journal
https://read.qxmd.com/read/36175358/from-open-to-closed-covid-19-restrictions-on-previously-unrestricted-visitation-policies-in-adult-intensive-care-units
#1
JOURNAL ARTICLE
Suzanne Marmo, Kerry A Milner
BACKGROUND: In March 2020, rising numbers of COVID-19 infections contributed to changes in intensive care unit visitation policies, with some facilities allowing no visitors. OBJECTIVE: To compare visitation policies of Magnet and Pathway to Excellence hospitals with prepandemic open visitation in adult intensive care units. METHODS: A mixed-methods study was conducted from January through March 2021. Quantitative data on visitation policies were extracted from websites of 96 Magnet and Pathway to Excellence hospitals that had allowed unrestricted visits in adult intensive care units before the pandemic...
September 30, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36065019/tracheostomies-of-patients-with-covid-19-a-survey-of-infection-reported-by-health-care-professionals
#2
JOURNAL ARTICLE
Constance S Harrell Shreckengost, Limeng Wan, Alexandra W Reitz, Alice Lin, Rohan K Dhamsania, Julia Spychalski, J Miller Douglas, Andrea Lane, Dina Amin, Steven Roser, David Berkowitz, Jorge Esteban Foianini, Renée Moore, Jithin K Sreedharan, Abesh Niroula, Randi Smith, Onkar V Khullar
BACKGROUND: Health care professionals (HCPs) performing tracheostomies in patients with COVID-19 may be at increased risk of infection. OBJECTIVE: To evaluate factors underlying HCPs' COVID-19 infection and determine whether tracheostomy providers report increased rates of infection. METHODS: An anonymous international survey examining factors associated with COVID-19 infection was made available November 2020 through July 2021 to HCPs at a convenience sample of hospitals, universities, and professional organizations...
September 6, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316179/circadian-rhythmicity-of-vital-signs-at-intensive-care-unit-discharge-and-outcome-of-traumatic-brain-injury
#3
JOURNAL ARTICLE
Rob Boots, George Xue, Dirk Tromp, Oliver Rawashdeh, Judith Bellapart, Shane Townsend, Michael Rudd, Craig Winter, Gary Mitchell, Nicholas Garner, Pierre Clement, Nermin Karamujic, Christopher Zappala
BACKGROUND: Physiological functions with circadian rhythmicity are often disrupted during illness. OBJECTIVE: To assess the utility of circadian rhythmicity of vital signs in predicting outcome of traumatic brain injury (TBI). METHODS: A retrospective single-center cohort study of adult intensive care unit (ICU) patients with largely isolated TBI to explore the relationship between the circadian rhythmicity of vital signs during the last 24 hours before ICU discharge and clinical markers of TBI severity and score on the Glasgow Outcome Scale 6 months after injury (GOS-6)...
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316178/echocardiographic-prediction-of-successful-weaning-from-venoarterial-extracorporeal-membrane-oxygenation
#4
JOURNAL ARTICLE
Marta Alonso-Fernandez-Gatta, Soraya Merchan-Gomez, Miryam Gonzalez-Cebrian, Alejandro Diego-Nieto, Javier Gonzalez-Martin, Ines Toranzo-Nieto, Alfredo Barrio, Francisco Martin-Herrero, Pedro L Sanchez
BACKGROUND: Weaning from venoarterial extracorporeal membrane oxygenation (VA-ECMO) support fails in 30% to 70% of patients. OBJECTIVE: To explore the utility of echocardiographic parameters in predicting successful disconnection from VA-ECMO. METHODS: Patients receiving VA-ECMO in a referral hospital were included. The relationships between echocardiographic parameters during the weaning trial and weaning success (survival > 24 hours after VA-ECMO explant and no death from cardiogenic shock, heart failure, or cardiac arrest during the hospital stay) and survival were evaluated...
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316177/prevention-of-tracheostomy-related-pressure-injury-a-systematic-review-and-meta-analysis
#5
JOURNAL ARTICLE
Chandler H Moser, Anna Peeler, Robert Long, Bruce Schoneboom, Chakra Budhathoki, Paolo P Pelosi, Michael J Brenner, Vinciya Pandian
BACKGROUND: In the critical care environment, individuals who undergo tracheostomy are highly susceptible to tracheostomy-related pressure injuries. OBJECTIVE: To evaluate the effectiveness of interventions to reduce tracheostomy-related pressure injury in the critical care setting. METHODS: MEDLINE, Embase, CINAHL, and the Cochrane Library were searched for studies of pediatric or adult patients in intensive care units conducted to evaluate interventions to reduce tracheostomy-related pressure injury...
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316176/interprofessional-team-collaboration-and-work-environment-health-in-68-us-intensive-care-units
#6
JOURNAL ARTICLE
Brenda T Pun, Jin Jun, Alai Tan, Diane Byrum, Lorraine Mion, Eduard E Vasilevskis, E Wesley Ely, Michele Balas
BACKGROUND: Safe, reliable, high-quality critical care delivery depends upon interprofessional teamwork. OBJECTIVE: To describe perceptions of intensive care unit (ICU) teamwork and healthy work environments and evaluate whether perceptions vary by profession. METHODS: In August 2015, Assessment of Interprofessional Team Collaboration Scale (AITCS) and the American Association of Critical-Care Nurses Healthy Work Environment Assessment Tool (HWEAT) surveys were distributed to all interprofessional members at the 68 ICUs participating in the ICU Liberation Collaborative...
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316175/symptomatic-bradycardia-in-a-young-adult-after-camping
#7
JOURNAL ARTICLE
Dillon J Dzikowicz, Sukardi Suba, Salah S Al-Zaiti, Mary G Carey
No abstract text is available yet for this article.
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316174/how-patients-and-families-describe-major-medical-treatments-they-are-no-longer-living-just-existing
#8
JOURNAL ARTICLE
Kristen E Pecanac, Shereen M Massey, Lindsey R Repins
BACKGROUND: As more life-sustaining treatments become available, the need to provide patients and families clarity about what these treatments are and what they do is increasing. Little is known about how patients and families conceptualize life support. OBJECTIVE: To explore the discourse that patients and families used to describe major medical treatments in their accounts of treatment decision-making. METHODS: This study is a secondary data analysis of a survey sent to random addresses in Wisconsin regarding experiences with major medical treatment decision-making...
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316173/implementation-and-modification-of-developmental-care-rounds-in-the-cardiac-intensive-care-unit
#9
JOURNAL ARTICLE
Justin J Elhoff, Jill Zender, Kelly L R Davis, Claire M Rizk, Lauren H Salinas, Rocky Tsang, Robin R Schlosser
In 2019, an interprofessional team at Texas Children's Hospital designed and instituted developmental care rounds to better coordinate developmentally appropriate care within the cardiac intensive care unit. During the first 2 years, we conducted 230 developmental care rounds on 169 patients; for these rounds, family participation was greater than 85%. Since their inception, these rounds have undergone several modifications, including changes to the patient selection criteria and team role delegation. Importantly, the structure of these rounds has evolved to prominently integrate family members' perspectives and experiences...
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316172/words-matter-describing-major-medical-treatments
#10
JOURNAL ARTICLE
Linda Bell
No abstract text is available yet for this article.
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316171/liberty-justice-and-intensive-care-unit-recovery
#11
JOURNAL ARTICLE
Aluko A Hope, Cindy L Munro
No abstract text is available yet for this article.
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316170/clinical-pearls
#12
JOURNAL ARTICLE
Rhonda Board
No abstract text is available yet for this article.
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316169/on-low-value-nursing-care-part-2-de-implementing-practices-in-your-unit
#13
JOURNAL ARTICLE
Margo A Halm
No abstract text is available yet for this article.
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36316168/discussion-guide-for-the-pecanac-article
#14
COMMENT
Grant A Pignatiello
No abstract text is available yet for this article.
November 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36045047/clinical-pearls
#15
JOURNAL ARTICLE
Rhonda Board
No abstract text is available yet for this article.
September 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36045046/thoracic-impedance-pneumography-derived-respiratory-alarms-and-associated-patient-characteristics
#16
JOURNAL ARTICLE
Linda K Bawua, Christine Miaskowski, Sukardi Suba, Fabio Badilini, George W Rodway, Xiao Hu, Michele M Pelter
BACKGROUND: Respiratory rate (RR) alarms alert clinicians to a change in a patient's condition. However, RR alarms are common occurrences. To date, no study has examined RR alarm types and associated patient characteristics, which could guide alarm management strategies. OBJECTIVES: To characterize RR alarms by type, frequency, duration, and associated patient demographic and clinical characteristics. METHODS: A secondary data analysis of alarms generated with impedance pneumography in 461 adult patients admitted to either a cardiac, a medical/surgical, or a neurological intensive care unit (ICU)...
September 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36045045/a-pediatric-intensive-care-checklist-for-interprofessional-rounds-the-r-picnic-study
#17
REVIEW
Daniela Fernanda Dos Santos Alves, Érika Sana Moraes, Patrícia Blau Margosian Conti, Giselli Cristina Villela Bueno, Tiago Henrique de Souza, Elisandra Oliveira Parada Pereira, Marcelo Barciela Brandão, Maria Angélica Sorgini Peterlini, Mavilde Luz Gonçalves Pedreira
BACKGROUND: The use of checklists in the pediatric intensive care unit can help improve the quality of care and patient safety. OBJECTIVES: To build and validate a checklist for use in interprofessional rounds in a pediatric intensive care unit. METHODS: This methodological study was conducted in a 20-bed pediatric intensive care unit serving children up to 14 years old. A checklist prototype was constructed through review of the literature and achievement of consensus among the professionals providing care in the unit...
September 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36045044/no-association-of-early-postoperative-heart-rate-with-outcomes-after-coronary-artery-bypass-grafting
#18
JOURNAL ARTICLE
Yoshihisa Morita, Junji Kumasawa, Yoshihisa Miyamoto, Junichi Izawa, Vijay Krishnamoorthy, Karthik Raghunathan, Raquel R Bartz, Annemarie Thompson, Tetsu Ohnuma
BACKGROUND: Elevated perioperative heart rate potentially causes perioperative myocardial injury because of imbalance in oxygen supply and demand. However, large multicenter studies evaluating early postoperative heart rate and major adverse cardiac and cerebrovascular events (MACCEs) are lacking. OBJECTIVE: To assess the associations of 4 postoperative heart rate assessment methods with in-hospital MACCEs after elective coronary artery bypass grafting (CABG). METHODS: Using data from the eICU Collaborative Research Database in the United States from 2014 to 2015, the study evaluated postoperative heart rate measured during hospitalization within 24 hours after intensive care unit admission...
September 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36045043/adaptation-and-testing-of-a-military-version-of-the-measure-of-moral-distress-for-healthcare-professionals
#19
JOURNAL ARTICLE
Melissa A Wilson, Angela Simmons, J Irene Harris, Sheila Thomas, Amy Shay, Timothy J Usset, Wendy Cook, Daniel Bevington, Ann C Hurley, Elizabeth Epstein
BACKGROUND: Moral distress is well-documented among civilian critical care nurses and adversely affects patient outcomes, care delivery, and retention of health care providers. Despite its recognized significance, few studies have addressed moral distress in military critical care nurses. OBJECTIVES: To refine and validate an instrument to assess moral distress in military critical care nurses. METHODS: This study examined moral distress in military critical care nurses (N = 245) using a new instrument, the Measure of Moral Distress for Healthcare Professionals-Military (MMD-HP-M)...
September 1, 2022: American Journal of Critical Care
https://read.qxmd.com/read/36045042/caring-for-rural-patients-at-end-of-life-perceptions-of-critical-access-hospital-nurses
#20
JOURNAL ARTICLE
Renea L Beckstrand, Trissa M Lyman, Karlen E Luthy, Janelle L B Macintosh
BACKGROUND: Critical access hospitals were created to bring health care to rural populations. These hospitals lack equipment and resources, but the nurses who work there still provide end-of-life care to critically ill and dying patients. OBJECTIVE: To determine how nurses in critical access hospitals perceive the size of obstacles and helpful behaviors for the provision of end-of-life care. METHODS: Questionnaires were sent to a cross-sectional, nationally representative sample of nurses working in 39 critical access hospitals...
September 1, 2022: American Journal of Critical Care
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