Spectrum of invasive critical procedures performed by clinical fellows in the pediatric intensive care unit of a developing country
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: This was a retrospective study. Setting: This was a multidisciplinary, closed 6-bed pediatric...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Pediatric Critical Care |
| Subjects: | |
| Online Access: | http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2020;volume=7;issue=6;spage=327;epage=330;aulast=Qurat-ul-Ain |
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| author | Bibi Qurat-ul-Ain Sadiq Mirza Anwarul Haque Murtaza Gova Majid Shahani Shahzad Munir Faiza Rehman Abdul Rahim Ahmad |
| author_facet | Bibi Qurat-ul-Ain Sadiq Mirza Anwarul Haque Murtaza Gova Majid Shahani Shahzad Munir Faiza Rehman Abdul Rahim Ahmad |
| author_sort | Bibi Qurat-ul-Ain |
| collection | DOAJ |
| description | 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: This was a retrospective study.
Setting: This was a multidisciplinary, closed 6-bed pediatric intensive care unit (PICU) staffed by four pediatric critical care physicians.
Methods: We reviewed the electronic medical record and logbook of each fellow from January 2018 to December 2019. Two most commonly performed ICPs included in this study were endotracheal intubation and ultrasound-guided central venous catheter (USG-CVC) insertion. Demographic data and details of ICPs performed were collected on a structured data collection sheet. The primary outcome was the frequency of ICPs performed by clinical fellows during the training period and their success rate.
Results: Of the total 1080, 352 ICPs were performed on 560 (51.8%) patients by four PCCM fellows during the 2-year 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 USG central venous line insertion (47.15%, n = 166). About 64.4% of patients were under 5 years, 56% were male, and 72% were admitted with cardiorespiratory failure. The frequency of endotracheal intubation 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. |
| first_indexed | 2024-12-17T22:29:27Z |
| format | Article |
| id | doaj.art-0aa1b4d79a444f40a6325138dddcabf2 |
| institution | Directory Open Access Journal |
| issn | 2349-6592 2455-7099 |
| language | English |
| last_indexed | 2024-12-17T22:29:27Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pediatric Critical Care |
| spelling | doaj.art-0aa1b4d79a444f40a6325138dddcabf22022-12-21T21:30:14ZengWolters Kluwer Medknow PublicationsJournal of Pediatric Critical Care2349-65922455-70992020-01-017632733010.4103/JPCC.JPCC_118_20Spectrum of invasive critical procedures performed by clinical fellows in the pediatric intensive care unit of a developing countryBibi Qurat-ul-AinSadiq MirzaAnwarul HaqueMurtaza GovaMajid ShahaniShahzad MunirFaiza RehmanAbdul Rahim AhmadObjective: 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: This was a retrospective study. Setting: This was a multidisciplinary, closed 6-bed pediatric intensive care unit (PICU) staffed by four pediatric critical care physicians. Methods: We reviewed the electronic medical record and logbook of each fellow from January 2018 to December 2019. Two most commonly performed ICPs included in this study were endotracheal intubation and ultrasound-guided central venous catheter (USG-CVC) insertion. Demographic data and details of ICPs performed were collected on a structured data collection sheet. The primary outcome was the frequency of ICPs performed by clinical fellows during the training period and their success rate. Results: Of the total 1080, 352 ICPs were performed on 560 (51.8%) patients by four PCCM fellows during the 2-year 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 USG central venous line insertion (47.15%, n = 166). About 64.4% of patients were under 5 years, 56% were male, and 72% were admitted with cardiorespiratory failure. The frequency of endotracheal intubation 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.http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2020;volume=7;issue=6;spage=327;epage=330;aulast=Qurat-ul-Ainendotracheal intubationinvasive critical procedurepediatric critical care fellowpediatric intensive care unitultrasound-guided central venous catheter insertion |
| spellingShingle | Bibi Qurat-ul-Ain Sadiq Mirza Anwarul Haque Murtaza Gova Majid Shahani Shahzad Munir Faiza Rehman Abdul Rahim Ahmad Spectrum of invasive critical procedures performed by clinical fellows in the pediatric intensive care unit of a developing country Journal of Pediatric Critical Care endotracheal intubation invasive critical procedure pediatric critical care fellow pediatric intensive care unit ultrasound-guided central venous catheter insertion |
| title | Spectrum of invasive critical procedures performed by clinical fellows in the pediatric intensive care unit of a developing country |
| title_full | Spectrum of invasive critical procedures performed by clinical fellows in the pediatric intensive care unit of a developing country |
| title_fullStr | Spectrum of invasive critical procedures performed by clinical fellows in the pediatric intensive care unit of a developing country |
| title_full_unstemmed | Spectrum of invasive critical procedures performed by clinical fellows in the pediatric intensive care unit of a developing country |
| title_short | Spectrum of invasive critical procedures performed by clinical fellows in the pediatric intensive care unit of a developing country |
| title_sort | spectrum of invasive critical procedures performed by clinical fellows in the pediatric intensive care unit of a developing country |
| topic | endotracheal intubation invasive critical procedure pediatric critical care fellow pediatric intensive care unit ultrasound-guided central venous catheter insertion |
| url | http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2020;volume=7;issue=6;spage=327;epage=330;aulast=Qurat-ul-Ain |
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