Skin-to-skin therapy on high-frequency jet ventilation: A trauma-informed best practice

Diseases of the respiratory system RC705-779 Innovations in Practice 3. Good health
DOI: 10.29390/001c.84446 Publication Date: 2023-08-08T18:27:42Z
ABSTRACT
Objective To mitigate trauma for infants on high-frequency jet ventilation by decreasing exposure to noise and facilitating skin-to-skin therapy. Design Key drivers were identified, and we designed and implemented equipment and processes through a series of interventions. A mixed methods evaluation was used. Retrospective chart reviews assessed safety (unplanned extubation) and stability parameters. Semi-structured interviews were conducted to understand parent and staff experiences. Results Stability parameters demonstrated safe skin-to-skin therapy. Data from the interviews showed that parents and staff experiences focused on safety, connection and healing. Conclusion Implementing safe processes to support skin-to-skin therapy during high-frequency jet ventilation is possible. We hope other units will be encouraged to examine their current practices for infants on high-frequency jet ventilation to help mitigate trauma for infants and parents while enhancing staff satisfaction.
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