Version 2.5.2.0

Abstract

Grant Number:	5F38LM000102-02
Project Title:	Computerized management of childhood respiratory failure

PI Information:	Name	Email	Title
	MALONEY, CHRISTOPHER G.	chris.maloney@hsc.utah.edu

Abstract: This proposal outlines a strategy for weaning children from mechanical ventilation, using a computerized protocol. This proposal has two major goals: 1) Integration of a computerized decision support tool that accesses existing database servers at Primary Children's Medical Center. 2) Evaluation of the feasibility and utility of a computerized protocol to assist with weaning children with acute respiratory failure from mechanical ventilation. In the first specific aim, a consensus panel of pediatric critical care practitioners will develop a weaning algorithm that is simple and reasonable. The protocols and incorporated logic will be examined, at the bedside, using paper-flow diagrams for applicability in weaning children from mechanical ventilation. These protocols will then be programmed using network technology to access existing database servers. Practitioners involved in weaning children, with acute respiratory failure, from mechanical ventilation will then evaluate the validity of the protocols. In the second specific aim, children will be entered into a prospective, randomized, controlled clinical trial to evaluate the utility of a computerized protocol to wean critically ill children from mechanical ventilation. Children with acute respiratory failure requiring mechanical ventilation will be entered into either a computerized protocol driven weaning strategy arm or the "standard" physician driven weaning arm. These studies will yield information regarding the feasibility of using computerized protocols in pediatric critical care and potentially allow for the development of advanced protocols to assist physicians in managing critically ill children in a more efficient manner.

Public Health Relevance:
This Public Health Relevance is not available.

Thesaurus Terms:
child (0-11), computer assisted medical decision making, computer assisted patient care, computer system design /evaluation, patient care management, respirator, respiratory insufficiency /failure
clinical trial, experimental design, health care quality, health care service evaluation, outcomes research
clinical research, critical care, human subject, intubation

Institution:	UNIVERSITY OF UTAH
	75 South 2000 East
	SALT LAKE CITY, UT 84112
Fiscal Year:	2002
Department:	MEDICAL INFORMATICS
Project Start:	16-SEP-2002
Project End:
ICD:	NATIONAL LIBRARY OF MEDICINE
IRG:	BLR

---