High Flow Nasal Cannula Use in Patients Outside of the Intensive Care Unit Clinical Pathway High flow systems are designed to heat and humidify gas mixtures for safe delivery at flow rates that meet or exceed a patient’s inspiratory flow demands, thereby decreasing work of breathing in the setting of respiratory illness. In addition to the benefits of avoiding more
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Is Your Baby on Track for Motor Milestones? If They’re Under 6 Months Old, Here’s How to Help By Kim Hrapchak, PT, MSPT: Babies are changing by the day, and every new “motor milestone” is a thrill – like the first time they hold a toy, roll, sit up alone, and crawl. These milestones depend on lots of factors, including some that aren’t under anyone’s control. But there are a few ways to help your
HIV Post-Exposure Prophylaxis (PEP) Following Sexual or High-Risk Encounter Clinical Pathway It is essential that patients who are exposed to Human Immunodeficiency Virus (HIV) receive prompt and appropriate antiretroviral therapy to decrease the risk of becoming infected with the virus and developing Acquired Immunodeficiency Syndrome (AIDS). In 2016, the Centers for
Hyperbilirubinemia in the Neonate Clinical Pathway Neonatal jaundice is a common diagnosis in pediatrics. In 2004 the AAP released guidelines for care of infants >/= 35 weeks gestation with hyperbilirubinemia in order to avoid severe hyperbilirubinemia and bilirubin encephalopathy. This Clinical Practice Guideline was updated in
Intestinal Failure and Central Venous Catheter (CVC) Patient with Fever Clinical Pathway Patients with Intestinal Failure (IF) often require central venous catheter (CVCs) for extended periods of time used for administration of parenteral nutrition (PN), which is required to maintain adequate growth and hydration. This puts them at a risk of recurrent central-line
Kawasaki Disease Clinical Pathway Kawasaki Disease is one of the most common vasculitides of childhood, and is the most common cause of acquired heart disease in children in developed countries. There is an estimated annual incidence of 20 per 100,000 children younger than five years in the United States, and
Ketogenic Diet and Modified Ketogenic Diet Clinical Pathway Ketogenic and modified ketogenic diets are high fat, low carbohydrate diets used as evidence-based treatment for intractable seizures. These pathways were developed to aid with initiation of these diets for established neurology patients at Connecticut Children’s. Initiation of
Lead Toxicity Clinical Pathway Pathway Background and Objectives Lead poisoning in children leads to negative neurocognitive and developmental outcomes. While severe lead poisoning requiring chelation is increasingly rare, elevated blood lead levels in children remain prevalent in Connecticut due to the State
Migraine and Migraine-like Headache Clinical Pathway Migraine headaches are a common reason patient’s present to the children’s emergency department. Such headaches have a considerable adverse impact on quality of life, and afflicted children may be seek emergent relief. Currently, there is a range of practices used by emergency
Craniosynostosis – Minimally Invasive Clinical Pathway To date, all craniosynostosis patients have been admitted post operatively to the Pediatric Intensive Care Unit (PICU). Currently the majority of these children have minimally invasive craniosynostosis repair. With the minimally invasive surgery blood loss is minimal and there
Newborn Management of Prenatally Diagnosed Tetralogy of Fallot and Risk of Ductal Dependency Clinical Pathway The diagnosis of Tetralogy of Fallot carries a wide range of treatment possibilities based on the detailed cardiac anatomy. Neonates that are ductal dependent for adequate pulmonary blood flow can be at high risk for severe hypoxemia after delivery if not immediately recognized
Advanced Practice Provider Excellence Award In 2021, the Office of Advanced Practice Providers (OAPP) established the annual APP Excellence Awards. The three awards recognize select APPs for exemplary demonstration of Connecticut Children’s values in their clinical practice and interaction with patients and team members
Suspected Nephrolithiasis Clinical Pathway Studies have demonstrated an increasing incidence of pediatric stone disease over the past 20 years. In addition, there has been a shift to outpatient care of patients with nephrolithiasis, particularly to the Emergency Department setting. Despite published national guidelines
Oncology Patient with Fever Clinical Pathway Cancer patients undergoing chemotherapy are at high risk of infection due to a multitude of factors including their underlying disease process, the presence of central lines, and chemotherapy induced neutropenia and immunosuppression. Infection is subsequently a major cause of