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Respiratory Therapy Achieves Excellent Results in Emergency with World-leading 100% ETCO2 Monitoring Rate

The team has made several innovative achievements, including being the team with the most inhaled nitric oxide delivery equipments for critically ill children; installation of the only independent children's disinfection room in Taiwan, helping to prevent ventilator-related pneumonia; and being the first to implement a completely digitized information system, improving the timeliness, efficiency, and quality of care with a comprehensive electronic patient record and shift system.

Respiratory Therapy Achieves Excellent Results in Emergency with World-leading 100% ETCO2 Monitoring Rate
For preterm infants, having high quality respiratory care is critical to their survival. Chenchen was born at 22-weeks gestational age with an extremely low birth weight (400g). He was discharged in good condition without needing oxygen therapy, made possible because of the attentive care and innovative methods executed by the medical team. Premature babies are prone to hypothermia and dehydration, which could lead to metabolic acidosis in severe cases. The "constant-temperature humidifying cover" designed by the team helps to maintain temperature and humidity. A "smart fixation strap" was also designed by the team to reduce the discomfort caused by the oximeter. Chenchen's lungs were not fully developed and when he needed a mechanical ventilator, 100% execution of the end-tidal CO2 monitoring could help confirm immediately the proper routing of the endotracheal tube. Once Chenchen was stable and taken off the ventilator, he switched to noninvasive respiratory support, for which the pressure from the nasal cannula often caused skin damage, deformation, even necrosis. The team was the first to use the "nasal septum protection patch" to provide support with the new high-tech sponge.

The team responsible for allowing Chenchen to be discharged in healthy condition was Linkou Chang Gung Memorial Hospital's respiratory therapy division. Established in 1981, it was the first respiratory therapy unit in Taiwan to specialize in infant care. "Our team possesses expert clinical technique and is very experienced. We can provide comprehensive care for adults and children alike. Pediatric respiratory therapists certified by the Ministry of Examination provide all-day service and are specialized in respiratory distress syndrome in preterm infants and therapy for respiratory failure in newborns," says Hsiu-Feng Hsiao, Director of the Respiratory Therapy team in Taiwan. Dr. Hsiao was trained in the US for respiratory therapy and brought back her international experience and concepts in respiratory care. 

To provide safe, patient-centric respiratory care, the team has made several innovative achievements, including a complete 24-hour emergency transfer protocol; being the team with the most inhaled nitric oxide delivery equipment for critically ill children; 100% execution of intubation accuracy using end-tidal CO2 monitor (the best such number in the world, according to literature survey); installation of the only independent children's disinfection room in Taiwan, helping to prevent ventilator-related pneumonia; and being the first to implement a completely digitized information system, improving the timeliness, efficiency, and quality of care with a comprehensive electronic patient record and shift system.

To keep up with international standards in pediatric care, the team plans to construct a respiratory device laboratory, seek international research collaborations, and dedicate themselves to the cross-industry coordination of telecare services to extend the reach of healthcare services.

(Editing by Nicole Yang, Research Center for Biotechnology and Medicine Policy)
 
 
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