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A bundle improves eye care in PICU
  1. Karen McCall1,
  2. Hussin M Hussin2,
  3. Maria Elena Gregory3,4,
  4. Gordon Dutton5,
  5. Julie Richardson6
  1. 1Department of Newborn Research, Murdoch Children's Research Institute, Melbourne, Australia
  2. 2Department of Ophthalmology, Calderdale Royal Hospital, Halifax, West Yorkshire, UK
  3. 3Department of Ophthalmology, Stobhill Hospital, Glasgow, UK
  4. 4Department of Ophthalmology, Southern General Hospital, Glasgow, UK
  5. 5Department of Visual Science, Glasgow Caledonian University, Glasgow, UK
  6. 6PICU, Royal Belfast Children's Hospital, Belfast, UK
  1. Correspondence to Dr Karen McCall, Department of Neonatal Research, Murdoch Children's Research Institute, 50 Flemington Road, Parkville, VIC 3052, Australia; kemccall{at}doctors.org.uk

Abstract

Background Intensive care patients are susceptible to developing painful corneal epithelial deficits. Provision of eye care to prevent deficits was limited in our paediatric intensive care unit (PICU) population.

Interventions A new eye care bundle was introduced, comprising a guideline for eye care, the addition of eye lubricants to the electronic prescribing order set for new admissions to PICU and staff education on the importance of eye care. Weekly examinations over a 2-month period following implementation of the bundle evaluated eye care provision and presence of corneal epithelial deficits on ophthalmic examination.

Results Provision of formal eye care improved from 19% to 96%. The incidence of deficits was lower than previously, simple eye ointment reduced the risk of deficits, even in incompletely closed eyes.

Conclusions Use of an eye care bundle, together with a multidisciplinary team approach to eye care, improves the provision of eye care in PICU.

  • Paediatric Practice
  • Intensive Care
  • Ophthalmology
  • cornea

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