journal
https://read.qxmd.com/read/38096905/facilitating-family-presence-during-resuscitation-and-invasive-procedures-throughout-the-life-span
#1
JOURNAL ARTICLE
Cathie E Guzzetta, Margo A Halm, Halley Ruppel, Jessica R Sexton
No abstract text is available yet for this article.
December 15, 2023: Critical Care Nurse
https://read.qxmd.com/read/38295869/use-of-biomarkers-to-objectively-evaluate-pain-in-critically-ill-children-a-scoping-review
#2
JOURNAL ARTICLE
Eleni Tamvaki, Margarita Giannakopoulou, Evangelos Bozas, Danai Zachpoulou
BACKGROUND: Many studies have been conducted recently to identify biomarkers that could potentially be used to objectively evaluate pain. OBJECTIVE: To synthesize and critically analyze primary studies of endogenous biomarkers and their associations with pain to identify suitable biomarkers for the objective evaluation of pain in critically ill children. METHODS: PubMed, Scopus, and Ovid databases were searched; searches were restricted by publication date, language, species, and participant age...
February 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38295868/deimplementation-of-gastric-residual-volume-monitoring-to-enhance-patient-nutrition
#3
JOURNAL ARTICLE
Hannah E Landgrave
BACKGROUND: Routine gastric residual volume monitoring remains common in nursing practice. However, current evidence supports using a focused nursing assessment to identify signs and symptoms of enteral feeding intolerance such as abdominal pain, abdominal distension, and vomiting. LOCAL PROBLEM: At the author's institution, nurses and other clinicians began reporting inconsistencies in gastric residual volume monitoring along with frequent interruptions in the delivery of enteral nutrition...
February 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38295867/insulin-infusion-protocols-for-blood-glucose-management-in-critically-ill-patients-a-scoping-review
#4
JOURNAL ARTICLE
Miao Huang, Ruiqi Yang, Dong Pang, Xiuni Gan
BACKGROUND: Continuous insulin infusion is a method for maintaining blood glucose stability in critically ill patients with hyperglycemia. Many insulin infusion protocols have been applied in intensive care units. Understanding the content of these protocols can help clinical staff choose the most appropriate and convenient protocol and promote best practices in managing glucose levels in critically ill adult patients. OBJECTIVE: To examine the types of insulin infusion therapies performed for blood glucose management in critically ill patients...
February 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38295866/screening-for-alcohol-use-disorder-and-management-of-alcohol-withdrawal-syndrome-in-critical-care-patients
#5
JOURNAL ARTICLE
Lindsay Mezzadri
BACKGROUND: Evidence-based research indicates that subjective questionnaires should be eliminated in screening for alcohol use disorder and management of alcohol withdrawal syndrome in critical care patients. However, transitioning clinicians away from these screening tools remains challenging. OBJECTIVE: To improve screening for alcohol use disorder and management of alcohol withdrawal syndrome in the critical care setting by implementing an evidence-based alcohol use disorder screening tool and alcohol withdrawal syndrome protocol for critical care patients...
February 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38295865/nurse-driven-fluid-responsiveness-evaluation-in-patients-with-septic-shock-a-quality-improvement-initiative
#6
JOURNAL ARTICLE
Yana Dilman, Claire Bethel, Navitha Ramesh, Charlene Myers
BACKGROUND: Fluid responsiveness should be assessed in patients with septic shock because only 50% of patients are fluid responsive. Dynamic measures of fluid responsiveness, like pulse pressure variation measured after a passive leg raise maneuver, are recommended to guide fluid administration in patients with sepsis after initial fluid resuscitation. LOCAL PROBLEM: The purpose of the project was to evaluate outcomes after implementing a nurse-driven fluid responsiveness evaluation using passive leg raise and pulse pressure variation measurement in patients with septic shock...
February 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38295864/measuring-intracranial-pressure
#7
JOURNAL ARTICLE
Joan Walsh
No abstract text is available yet for this article.
February 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38295863/the-anatomy-and-physiology-of-true-collaboration
#8
JOURNAL ARTICLE
Cindy Lefton
No abstract text is available yet for this article.
February 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38295862/strategies-to-achieve-evidence-based-practice-in-nursing
#9
JOURNAL ARTICLE
Steven Cuzmenco
No abstract text is available yet for this article.
February 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38295861/manual-prone-positioning-in-adults-reducing-the-risk-of-harm-through-evidence-based-practices
#10
JOURNAL ARTICLE
Lauren Morata, Kathleen Vollman, Jennifer Rechter, Jill Cox
No abstract text is available yet for this article.
February 1, 2024: Critical Care Nurse
https://read.qxmd.com/read/38035620/prone-positioning-in-patients-with-covid-19-and-non-covid-19-acute-respiratory-distress-syndrome
#11
JOURNAL ARTICLE
Albert J Shin, Dong Sung An, Nancy Jo Bush
BACKGROUND: Patients critically ill with COVID-19 develop acute respiratory distress syndrome (ARDS) and may undergo prone positioning. OBJECTIVE: To compare the effects of prone positioning on oxygenation, intensive care unit length of stay, and intubation days in patients with COVID-19 ARDS and patients with non-COVID-19 ARDS. METHODS: A convenience sample of intubated patients with COVID-19 and moderate to severe ARDS (per Berlin criteria) was compared with historical data from a retrospective, descriptive medical record review of patients with non-COVID-19 ARDS...
December 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/38035619/use-of-a-digital-air-leak-detection-device-to-decrease-chest-tube-duration
#12
JOURNAL ARTICLE
Carla Patel, Susan D Ruppert, Hue Cao, Cheryl Fraser, TaCharra Laury, Ara Vaporciyan
BACKGROUND: The aim of this evidence-based practice project was to determine if a digital air leak detection device could speed the identification of chest tube air leak cessation in patients after pulmonary lobectomy. Staff members assessing air leaks have varying levels of expertise, and the digital device is a limited resource in the study institution. A chest tube management algorithm is necessary to standardize care and determine which patients are most likely to benefit. IMPLEMENTATION: Twenty-five consecutive patients who underwent pulmonary lobectomy during the study period and continued to have a chest tube air leak on postoperative day 3 were monitored with digital air leak detection devices...
December 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/38035618/the-relationship-between-rest-breaks-and-professional-burnout-among-nurses
#13
JOURNAL ARTICLE
Halle L Stutting
BACKGROUND: Professional burnout is a well-studied phenomenon marked by feelings of depersonalization, emotional exhaustion, and decreased accomplishment. Affecting nearly half of all nurses, burnout presents a threat to health outcomes of the nurse, patient, organization, and society. Despite a growing literature on professional burnout, specific interventions that address key contributing factors have not been well described. OBJECTIVE: The primary aim of this integrative literature review was to evaluate the relationship between rest breaks and professional burnout among registered nurses...
December 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/38035617/using-a-fluid-resuscitation-algorithm-to-reduce-the-incidence-of-abdominal-compartment-syndrome-in-the-burn-intensive-care-unit
#14
JOURNAL ARTICLE
Jasmine Peters, Paul Won, Julie Herrera, T Justin Gillenwater, Haig A Yenikomshian
BACKGROUND: Patients with large burns must be carefully resuscitated to balance adequate tissue perfusion with the risk of end-organ damage. One devastating complication of overresuscitation is abdominal compartment syndrome. Reducing the volume of fluids given during resuscitation may reduce the incidence of abdominal compartment syndrome and improve outcomes. OBJECTIVE: To determine whether decreasing fluid resuscitation volume in a burn center reduced the incidence of abdominal compartment syndrome...
December 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/38035616/nursing-management-of-a-patient-with-fulminant-myocarditis-and-electrical-storm-receiving-ecmo-a-case-report
#15
JOURNAL ARTICLE
Xiaoxiao Wu, Xiaoyan Wang, Jinmei Luo, Fang Tian, Jin Bian
INTRODUCTION: Fulminant myocarditis is a devastating disease with significant mortality and complications. The care of patients with fulminant myocarditis is rarely reported. CLINICAL FINDINGS: A 17-year-old female patient was admitted to the emergency department with dizziness, amaurosis fugax, and chest tightness. Initial assessment revealed elevated levels of troponin T (4.753 ng/mL), troponin I (49.540 ng/mL), creatine kinase (1306 U/L), creatine kinase-MB isoenzymes (75...
December 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/38035615/using-remote-technology-in-patient-care
#16
JOURNAL ARTICLE
Lisa-Mae Williams
No abstract text is available yet for this article.
December 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/38035614/historical-letters-to-the-editor-mirror-current-issues-in-nursing
#17
JOURNAL ARTICLE
Annette M Bourgault
No abstract text is available yet for this article.
December 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/38035613/hypothermia-for-neuroprotection-in-adults-after-cardiac-arrest
#18
JOURNAL ARTICLE
Adam S Cooper
No abstract text is available yet for this article.
December 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37777250/critical-care-nurses-attitudes-about-family-presence-during-resuscitation-an-integrative-review
#19
JOURNAL ARTICLE
Khaled W Bader, Carolyn R Smith, Gordon L Gillespie
BACKGROUND: Family presence during resuscitation was introduced into clinical practice 30 years ago. Despite adoption of family-centered care by several health organizations and support for family presence during resuscitation by professional organizations such as the American Heart Association, critical care nurses' attitudes about family presence during resuscitation vary widely. OBJECTIVE: To examine current evidence on critical care nurses' attitudes about, perceptions of, and behaviors related to practicing family presence during resuscitation...
October 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37777249/implementation-of-a-pressure-injury-prevention-protocol-for-intensive-care-unit-patients-undergoing-prone-positioning
#20
JOURNAL ARTICLE
Kelly McFee, Julie M Murdoch, Mandy Spitzer
BACKGROUND: Pressure injuries remain the most common hospital-acquired condition, according to the Agency for Healthcare Research and Quality. Patients hospitalized with COVID-19 are at especially high risk for pressure injuries, including those related to medical devices, because of their lower tissue tolerance, prolonged intubation, and common treatment with prone positioning. LOCAL PROBLEM: The COVID-19 pandemic brought an increased incidence of hospital-acquired pressure injury...
October 1, 2023: Critical Care Nurse
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