{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:40:34Z","timestamp":1733013634626,"version":"3.30.0"},"reference-count":15,"publisher":"AACN Publishing","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Noninvasive ventilation therapy is a common approach in acute respiratory failure as an alternative to invasive mechanical ventilation. Assistive communication strategies are necessary to overcome communication impairments and anxiety caused by oronasal obstruction in pediatric intensive care unit patients undergoing noninvasive ventilation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Findings and Diagnosis<\/jats:title>\n                  <jats:p>A 7-year-old girl was admitted with a history of pulmonary arterial hypertension and recurrent respiratory failure requiring bilevel positive airway pressure intervention. The patient experienced initial lack of bilevel positive airway pressure mask compliance due to oronasal mask discomfort.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Interventions<\/jats:title>\n                  <jats:p>The trial of a novel communication device (SPEAX, Ataia Medical) involving a microphone that attaches to the patient\u2019s bilevel positive airway pressure mask for enhanced communication.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>Use of the assistive communication device was associated with increased intelligibility to familiar listeners, mask compliance, enhanced mobility, and reduced patient anxiety levels throughout hospitalization and in later episodes of readmission.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The implementation of assistive communication devices can alleviate communication barriers in pediatric bilevel positive airway pressure users, contributing to increased compliance and diminished anxiety for patients and caregivers. Providing a pathway for effective communication may reduce sedation use, minimizing risks of sedation-related delirium and improving overall quality of life in these patients.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ccn2024960","type":"journal-article","created":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:02:42Z","timestamp":1733011362000},"page":"31-34","source":"Crossref","is-referenced-by-count":0,"title":["Assistive Communication Device Used During Pediatric Noninvasive Ventilation"],"prefix":"10.4037","volume":"44","author":[{"given":"Emily","family":"Otto","sequence":"first","affiliation":[{"name":"Emily Otto is a graduate student in speech, language, and hearing sciences, The University of Texas at Austin, Austin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Kaspar","sequence":"additional","affiliation":[{"name":"Ashley Kaspar is a speech-language pathologist, Dell Children\u2019s Medical Center, Austin, Texas."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith","family":"Kerr","sequence":"additional","affiliation":[{"name":"Keith Kerr is a pediatric intensivist, Dell Children\u2019s Medical Center."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gayle","family":"Droemer","sequence":"additional","affiliation":[{"name":"Gayle Droemer is a pediatric critical care advanced practice provider, Dell Children\u2019s Medical Center."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Waddle","sequence":"additional","affiliation":[{"name":"Allison Waddle is a critical care nurse, Dell Children\u2019s Medical Center."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2471","reference":[{"issue":"4","key":"2024120100023608900_b1-0440031","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1016\/j.chest.2020.09.250","article-title":"Randomized controlled trial of a novel communication device assessed during noninvasive ventilation therapy","volume":"159","author":"Wong","year":"2021","journal-title":"Chest"},{"issue":"6","key":"2024120100023608900_b2-0440031","doi-asserted-by":"crossref","first-page":"470","DOI":"10.4037\/ajcc2011989","article-title":"Communication difficulties and psychoemotional distress in patients receiving mechanical ventilation","volume":"20","author":"Khalaila","year":"2011","journal-title":"Am J Crit Care"},{"issue":"8","key":"2024120100023608900_b3-0440031","doi-asserted-by":"publisher","first-page":"938","DOI":"10.5005\/jp-journals-10071-23950","article-title":"Role of sedation and analgesia during noninvasive ventilation: systematic review of recent evidence and recommendations","volume":"26","author":"Hadda","year":"2022","journal-title":"Indian J Crit Care Med"},{"issue":"3","key":"2024120100023608900_b4-0440031","doi-asserted-by":"publisher","first-page":"277","DOI":"10.4187\/respcare.04220","article-title":"Noninvasive ventilation intolerance: characteristics, predictors, and outcomes","volume":"61","author":"Liu","year":"2015","journal-title":"Respir Care"},{"issue":"6","key":"2024120100023608900_b5-0440031","doi-asserted-by":"crossref","DOI":"10.1097\/CCE.0000000000000121","article-title":"Consequences and solutions for the impact of communication impairment on noninvasive ventilation therapy for acute respiratory failure: a focused review","volume":"2","author":"Wong","year":"2020","journal-title":"Crit Care Explor"},{"key":"2024120100023608900_b6-0440031","unstructured":"Reddy\u2008C, Young\u2008E, Brewer\u2008L, Schiedermayer\u2008B, Ferguson\u2008S. Novel microphone to facilitate communication during non-invasive ventilation (NIV). ReddyPort. 2021. Accessed July 10, 2024. https:\/\/www.reddyport.com\/_files\/ugd\/924b53_ab5e0221b1394d4ebb39c9ecc6380194.pdf"},{"issue":"10","key":"2024120100023608900_b7-0440031","doi-asserted-by":"publisher","first-page":"2845","DOI":"10.21037\/tp-20-324","article-title":"Building a culture of early mobilization in the pediatric intensive care unit\u2014a nuts and bolts approach","volume":"10","author":"Morrow","year":"2021","journal-title":"Transl Pediatr"},{"issue":"4","key":"2024120100023608900_b8-0440031","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1055\/s-0035-1563543","article-title":"Optimizing sedation management to promote early mobilization for critically ill children","volume":"4","author":"Saliski","year":"2015","journal-title":"J Pediatr Intensive Care"},{"issue":"6","key":"2024120100023608900_b9-0440031","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1044\/2019_PERSP-19-00134","article-title":"Improving patient safety and patient-provider communication: a clinical forum","volume":"4","author":"Hurtig","year":"2019","journal-title":"Perspect ASHA Spec Interest Groups"},{"issue":"4","key":"2024120100023608900_b10-0440031","doi-asserted-by":"publisher","first-page":"256","DOI":"10.4037\/ajcc2021666","article-title":"Giving voice: nurse-patient communication in the intensive care unit","volume":"30","author":"Happ","year":"2021","journal-title":"Am J Crit Care"},{"key":"2024120100023608900_b11-0440031","unstructured":"SPEAX Communication Device\n          . Ataia Medical. Accessed July 10, 2024. https:\/\/ataiamedical.com"},{"key":"2024120100023608900_b12-0440031","first-page":"A6020","article-title":"Anxiety in patients receiving non-invasive ventilation for acute respiratory failure: prevalence, risk factors and prognostic impact","author":"Demoule","year":"2018","journal-title":"Ann Am Thorac Soc"},{"issue":"9","key":"2024120100023608900_b13-0440031","doi-asserted-by":"crossref","first-page":"357","DOI":"10.14740\/jocmr4805","article-title":"Delirium in pediatric patients with respiratory insufficiency requiring noninvasive ventilation","volume":"14","author":"Christian","year":"2022","journal-title":"J Clin Med Res"},{"issue":"12","key":"2024120100023608900_b14-0440031","doi-asserted-by":"crossref","first-page":"1829","DOI":"10.1097\/CCM.0000000000004661","article-title":"Association between pediatric delirium and quality of life after discharge","volume":"48","author":"Silver","year":"2020","journal-title":"Crit Care Med"},{"key":"2024120100023608900_b15-0440031","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s11920-017-0851-1","article-title":"Pediatric delirium: recognition, management, and outcome","volume":"19","author":"Turkel","year":"2017","journal-title":"Curr Psychiatry Rep"}],"container-title":["Critical Care Nurse"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aacnjournals.org\/ccnonline\/article-pdf\/44\/6\/31\/159660\/31.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/aacnjournals.org\/ccnonline\/article-pdf\/44\/6\/31\/159660\/31.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:02:47Z","timestamp":1733011367000},"score":1,"resource":{"primary":{"URL":"https:\/\/aacnjournals.org\/ccnonline\/article\/44\/6\/31\/32583\/Assistive-Communication-Device-Used-During"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,1]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,12,1]]}},"URL":"https:\/\/doi.org\/10.4037\/ccn2024960","relation":{},"ISSN":["0279-5442","1940-8250"],"issn-type":[{"value":"0279-5442","type":"print"},{"value":"1940-8250","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,1]]}}}