Sickle Cell: Acute Chest Syndrome
Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by methodical review of available evidence and consensus among committee members.
Clinical Pathway:
Inclusion and exclusion criteria
Inclusion:
- Finding of a new segmental pulmonary infiltrate with consolidation but not atelectasis with one or more new respiratory symptoms or signs (cough, chest pain, fever > 38.5 ⁰C, hypoxemia, and/or tachypnea)
Committee members involved in the Clinical Pathway development:
- K. Higgerson, DO Fellow, PGY-5 | Hematology/Oncology/BMT Division |Committee Chair
- N. Tabassum Iqbal, MD | Hematology/Oncology/BMT Division |Committee Chair Mentor
- J. Rilinger, MD | Critical Care Medicine | Committee Member
- J. Bartlett, PhD, RN | Evidence Based Practice Department | Committee Member
- V. Kestner, MD | Emergency Medicine Department | Committee Member
- C. Cunningham, RN, MSN, CPN | Emergency Medicine Department | Committee Member
- E. Wilkinson, MBA, RRT-NPS | Respiratory Therapy Department | Committee Member
- J. Palmer, MSN, RN, CPN | Emergency Medicine Department | Committee Member
- T. Taylor | Medical Informatics | Committee Member
Publication dates:
- Finalized date: January 2021
- Next expected revision date: January 2024
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These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.