journal
https://read.qxmd.com/read/38821530/a-review-of-chlorhexidine-oral-care-in-patients-receiving-mechanical-ventilation
#1
REVIEW
Jennifer S Carroll Simmons, Annette M Bourgault, Mary Lou Sole, Brian C Peach
BACKGROUND: Chlorhexidine gluconate has been considered the criterion standard of oral care for patients receiving mechanical ventilation because of its ability to reduce the incidence of ventilator-associated events. Optimal concentrations and frequencies remain unclear, as do adverse events related to mortality in various intensive care unit populations. OBJECTIVE: To examine the current evidence for the efficacy of chlorhexidine gluconate in reducing the incidence of ventilator-associated events, mortality, intensive care unit length of stay, and duration of mechanical ventilation in patients receiving ventilator support...
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821529/rapid-nurse-training-to-meet-surge-capacity-an-integrative-review
#2
REVIEW
Sarah Chilson, Chantel Charais, Joshua Jones, Carl Goforth
BACKGROUND: The COVID-19 pandemic resulted in unprecedented health care challenges and transformation of nursing practice. A significant challenge faced by health care systems was the rapid identification and training of nurses in various specialties, including critical care, to care for a large influx of critically ill patients. OBJECTIVE: To identify common themes and modalities that support best practices for the rapid training of registered nurses in team-based critical care nursing...
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821528/implementing-a-preoperative-anemia-optimization-protocol-for-cardiovascular-surgery-patients-a-quality-improvement-project
#3
JOURNAL ARTICLE
Ashley Rittenhouse, Marilyn Ostendorf, Chanice Johns, Marc Gerdisch
BACKGROUND: Patients with anemia have poorer outcomes following cardiac surgery than do those without anemia. To improve outcomes, the Enhanced Recovery After Surgery cardiac recommendations include optimizing patients' condition, including treating anemia, before surgery. LOCAL PROBLEM: Despite implementing Enhanced Recovery After Surgery initiatives, a midwestern cardiothoracic surgery group recognized a care gap in preoperative patients with anemia. No standardized protocol was in use...
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821527/increasing-the-volume-of-delivered-enteral-feeds-using-a-volume-based-feeding-protocol-in-a-neuroscience-intensive-care-unit
#4
JOURNAL ARTICLE
L Douglas Smith, Haley Hoy, Sage Whitmore
BACKGROUND: Iatrogenic malnutrition is a significant burden to patients, clinicians, and health care systems. Compared with well-nourished patients, underfed patients (those who receive less than 80% of their daily energy requirement) have more adverse outcomes related to nutritional status. Volume-based protocols allow for catch-up titrations, are consistently superior to rate-based protocols, and can be implemented in most settings. LOCAL PROBLEM: This project was conducted in an 8-bed neuroscience intensive care unit in which up to 41% of patients who required enteral feeding were underfed...
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821526/simulation-training-for-emergency-sternotomy-in-the-cardiovascular-intensive-care-unit
#5
JOURNAL ARTICLE
Athanasios Tsiouris, Adam N Protos, Victoria D Keys, Deanna Chambers, Ashok Kumar Coimbatore Jeyakumar, Jay G Shake
BACKGROUND: Emergency resternotomy in the intensive care unit for a patient who has undergone cardiac surgery can be daunting for surgeons and critical care staff. Clinicians involved are often unfamiliar with the surgical instruments and techniques needed. LOCAL PROBLEM: After an emergency intensive care unit resternotomy resulted in suboptimal performance and outcome, protocols for emergency resternotomy were established and improved. METHODS: Education and simulation training were used to improve staff comfort and familiarity with the needed techniques and supplies...
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821525/impact-of-continuous-renal-replacement-therapy-initiation-time-kidney-injury-and-hypervolemia-in-critically-ill-children
#6
JOURNAL ARTICLE
Sierra Hadley, Julie Thompson, Fernando Beltramo, John Marcum, Karin Reuter-Rice
BACKGROUND: The mortality rate of pediatric patients who require continuous renal replacement therapy is approximately 42%, and outcomes vary considerably depending on underlying disease, illness severity, and time of dialysis initiation. Delay in the initiation of such therapy may increase mortality risk, prolong intensive care unit stay, and worsen clinical outcomes. LOCAL PROBLEM: In the pediatric intensive care unit of an urban level I trauma children's hospital, continuous renal replacement therapy initiation times and factors associated with delays in therapy were unknown...
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821524/the-impact-of-nurses-work-environment-on-mental-health-and-suicide
#7
JOURNAL ARTICLE
Sarah K Wells
No abstract text is available yet for this article.
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821523/leveraging-nurse-patient-assignments-to-improve-outcomes-in-intensive-care
#8
JOURNAL ARTICLE
Kathryn A Riman, Jeremy M Kahn
No abstract text is available yet for this article.
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821522/implementing-ambulation-safety-checklists-for-hemodynamically-stable-patients-with-pulmonary-artery-catheters-in-the-step-down-unit
#9
JOURNAL ARTICLE
Karen Hsu, Kimberly Sanchez
No abstract text is available yet for this article.
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821521/a-unit-specific-patient-intensity-tool
#10
JOURNAL ARTICLE
Alexandria Freeman, Lauren Ford
No abstract text is available yet for this article.
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38821520/palliative-care-for-patients-with-life-limiting-or-life-threatening-illness-or-injury
#11
JOURNAL ARTICLE
Bryan Boling
No abstract text is available yet for this article.
June 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38555969/use-of-rounding-checklists-to-improve-communication-and-collaboration-in-the-adult-intensive-care-unit-an-integrative-review
#12
REVIEW
Marshall S Gunnels, Susan L Thompson, Yvette Jenifer
BACKGROUND: Intensive care units are complex settings that require effective communication and collaboration among professionals in many disciplines. Rounding checklists are frequently used during interprofessional rounds and have been shown to positively affect patient outcomes. OBJECTIVE: To identify and summarize the evidence related to the following practice question: In an adult intensive care unit, does the use of a rounding checklist during interprofessional rounds affect the perceived level of staff collaboration or communication? METHODS: An integrative review was performed to address the practice question...
April 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38555968/critical-care-alarm-fatigue-and-monitor-customization-alarm-frequencies-and-context-factors
#13
JOURNAL ARTICLE
Layla Z Arkilic, Elizabeth Hundt, Beth Quatrara
BACKGROUND: Alarm fatigue among nurses working in the intensive care unit has garnered considerable attention as a national patient safety priority. A viable solution for reducing the frequency of alarms and unnecessary noise is intensive care unit alarm monitor customization. LOCAL PROBLEM: A 24-bed cardiovascular and thoracic surgery intensive care unit in a large academic medical center identified a high rate of alarms and associated noise as a problem contributing to nurse alarm fatigue...
April 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38555967/nursing-care-of-a-child-with-delirium-receiving-venoarterial-extracorporeal-membrane-oxygenation-a-case-report
#14
JOURNAL ARTICLE
Cong-Hui Fu, Yan Li, Yu-Cai Zhang, Xiao-Ya Yang, Ji Liu, Min-Jie Ju, Ting-Ting Xu
INTRODUCTION: Children receiving extracorporeal membrane oxygenation are prone to delirium. This case report describes the nursing care of a child with delirium who received venoarterial extracorporeal membrane oxygenation. Relevant interventions and precautions are also discussed. CLINICAL FINDINGS: A 6-year-old girl was admitted to the pediatric intensive care unit with a 2-day history of vomiting and fever. The child underwent cannulation for venoarterial extracorporeal membrane oxygenation...
April 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38555966/integrating-palliative-care-screening-in-the-intensive-care-unit-a-quality-improvement-project
#15
JOURNAL ARTICLE
Traci N Phillips, Denise K Gormley, Sherry Donaworth
BACKGROUND: Patients admitted to the intensive care unit have complex medical problems and increased rates of mortality and recurrent hospitalization for the following 10 years compared with patients without a history of critical illness. Delayed access to palliative care can result in untreated symptoms, lack of understanding of care preferences, and preventable admissions. Despite studies supporting palliative care screening, there is no standardized method to assess palliative care needs of patients admitted to critical care units...
April 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38555965/probable-non-ventilator-associated-hospital-acquired-pneumonia-a-case-report
#16
JOURNAL ARTICLE
Kimberly Paige Rathbun, Annette M Bourgault, Mary Lou Sole
INTRODUCTION: Non-ventilator-associated hospital-acquired pneumonia is a preventable health care-associated infection accounting for 1 in 14 hospital deaths. Clinical factors influencing this condition include oral health and bacteria and oral care. This case report addresses diagnostics and clinical variables related to non-ventilator-associated hospital-acquired pneumonia and emphasizes the importance of prevention. CLINICAL FINDINGS: A 90-year-old woman was admitted to the hospital with shortness of breath and generalized weakness from new-onset atrial fibrillation and suspected heart failure exacerbation...
April 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38555964/2024-national-teaching-institute-evidence-based-solutions-abstracts
#17
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
April 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38555963/healthy-sleep-for-family-members-of-intensive-care-unit-patients
#18
JOURNAL ARTICLE
James Gerhart, Jane Lee, Helen J Burgess, Olimpia Paun, Laura Fosler, Santosh Basapur, Jared A Greenberg
No abstract text is available yet for this article.
April 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38555962/experiences-and-needs-of-families-with-a-relative-admitted-to-an-adult-intensive-care-unit
#19
JOURNAL ARTICLE
Adam S Cooper
No abstract text is available yet for this article.
April 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38555961/mentoring-a-strategy-to-foster-a-sense-of-belonging
#20
JOURNAL ARTICLE
Annette M Bourgault
No abstract text is available yet for this article.
April 1, 2024: Critical Care Nurse
journal
journal
28351
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.