journal
https://read.qxmd.com/read/38945820/effects-of-natural-sound-therapy-on-pain-and-agitation-induced-by-endotracheal-suctioning-a-real-world-study
#1
RANDOMIZED CONTROLLED TRIAL
Qianwen Ruan, Chuanxiong Li, Meihua Qiu, Linjun Wan, Tong Sun
BACKGROUND: Music therapy has been used as a complementary intervention to provide synergistic analgesia for various procedures. OBJECTIVE: To evaluate the effects of natural sound therapy on pain intensity and agitation scores in intubated adult Chinese patients who received endotracheal suctioning in a critical care unit. METHODS: A prospective, real-world, randomized, double-blind, controlled study was conducted from July 2021 through February 2022 among intubated surgical intensive care unit patients in a Chinese hospital...
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945819/clinical-factors-associated-with-mode-of-death-following-cardiac-arrest
#2
JOURNAL ARTICLE
Blake Senay, Elochukwu Ibekwe, Yevgeniya Gokun, Jonathan Elmer, Archana Hinduja
BACKGROUND: Death after resuscitation from cardiac arrest is common. Although associated factors have been identified, knowledge about their relationship with specific modes of death is limited. OBJECTIVE: To identify clinical factors associated with specific modes of death following cardiac arrest. METHODS: This study involved a retrospective medical record review of patients admitted to a single health care center from January 2015 to March 2020 after resuscitation from cardiac arrest who died during their index hospitalization...
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945818/noninvasive-ventilation-for-moderate-to-severe-acute-respiratory-distress-syndrome-due-to-covid-19
#3
JOURNAL ARTICLE
Alexander A Botsch, Michael J Oravec, Brandon T Rapier, Laine M Goff, Ashley L Desmett
BACKGROUND: Use of noninvasive ventilation in patients with acute respiratory distress syndrome (ARDS) is debated. The COVID-19 pandemic posed challenges due to high patient volumes and worldwide resource strain. OBJECTIVES: To determine associations between use of noninvasive ventilation in adult patients with moderate to severe ARDS due to SARS-CoV-2 pneumonia, progression to intubation, and hospital mortality. METHODS: This retrospective cohort study included patients in an institutional COVID-19 registry...
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945817/a-daily-dose-of-communication-to-improve-quality-and-safety-outcomes
#4
JOURNAL ARTICLE
Margo A Halm
No abstract text is available yet for this article.
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945816/hospital-based-electrocardiographic-monitoring-the-good-the-not-so-good-and-untapped-potential
#5
JOURNAL ARTICLE
Michele M Pelter
Continuous electrocardiographic (ECG) monitoring was first introduced into hospitals in the 1960s, initially into critical care, as bedside monitors, and eventually into step-down units with telemetry capabilities. Although the initial use was rather simplistic (ie, heart rate and rhythm assessment), the capabilities of these devices and associated physiologic (vital sign) monitors have expanded considerably. Current bedside monitors now include sophisticated ECG software designed to identify myocardial ischemia (ie, ST-segment monitoring), QT-interval prolongation, and a myriad of other cardiac arrhythmia types...
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945815/individualized-numeric-rating-scale-to-assess-pain-in-critically-ill-children-with-neurodevelopmental-disabilities
#6
JOURNAL ARTICLE
Shaneel Rowe, Kaitlin M Best
BACKGROUND: Pain is a significant burden for children with neurodevelopmental disabilities but is difficult for clinicians to identify. No pain assessment tools for children with neurodevelopmental disabilities have been validated for use in pediatric intensive care units. The Individualized Numeric Rating Scale (INRS) is an adapted 0-to-10 rating that includes parents' input on their child's pain indicators. OBJECTIVES: To evaluate the reliability, validity, and feasibility and acceptability of use of the INRS for assessing pain in critically ill children with neurodevelopmental disabilities...
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945814/wide-qrs-complex-rhythm-in-an-unresponsive-community-based-patient
#7
JOURNAL ARTICLE
Sukardi Suba, Dillon J Dzikowicz, Mary G Carey, Michele M Pelter, Salah S Al-Zaiti
No abstract text is available yet for this article.
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945813/nurses-understanding-and-practice-of-minimal-stimulation-in-the-pediatric-intensive-care-unit
#8
JOURNAL ARTICLE
Shelley Burcie, Angelica Morris, Virginia Young, Zara Sajwani-Merchant, Lindsey Patton
BACKGROUND: Pediatric patients receiving neurologic and neurosurgical critical care undergo many procedures that result in stimulation of the sympathetic nervous system, which increases their risk of poor outcomes. Nurses typically implement a variety of interventions to minimize such stimulation; however, minimal stimulation has not been specifically defined in the literature or described as a standardized bundle of care. OBJECTIVE: To examine pediatric intensive care unit nurses' interpretation and practice of minimal stimulation in patients with neurologic and neurosurgical conditions and specifically to triangulate nurses' descriptions of this practice with related findings in the literature...
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945811/climate-change-and-the-intensive-care-unit
#9
EDITORIAL
Lakshman Swamy, Cindy L Munro
No abstract text is available yet for this article.
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945810/discussion-guide-for-the-botsch-article
#10
JOURNAL ARTICLE
Grant A Pignatiello
No abstract text is available yet for this article.
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38945809/caring-for-children-with-neurodevelopmental-disabilities-in-the-pediatric-intensive-care-unit
#11
JOURNAL ARTICLE
Cindy Cain
No abstract text is available yet for this article.
July 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38688854/early-mobility-index-and-patient-outcomes-a-retrospective-study-in-multiple-intensive-care-units
#12
JOURNAL ARTICLE
Sarina A Fazio, Irene Cort├ęs-Puch, Jacqueline C Stocking, Amy L Doroy, Hugh Black, Anna Liu, Sandra L Taylor, Jason Y Adams
BACKGROUND: Early mobility interventions in intensive care units (ICUs) are safe and improve outcomes in subsets of critically ill adults. However, implementation varies, and the optimal mobility dose remains unclear. OBJECTIVE: To test for associations between daily dose of out-of-bed mobility and patient outcomes in different ICUs. METHODS: In this retrospective cohort study of electronic records from 7 adult ICUs in an academic quarternary hospital, multivariable linear regression was used to examine the effects of out-of-bed events per mobility-eligible day on mechanical ventilation duration and length of ICU and hospital stays...
May 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38688853/psychometric-evaluation-of-the-family-willingness-for-caregiving-scale
#13
JOURNAL ARTICLE
Cindy Wilk, Amy Petrinec
BACKGROUND: Family members and close friends of patients undergoing mechanical ventilation in the intensive care unit (ICU) often experience stress and a sense of helplessness. Participating in the care of their loved one may improve their adaptation to the ICU environment and better prepare them for caregiving after discharge. OBJECTIVES: The primary aim of this study was to develop the Family Willingness for Caregiving Scale (FWCS) and test its psychometric properties...
May 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38688852/integrating-perspectives-on-family-caregiving-after-critical-illness-a-qualitative-content-analysis
#14
JOURNAL ARTICLE
Amanda C Moale, Erica M Motter, Peter Eisenhauer, Nimit Gandhi, S Peter Kim, Tim D Girard, Charles F Reynolds, Natalie E Leland, Judy C Chang, Leslie P Scheunemann
BACKGROUND: To date, no intervention has definitively improved outcomes for families of critical illness survivors. An integrated perspective on caregivers' needs after critical illness could help identify high-priority intervention targets and improve outcomes. OBJECTIVES: To obtain diverse perspectives on the needs, barriers and facilitators, and social determinants of health associated with family caregiving across the critical illness continuum and assess the extent to which successful caregiving interventions in other populations may be adapted to the critical illness context...
May 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38688851/sources-of-sound-exposure-in-pediatric-critical-care
#15
JOURNAL ARTICLE
Laura Beth Kalvas, Tondi M Harrison
BACKGROUND: Sound levels in the pediatric intensive care unit (PICU) are often above recommended levels, but few researchers have identified the sound sources contributing to high levels. OBJECTIVES: To identify sources of PICU sound exposure. METHODS: This was a secondary analysis of continuous bedside video and dosimeter data (n = 220.7 hours). A reliable coding scheme developed to identify sound sources in the adult ICU was modified for pediatrics...
May 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38688850/evaluation-of-an-intensive-care-unit-sepsis-alert-in-critically-ill-medical-patients
#16
JOURNAL ARTICLE
Rebecca L Rich, Jennifer M Montero, Kyle E Dillon, Patrick Condon, Mathew Vadaparampil
BACKGROUND: Sepsis alerts commonly used for intensive care unit (ICU) patients can lead to alert fatigue because these patients generally meet 1 or more of the criteria for systemic inflammatory response syndrome. To identify ICU patients at greatest risk for sepsis-related consequences, an ICU-specific sepsis alert was implemented. OBJECTIVE: To evaluate an ICU sepsis alert based on modified criteria for systemic inflammatory response syndrome among critically ill medical patients...
May 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38688849/identifying-and-mitigating-sound-sources-to-enhance-patients-sleep
#17
JOURNAL ARTICLE
Meredith Padilla
No abstract text is available yet for this article.
May 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38688848/documentation-data-and-decision-making
#18
EDITORIAL
Cindy L Munro, Lakshman Swamy
No abstract text is available yet for this article.
May 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38688847/discussion-guide-for-the-moale-article
#19
JOURNAL ARTICLE
Grant A Pignatiello
No abstract text is available yet for this article.
May 1, 2024: American Journal of Critical Care
https://read.qxmd.com/read/38688846/cardiac-arrhythmias-after-coronary-artery-bypass-graft-surgery
#20
JOURNAL ARTICLE
Dillon J Dzikowicz, Sukardi Suba, Mary G Carey
No abstract text is available yet for this article.
May 1, 2024: American Journal of Critical Care
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