An online education module to aid the use of trend oximetry monitoring in preterm infants

Abstract

Background: Chronic Neonatal Lung Disease of Prematurity (CNLD) is the commonest complication of preterm birth, estimated to affect 30-40% of very low birth weight infants. Low-flow supplemental oxygen facilitates discharge for these infants, supporting them until adequate lung growth and repair occurs. National Guidelines recommend the use of trend oximetry to assess and manage oxygen therapy in these infants. Knowledge of infant pulse oximetry is variable, with the average confidence level in using this tool rated as 5/10 amongst 74 paediatric health professionals during a recent local survey. Additionally at our centre an average of four regional consults per week are received, primarily requesting interpretation of infant pulse oximetry data to facilitate management. Methods: An online education module was developed over a period of 12 months covering different aspects of infant oximetry including background theory of CNLD, technical aspects and clinical interpretation with case examples. Progress to Date: An online education module has been developed including participant surveys, pre-test quiz, online lectures on the use and interpretation of pulse oximetry in CNLD, and a post-test quiz to assess learning. 17 paediatric trainees and nine paediatric respiratory and sleep specialists have participated in a pilot study with a median score of 60% (range 44-80%) and 76% (range 72-88%) respectively. Recruitment of participants is ongoing. Intended Outcome and Impact: We hypothesize that digital technology can be used to empower paediatric professionals-particularly in regional centres-to provide the same excellent standard of care to premature babies with CNLD. After successful implementation at our tertiary paediatric hospital and publication of a Statewide clinical guideline, we will use this electronic learning module to help regional paediatric services develop knowledge, expertise, experience and confidence in managing premature babies. We predict this will enable improved regional care for families, decrease patient travel, and result in less need for tertiary outpatient follow-up requirements for the majority of premature infants. Further evaluation to determine if this facilitates easier and improved regional care of these infants is planned.L6246119212018-11-01 <br />