SPARROW ANESTHESIA SERVICE
UPDATES
Outline
• Poor Quality Measures For Sparrow
Anesthesia Services
PULM 02
• Reviewed Measures With Anesthesia
Staff
• Illustrate Steps Used To Improve
Adherence to Measure
PULM 02
Reviewed Anesthesia Staff On:
1. PULM 02 Measures
2. Where To Find IBW In EPIC
3. Changing Default Vent Settings On
Anesthesia Machines
PULM 02
Success: Median tidal volume ≤ 8 ml/ kg ideal body weight IBW
Threshold: 90% Anesthesia department at 64%
Inclusions:
• Patients undergoing endotracheal intubation.
Exclusions:
• ASA 5 and 6 cases
• Patients < 12 years of age
• Patients <20kg.
• Patients ≥ 18 years old with a height <121.9cm (48 in) OR >213.4cm (84 in)
• Patients 12-17 years old with a height <91.4cm (36 in) or >213.4cm (84 in)
• Cases without a documented sex
• Cases without a documented height
• Cases in which patients are mechanically ventilated for less than 45 cumulative minutes.
• One lung ventilation procedures as indicated by intraoperative notes or note details mapped to
one of the following MPOG concepts:
• 50501: Thoracic: Single-lung ventilation
• 50202: Thoracic: Single-lung ventilation, side detail
IBW
1
2
Implemented Vent Setting
Changes
3
• Drop Ventilation TV (Default Settings) From
500 to 400 ML
Default Vent Settings 400 ml Tidal Volume (TV)
• Monthly Gradual Improvement Towards Targeted Goal
February - Not Implemented
March - Implemented
April – Continued Implementation
PULM 02 Ranking
• Compliance By Institution
PULM 02 Next Step
• Add Aspire’s IBW/TV Chart To All OR Anesthesia
Machines
• Monitor For Improvements
