https://doi.org/10.4081/scenario.2023.556

Helmet-CPAP use in pediatric wards: what is the knowledge of nurses? A survey

Vol. 40 No. 2 (2023)
Published: 19 July 2023
H-CPAP, child, respiratory failure, pediatric hospitalization
Abstract Views: 910
PDF (Italiano): 205
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Authors

Marina Maffeo
Dipartimento di Scienze della Salute (DSS) Università degli Studi di Firenze; Infermiere Anestesia e Rianimazione e Sub Intensiva, Ospedale Pediatrico Meyer IRCCS, Firenze, Italy.
Martina Cortese
Infermiere, Azienda Ospedaliera Universitaria Integra di Verona, Italy.
Luca Cecchi
Infermiere, Coordinatore Anestesia e Rianimazione e Sub Intensiva, Ospedale Pediatrico Meyer IRCCS, Firenze, Italy.
Mirco Gregorini
Infermiere, Direttore Dipartimento delle Professioni Sanitarie, Ospedale Pediatrico Meyer IRCCS, Firenze, Italy.
Alessio Petronici
Infermiere, Dirigente Dipartimento delle Professioni Sanitarie, Ospedale Pediatrico Meyer IRCCS, Firenze, Italy.
Daniele Ciofi
Dipartimento di Scienze della Salute (DSS) Università degli Studi di Firenze; Infermiere, PhD Research Development Manager Dipartimento delle Professioni Sanitarie, Ospedale Pediatrico Meyer IRCCS, Firenze, Italy.

Introduction: with the advent of the COVID-19 pandemic and the increase of respiratory viruses, there has been an increase in cases of acute respiratory failure, so it has been necessary to implement high-intensity care treatments even in non-intensive care settings. This survey aims to assess the knowledge of healthcare professionals and the critical issues encountered regarding the use of the Helmet Continuous Positive Airway Pressure (H-CPAP) device in pediatric extra-intensive care settings with the aim of preparing training needs and operational tools for optimal management of the device.

Materials and Methods: a descriptive survey was carried out by means of an ad hoc questionnaire with multiple-choice questions and was open to the healthcare personnel of pediatric departments of a Tuscan pediatric health agency.

Results: the majority of the sample is in favor of the use of H-CPAP in the ward and has acquired knowledge about its use but does not yet consider itself autonomous in its management. The main critical issues related to the small number of staff, lack of adequate instrumentation (telemetry), and finally lack of adequate training.

Discussion and conclusions: the survey highlighted the importance of implementing theoretical/practical training courses, ensuring effective organization and an adequate number of human resources to ensure the highest quality of care.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Bozzola E, Barni S, Villani A. Respiratory Syncytial Virus Pediatric Hospitalization in the COVID-19 Era. Int J Environ Res Public Health 2022;19:15455.
Mu SC, Chien YH, Lai PZ, Chao KY. Helmet Ventilation for Pediatric Patients During the COVID-19 Pandemic: A Narrative Review. Front Pediatr 2022;10:839476.
BernetV, Hug MI, Frey B. Predictive factors for the success of noninvasive mask ventilation in infants and children with acute respiratory failure. Pediat Crit Care Med 2005;6:660-4.
Martins J, Nunes P, Silvestre C, et al. NIV-Helmet in Severe Hypoxemic Acute Respiratory Failure. Case Rep Pediatr 2015;2015:456715.
Cammarota G, Simonte R, De Robertis E. Comfort During Non-invasive Ventilation. Front Med (Lausanne) 2022;9:874250.
Tomaz BS, Gomes GC, Lino JA, et al. ELMO, a new helmet interface for CPAP to treat COVID-19-related acute hypoxemic respiratory failure outside the ICU: a feasibility study. J Bras Pneumol 2022;48:e20210349.
Cammarota G, Esposito T, Azzolina D, et al. Noninvasive respiratory support outside the intensive care unit for acute respiratory failure related to coronavirus-19 disease: a systematic review and meta-analysis. Crit Care 2021;25:268.
Bellani G, Grasselli G, Cecconi M, et al. Noninvasive Ventilatory Support of Patients with COVID-19 outside the Intensive Care Units (WARd-COVID). Ann Am Thorac Soc 2021;18:10.1513.
Chidini G, Piastra M, Marchesi T, et al. Continuous positive airway pressure with helmet versus mask in infants with bronchiolitis: an RCT. Pediatrics 2015;135:e868-75.
Vitaliti G, Vitaliti MC, Finocchiaro MC, et al. Randomized Comparison of Helmet CPAP Versus High-Flow Nasal Cannula Oxygen in Pediatric Respiratory Distress. Respir Care 2017;62:1036-42.
Zheng Z, Pitzer VE, Shapiro ED, et al. Estimation of the Timing and Intensity of Reemergence of Respiratory Syncytial Virus Following the COVID-19 Pandemic in the US. JAMA Netw Open 202;4:e2141779.
Savioli G, Ceresa IF, Gri N, et al. Emergency Department Overcrowding: Understanding the Factors to Find Corresponding Solutions. J Pers Med 2022;12:279.
Racca F, Cutrera R, Robba C, et al. Respiratory failure due to upper airway obstruction in children: use of the helmet as bridge interface. Minerva Anestesiol 2015;81:175-8.
Coppadoro A, Benini A, Fruscio R, et al. Helmet CPAP to treat hypoxic pneumonia outside the ICU: an observational study during the COVID-19 outbreak. Crit Care 2021;25:80.
Oranger M, Gonzalez-Bermejo J, Dacosta-Noble P, et al. Continuous positive airway pressure to avoid intubation in SARS-CoV-2 pneumonia: a two-period retrospective case-control study. Eur Respir J 2020;56:2001692.
Ferreyro BL, Angriman F, Munshi L, et al. Association of Noninvasive Oxygenation Strategies With All-Cause Mortality in Adults With Acute Hypoxemic Respiratory Failure: A Systematic Review and Meta-analysis. JAMA 2020;324:57-67.
Garuti G, Bandiera G, Cattaruzza MS, et al. Out-of-hospital helmet CPAP in acute respiratory failure reduces mortality: a study led by nurses. Monaldi Arch Chest Dis 2010;73:145-51.
Grieco DL, Patel BK, Antonelli M. Helmet noninvasive support in hypoxemic respiratory failure. Intensive Care Med 2022;48:1072-5.
Bambi S, Parente E, Bardacci Y, et al. The Effectiveness of NIV and CPAP Training on the Job in COVID-19 Acute Care Wards: A Nurses' Self-Assessment of Skills. Nurs Rep 2022;13:17-28.
Toh SG, Ang E, Devi MK. Systematic review on the relationship between the nursing shortage and job satisfaction, stress and burnout levels among nurses in oncology/haematology settings. Int J Evid Based Healthc 2012;10:126-41.
Cho SH, Lee JY, You SJ, et al. Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes. Int J Nurs Pract 2020;26:e12803.
Cho SH, Kim YS, Yeon KN, et al. Effects of increasing nurse staffing on missed nursing care. Int Nurs Rev 2015;62:267-74.
Privitera D, Mazzone A, Vailati P, et al. Improving Helmet CPAP Use During COVID-19 Pandemic: A Multidisciplinary Approach in the Emergency Department. Dimens Crit Care Nurs 2022;41:178-81.

How to Cite

Maffeo, M., Cortese, M., Cecchi, L., Gregorini, M., Petronici, A., & Ciofi, D. (2023). Helmet-CPAP use in pediatric wards: what is the knowledge of nurses? A survey. Scenario® - Il Nursing Nella Sopravvivenza, 40(2). https://doi.org/10.4081/scenario.2023.556
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