Biomedical subjects
N Runton
Publications and source records attributed to N Runton.
The decannulation process in children.
Decannulation in children is a difficult process because of associated morbidity and psychological factors. In a collaborative effort, physicians and nurses play a vital role in determining a child's readiness and in preparing the family. The actual process that the physician will use to decannulate a child depends on the reason for which the child was tracheostomized. This article discusses the assessment necessary to determine readiness for decannulation, the preparation of the child and the family, and the variations in the actual methodology.
Gaining access to school for the child with a tracheostomy.
Admission to school for a child with a tracheostomy can present numerous problems. Reasons cited by school authorities for denying access to school for these children include liability issues, financial constraints, inadequately trained health personnel in the schools, logistic problems, and the fears of school staff. Attempting to exclude children with tracheostomies from school is discriminatory and illegal. At the Children's Hospital National Medical Center a model program was developed to resolve conflicts and facilitate the assimilation of the child with a tracheostomy into the school system.
Congenital cardiac anomalies: a reference guide for nurses.
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Suctioning artificial airways in children: appropriate technique.
Traditional suctioning techniques can cause severe tissue injury and fibrotic changes in the carina. Knowledge of appropriate procedures and techniques can help nurses provide safe artificial airway care.