Reducing the environmental impact of mask inductions in children: A quality improvement report
Authors' conclusion
Our quality improvement group decreased the environmental impact of inhalation inductions and created cultural change within our department to sustain change and foster the pursuit of future environmental efforts.
Study context
- Population
- Children undergoing inhalation (mask) inductioninductions over 20 months
- Participants
- 33,285 children
- Comparison
- Before vs after QI intervention (education, visual reminders) to reduce nitrous oxide use and fresh gas flows
- Outcome
- Percentage of inhalation inductions using nitrous oxide and maximum fresh gas flows/kg during induction
Methodological detailsfour plan-do-study-act cycles, statistical process control charts
- Four plan-do-study-act cycles
- Statistical process control charts
Main finding
As reported in the abstract
- Nitrous oxide use decreased from 80% to <20%
- Maximum fresh gas flows/kg decreased from 0.53 L/min/kg to 0.38 L/min/kg, an overall reduction of 28%
Further findings
Fresh gas flow reduction by weight
- Reduction greatest in the lightest weight groups
Safety
Induction times and behaviors
- Remained unchanged over the project
Original publication
Reducing the environmental impact of mask inductions in children: A quality improvement report. Paediatr Anaesth. Published 19 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →