journal
https://read.qxmd.com/read/38424024/hyperoxemia-induced-by-oxygen-therapy-in-nonsurgical-critically-ill-patients
#1
JOURNAL ARTICLE
Priscilla Barbosa da Silva, Sérgio Eduardo Soares Fernandes, Maura Gomes, Carlos Darwin Gomes da Silveira, Flávio Ferreira Pontes Amorim, André Luiz de Aquino Carvalho, Lumie Sabanai Shintaku, Laura Yumi Miazato, Felipe Ferreira Pontes Amorim, Marcelo de Oliveira Maia, Francisco de Assis Rocha Neves, Fábio Ferreira Amorim
BACKGROUND: Hyperoxemia, often overlooked in critically ill patients, is common and may have adverse consequences. OBJECTIVE: To evaluate the incidence of hyperoxemia induced by oxygen therapy in nonsurgical critically ill patients at intensive care unit (ICU) admission and the association of hyperoxemia with hospital mortality. METHODS: This prospective cohort study included all consecutive admissions of nonsurgical patients aged 18 years or older who received oxygen therapy on admission to the Hospital Santa Luzia Rede D'Or São Luiz adult ICU from July 2018 through June 2021...
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424023/impact-of-virtual-reality-simulation-on-new-nurses-assessment-of-pediatric-respiratory-distress
#2
JOURNAL ARTICLE
Dana L Raab, Kelly Ely, Keith Israel, Li Lin, Amy Donnellan, Jennifer Saupe, Melissa Klein, Matthew W Zackoff
BACKGROUND: Children often experience respiratory illnesses requiring bedside nurses skilled in recognizing respiratory decompensation. Historically, recognizing respiratory distress has relied on teaching during direct patient care. Virtual reality simulation may accelerate such recognition among novice nurses. OBJECTIVE: To determine whether a virtual reality curriculum improved new nurses' recognition of respiratory distress and impending respiratory failure in pediatric patients based on assessment of physical examination findings and appropriate escalation of care...
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424022/critical-care-nurses-moral-resilience-moral-injury-institutional-betrayal-and-traumatic-stress-after-covid-19
#3
JOURNAL ARTICLE
Guy M Weissinger, Deborah Swavely, Heidi Holtz, Katherine C Brewer, Mary Alderfer, Lisa Lynn, Angela Yoder, Thomas Adil, Tom Wasser, Danielle Cifra, Cynda Rushton
BACKGROUND: Traumatic stress and moral injury may contribute to burnout, but their relationship to institutional betrayal and moral resilience is poorly understood, leaving risk and protective factors understudied. OBJECTIVES: To examine traumatic stress symptoms, moral injury symptoms, moral resilience, and institutional betrayal experienced by critical care nurses and examine how moral injury and traumatic stress symptoms relate to moral resilience, institutional betrayal, and patient-related burnout...
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424021/inactivity-may-identify-older-intensive-care-unit-survivors-at-risk-for-post-intensive-care-syndrome
#4
JOURNAL ARTICLE
Maya N Elias, Emily A Ahrens, Chi-Shan Tsai, Zhan Liang, Cindy L Munro
BACKGROUND: Older adults (≥age 65) admitted to an intensive care unit (ICU) are profoundly inactive during hospitalization. Older ICU survivors often experience life-changing symptoms, including cognitive dysfunction, physical impairment, and/or psychological distress, which are components of post-intensive care syndrome (PICS). OBJECTIVES: To explore trends between inactivity and symptoms of PICS in older ICU survivors. METHODS: This study was a secondary analysis of pooled data obtained from 2 primary, prospective, cross-sectional studies of older ICU survivors...
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424020/perceptions-of-interprofessional-practitioners-regarding-pediatric-palliative-transports
#5
JOURNAL ARTICLE
Harriett Swasey, Diana Morrill, Sandra Mott, Shannon Engstrand, Jean Anne Connor
BACKGROUND: Pediatric palliative transport (PPT) is the practice of offering critically and terminally ill children requiring life-sustaining measures the opportunity to be discharged from the hospital to home or a hospice facility for end-of-life care. Although studies have shown PPT to favorably affect both children and their families, limited research exists on the perspectives of health care practitioners. OBJECTIVES: To understand the experience of interprofessional practitioners who have cared for a critically or terminally ill child during a PPT and their perception of PPT as a care option...
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424019/assessing-discomfort-in-american-adult-intensive-care-patients
#6
JOURNAL ARTICLE
Marshall S Gunnels, Emily M Reisdorf, Jay Mandrekar, Linda L Chlan
BACKGROUND: While in the intensive care unit, critically ill patients experience a myriad of distressing symptoms and stimuli leading to discomfort, a negative emotional and/ or physical state that arises in response to noxious stimuli. Appropriate management of these symptoms requires a distinct assessment of discomfort-causing experiences. OBJECTIVES: To assess patient-reported discomfort among critically ill patients with the English-language version of the Inconforts des Patients de REAnimation questionnaire, and to explore relationships between demographic and clinical characteristics and overall discomfort score on this instrument...
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424018/understanding-and-improving-bereavement-support-in-the-intensive-care-unit
#7
JOURNAL ARTICLE
Aluko A Hope, Cindy L Munro
No abstract text is available yet for this article.
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424017/the-refractory-period-in-cardiac-physiology
#8
JOURNAL ARTICLE
Mary G Carey, Michele M Pelter
No abstract text is available yet for this article.
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424016/enhancing-new-nurses-pediatric-respiratory-assessment-skills
#9
JOURNAL ARTICLE
Sarah K Wells
No abstract text is available yet for this article.
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424015/does-a-gratitude-self-care-practice-improve-nurses-well-being
#10
JOURNAL ARTICLE
Margo A Halm, Maria Loebach
No abstract text is available yet for this article.
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424014/clinical-pearls
#11
JOURNAL ARTICLE
Rhonda Board
No abstract text is available yet for this article.
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424013/transitioning-to-palliative-care-in-an-italian-cardiac-intensive-care-unit-network
#12
MULTICENTER STUDY
Alice Sacco, Matteo Pagnesi, Simone Frea, Martina Briani, Carlotta Sorini Dini, Maurizio Bertaina, Marco Marini, Filippo Trombara, Luca Villanova, Amelia Ravera, Guido Tavazzi, Federico Pappalardo, Nuccia Morici, Luciano Potena
BACKGROUND: Recent data indicate that end-of-life management for patients affected by acute decompensated heart failure in cardiac intensive care units is aggressive, with late or no engagement of palliative care teams. OBJECTIVE: To assess current palliative care and end-of-life practices in a contemporary Italian multicenter registry of patients with cardiogenic shock due to acute decompensated heart failure. METHODS: A survey-based approach was used to collect data on palliative care and end-of-life management practices...
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424012/discussion-guide-for-the-amorim-article
#13
JOURNAL ARTICLE
Grant A Pignatiello
No abstract text is available yet for this article.
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38424011/rapid-critical-care-training-for-nurses-deployed-to-intensive-care-units-during-the-covid-19-surge
#14
JOURNAL ARTICLE
Susan I Liu, Andrew Greenway, Kathryn Sobocinski, Anjile An, Robert J Winchell, Philip S Barie
BACKGROUND: During the first COVID-19 pandemic wave, non-intensive care unit (non-ICU) nurses were deployed to temporary ICUs to provide critical care for the patient surge. A rapid critical care training program was designed to prepare them to care for patients in either temporary or permanent ICUs. OBJECTIVE: To evaluate the effectiveness of this training program in preparing non-ICU nurses to provide critical care for COVID-19 patients in temporary ICUs. METHODS: A survey was used to evaluate the impact of rapid critical care training on nurses' critical care skills and compare the experiences of nurses deployed to temporary versus permanent ICUs...
March 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38161175/use-of-the-3-wishes-project-to-help-individualize-end-of-life-care-in-a-medical-intensive-care-unit
#15
JOURNAL ARTICLE
Brittany H Harrison, Elizabeth Hundt, Clareen Wiencek
BACKGROUND: Multiple organizations recommend that individualized end-of-life (EOL) care should be standard practice. However, a standardized approach does not exist because EOL care should be individually tailored. The 3 Wishes Project is an EOL intervention that provides direction for individualized care with 3 goals: dignify death, celebrate the patient's life, and support family members and the intensive care unit clinicians caring for the patient. Patients and families are given the opportunity to choose 3 wishes during the dying process...
January 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38161174/association-of-lack-of-fear-of-dying-with-new-organ-failure-results-of-a-multicenter-prospective-cohort-study
#16
MULTICENTER STUDY
Aurélien Mazeraud, Guillaume Turc, Sivanthiny Sivanandamoorthy, Raphaël Porcher, Annabelle Stoclin, Marion Antona, Andrea Polito, Cassia Righy, Fernando A B Bozza, Shidasp Siami, Tarek Sharshar
BACKGROUND: Patients' anxiety on intensive care unit (ICU) admission is associated with subsequent deterioration. OBJECTIVE: To assess whether patients' fears/anxiety are predictive of new organ failure within 7 days of ICU admission. METHODS: In a prospective 3-center cohort study of non-comatose patients without delirium or invasive mechanical ventilation, 9 specific fears were evaluated through yes/no questions. Illness severity was assessed using the Simplified Acute Physiology Score II (SAPS II) and the Sequential Organ Failure Assessment (SOFA)...
January 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38161173/fluid-resuscitation-and-sepsis-management-in-patients-with-chronic-kidney-disease-or-end-stage-renal-disease-scoping-review
#17
JOURNAL ARTICLE
Matt Haley, Nasim Khosravi Foroutan, Juliann M Gronquist, Raju Reddy, Raghav Wusirika, Akram Khan
Managing sepsis and fluid resuscitation in patients with chronic kidney disease or end-stage renal disease is challenging for health care providers. Nurses are essential for early identification and treatment of these patients. Nurse education on assessing perfusion and implementing 3-hour bundled care can improve mortality rates in patients with sepsis. In this scoping review, initial screening identified 1176 articles published from 2015 through 2023 in the National Library of Medicine database; 29 articles were included in the literature summary and evidence synthesis...
January 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38161172/recognizing-12-lead-electrocardiographic-patterns-in-patients-at-risk-for-lethal-arrhythmias
#18
JOURNAL ARTICLE
Sukardi Suba, Teri M Kozik, Michele M Pelter
No abstract text is available yet for this article.
January 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38161171/mental-health-symptoms-in-parents-of-infants-3-months-after-discharge-following-neonatal-cardiac-surgery
#19
JOURNAL ARTICLE
Amy J Lisanti, Ryan Quinn, Jesse L Chittams, Megan Laubacher, Barbara Medoff-Cooper, Abigail C Demianczyk
BACKGROUND: Parents of newborns with congenital heart disease (CHD) are at risk for anxiety, depression, and post-traumatic stress. Few studies have examined whether modifiable factors that influence parents' mental health after discharge are present during postoperative care in the pediatric cardiac intensive care unit (PCICU). OBJECTIVE: To describe mental health symptoms of parents of infants with CHD 3 months after PCICU discharge and to determine factors during the PCICU stay that are predictors of such symptoms...
January 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38161170/patients-perceptions-of-virtual-live-music-in-the-intensive-care-unit
#20
JOURNAL ARTICLE
Alexandra L Bruder, Akash Gururaja, Nikita Narayani, Ruth Kleinpell, Joseph J Schlesinger
BACKGROUND: Implementing music in the intensive care unit has increased in popularity because the environment can be stressful and anxiety inducing for many patients. In hospital settings, therapeutic music can be beneficial for patients' well-being and recovery. Although live music typically involves a face-to-face encounter between the musician and patient, the COVID-19 pandemic has prompted a change to virtual live therapeutic music, using technology to present music in real time (eg, with a tablet computer)...
January 1, 2024: American Journal of Critical Care
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