and infants usually have less risk of sudden death when they are intubated,” says Christopher D. Sager, MD, a pediatric cardiac surgeon at the Children's Hospital of Philadelphia and chief of pediatric cardiology at Temple University in Philadelphia. “So I think the size factor has more to do with age than with volume.” Guidelines from the Society of Thoracic Surgeons, the United Network for Organ Sharing, and the American College of Emergency Physicians recommend that pediatric patients with a ventilator should be as close to their adult size as possible to reduce the possibility of their ventilator failing during cardiac arrest. Although there is no consensus on what the ideal size should be, many pediatric practices make the assumption that larger is better. “I have a child in my practice who is 18 months old and weighs 120 pounds,” Sager says. “We'll let her go until she's 12 or 13 months, and she can still give us four times as much oxygen as any other person.” Sager says he used to tell patients that they could go home with more ventilator time if they had a larger pelvis, though the child's size made this unrealistic. Now, “I say, 'If you feel comfortable, go home with more oxygen' rather than 'If you have a very, very large chest cavity, you will need more per- ends.'” While the medical profession acknowledges this trend, few adult heart attack victims are routinely brought to one of the top pediatric trauma centers. In fact, pediatric teams that routinely transport adult patients are not typically in the market to transport pediatric patients.

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Kid-sizing your protocols refers to the act of adapting or tailoring protocols or guidelines to make them suitable or appropriate for children or young individuals.
The responsible parties or organizations that are developing or implementing protocols for the benefit and safety of children or young individuals are required to file kid-sizing your protocols.
To fill out kid-sizing your protocols, you need to thoroughly assess the existing protocols and make the necessary adjustments or modifications to ensure they consider the specific needs and requirements of children or young individuals. This may involve revising language, simplifying instructions, or implementing additional safety measures.
The purpose of kid-sizing your protocols is to enhance the effectiveness, safety, and accessibility of protocols or guidelines for children or young individuals. By customizing protocols to their specific needs, it aims to improve their understanding, engagement, and overall experience.
The information that must be reported on kid-sizing your protocols typically includes the specific modifications or adaptations made to the original protocols, the rationale behind these changes, and any relevant research or evidence supporting the adjustments.
The deadline to file kid-sizing your protocols in 2023 may vary depending on the specific jurisdiction or organization. It is important to consult the relevant guidelines, regulations, or authorities to determine the exact deadline.
The penalty for the late filing of kid-sizing your protocols can also vary depending on the applicable rules and regulations. Common penalties may include fines, additional compliance requirements, or limitations on certain privileges or benefits. It is advisable to consult the relevant authorities or legal experts for accurate information regarding penalties.
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