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Translational simulation in action: using simulation-based multidisciplinary teaching to introduce ward-level high-flow oxygen care in bronchiolitis
  1. Peter Mallett1,
  2. Barbara Maxwell2,
  3. Ruth Harte2,
  4. Ben McNaughten1,
  5. Thomas Bourke1,3,
  6. Andrew Thompson1,
  7. Dara O’Donoghue2,3
  1. 1 Department of Paediatric Education and Simulation, Royal Belfast Hospital for Sick Children, Belfast, UK
  2. 2 Department of Paediatric Respiratory Medicine, Royal Belfast Hospital for Sick Children, Belfast, UK
  3. 3 Centre for Medical Education, Queens University Belfast, Belfast, UK
  1. Correspondence to Dr Peter Mallett, Paediatric Simulation & Education Department, Royal Belfast Hospital for Sick Children, Belfast BT12 6BA, USA; peter.mallett{at}belfasttrust.hscni.net

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Introduction and aims

Acute bronchiolitis is the most common respiratory condition under 1 year of age. In the UK and Ireland, approximately one in three infants will develop bronchiolitis in the first year of life and ~2%–3% of all infants require hospitalisation.1 In severe cases, children are admitted to paediatric intensive care (PICU) for ventilation and supportive treatment. An admission to a critical care unit is an extremely stressful time for children and their families. It also has significant implications on workload and resources.

High-flow nasal cannula oxygen (HFNCO) is a treatment where oxygen is delivered at high rates via a tight-fitting nasal mask. This treatment has recently been increasingly used to manage bronchiolitis. Recent evidence has suggested that this may have a role as rescue therapy to reduce the proportion of children requiring high-cost intensive care.2 Prior to this initiative, this treatment option was only available in PICU in our trust.

In 2016, our team acquired one HFNCO unit in a bid to introduce this treatment at ward level. These attempts to do so, prior to developing an introductory simulation-based collaborative teaching event, …

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Footnotes

  • Contributors PM, TB, DOD and AT devised and developed the concept. BMcN and DOD adapted the local guideline. BM, RH, PM and DOD delivered the teaching. PM finalised the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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