Blood pressure monitoring in patients with aortic arch obstructive lesions
Project Description: There are many patients born with concern for an aortic arch obstructive lesion such as a hypoplastic aortic arch or coarctation of the aorta. However, until their ductus arteriosus has closed, the ability to diagnose these patients a coarctation of the aorta or a hypoplastic aortic arch that requires intervention is limited. To determine the need for intervention, the difference between their upper and lower extremity blood pressures is monitored as they are taken off prostaglandin infusions or soon after birth before starting a prostaglandin infusion. - We are planning to evaluate our compliance with this standard of care by performing a retrospective chart review of blood pressure monitoring for patients with concern for aortic arch obstructive lesions in both the NICU and the PCICU. - Based on the results of the retrospective chart review, an intervention will be made with the goal of improving our compliance with the standard of care for monitoring upper and lower extremity blood pressures in this patient population. Possible interventions include placing a card on an infant's crib noting the need for upper and lower extremity blood pressure monitoring, educating NICU fellows and NPs regarding the need to place the correct vital signs order in Epic, creating a smart-phrase for cardiology consult recommendations regarding blood pressure monitoring to be consistent, and a long term intervention could include creating an admission order-set for these infants in the NICU. - We will then prospectively review charts to evaluate any change in our blood pressure monitoring.
QPI: Ryan, Boggs, (email@example.com)
Advisors: Jennifer, Co-Vu, (firstname.lastname@example.org); Himesh, Vyas, (email@example.com); Jessica, Ruoss, (firstname.lastname@example.org)
UF Health Big Aims: Reduce Variation None
MeSH Keywords: Aortic Coarctation, Heart Defects, Congenital, Intensive Care Units, Neonatal, Neonatology, pediatric cardiac intensive care units