journal
https://read.qxmd.com/read/37524367/bedside-clinician-s-guide-to-pulmonary-artery-catheters
#41
JOURNAL ARTICLE
W Everett Fox, Michael Marshall, Susan M Walters, Venkat R Mangunta, Michael Ragosta, Amanda M Kleiman, John S McNeil
BACKGROUND: Pulmonary artery catheters provide important information about cardiac function, mixed venous oxygenation, and right-sided pressures and potentially provide temporary pacing ability. OBJECTIVE: To provide bedside clinicians with guidance for techniques to insert right heart monitors and devices, describe risk factors for difficult insertion and contraindications to placement, and provide updates on new technologies that may be encountered in the intensive care unit...
August 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37524366/protocolization-of-analgesia-and-sedation-through-smart-technology-in-intensive-care-improving-patient-safety
#42
JOURNAL ARTICLE
Isabel Muñoz Ojeda, Marina Sánchez-Cuervo, Ángel Candela-Toha, Dolores R Serrano-López, Teresa Bermejo-Vicedo, Juan Miguel Alcaide-López-de-Lerma
BACKGROUND: The risk of medication errors in intensive care units is high, primarily in the drug administration phase. LOCAL PROBLEM: Management of high-alert medications within intensive care units in the study institution varied widely. The aim of this quality improvement project was to protocolize and centralize the management of high-alert medications in acute care settings and to implement smart intravenous infusion pump technology in intensive care units. METHODS: The project was conducted in 4 phases: (1) protocolization and standardization of intravenous mixtures, (2) centralization of intravenous mixture preparation in the Pharmacy Department, (3) programming of the smart pumps, and (4) dissemination and staged implementation of intravenous mixture protocols...
August 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37524365/safe-patient-handling-and-pressure-injury-prevention-for-patients-with-delayed-sternal-closure
#43
JOURNAL ARTICLE
Jason Stokes, Jessica Seabrooks, Yeu-Li Yeung, Angela Richardson, Heather Pena, Kelly Kester
BACKGROUND: Pressure injuries are associated with increased morbidity, mortality, and cost. Patients with delayed sternal closure after cardiac surgery are at increased risk of developing pressure injury because of their reduced mobility and inability to undergo complete skin assessment. LOCAL PROBLEM: Safe patient handling of patients with delayed sternal closure is challenging because of mobility restrictions, leading to increased risk for patient and staff harm...
August 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37524364/clinical-practice-guidelines-can-be-valuable-sources-of-evidence
#44
JOURNAL ARTICLE
Annette M Bourgault
No abstract text is available yet for this article.
August 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37524363/topical-antibiotic-prophylaxis-to-reduce-respiratory-tract-infections-and-mortality-in-adults-receiving-mechanical-ventilation
#45
JOURNAL ARTICLE
Adam S Cooper
No abstract text is available yet for this article.
August 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37524362/preventing-ventilator-associated-tracheitis-in-the-pediatric-cardiac-intensive-care-unit
#46
JOURNAL ARTICLE
Jessica Olsen, Krista Finley, Caitlyn McNary
No abstract text is available yet for this article.
August 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37524361/evidence-based-protocol-for-cardiac-surgical-arrest
#47
JOURNAL ARTICLE
S Jill Ley
No abstract text is available yet for this article.
August 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37302806/correction
#48
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
June 12, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257878/debriefing-after-critical-events-is-feasible-and-associated-with-increased-compassion-satisfaction-in-the-pediatric-intensive-care-unit
#49
JOURNAL ARTICLE
Courtney Nerovich, Sabrina F Derrington, Lauren R Sorce, Jim Manzardo, Renee C B Manworren
BACKGROUND: Repeated exposure to death and dying increases health care professionals' risk for burnout and secondary traumatic stress. Pediatric critical care providers are at particularly high risk because the death and dying of children are associated with even greater psychological impact. LOCAL PROBLEM: A charge nurse in the pediatric intensive care unit identified a need for additional staff support after critical patient events. METHODS: The aim of this quality improvement project was to design and implement a debriefing process, the Rapid Review of Resuscitation, in a 40-bed, high-acuity pediatric intensive care unit at an urban children's hospital in the midwestern United States...
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257877/monitoring-and-management-of-intra-abdominal-pressure-in-critically-ill-children
#50
REVIEW
ZhiRu Li, HuaFen Wang, FangYan Lu
BACKGROUND: Intra-abdominal hypertension is a comorbid condition in critically ill children, is an independent predictor of mortality, and has harmful effects on multiple organ systems through renal, pulmonary or hemodynamic damage. Intra-abdominal pressure monitoring is widely used in clinical practice because it is a safe, accurate, inexpensive, and rapid method for the clinical diagnosis of intra-abdominal hypertension. OBJECTIVE: To improve pediatric critical care nurses' understanding of and ability to perform intra-abdominal pressure monitoring and provide a reference for standardizing intra-abdominal pressure monitoring in clinical practice...
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257876/use-of-female-external-urinary-catheters-in-a-burn-intensive-care-unit-benefits-and-challenges
#51
JOURNAL ARTICLE
Paul Won, Jasmine Craig, Claudia Nevarez, T Justin Gillenwater, Haig A Yenikomshian
BACKGROUND: Burn patients have a relatively high rate of indwelling Foley catheter use because of their need for complex fluid management and wound care. However, Foley catheter use is associated with risks, including urinary tract infection. For female patients, an external urinary catheter is an alternative. OBJECTIVES: To evaluate the use of female external urinary catheters in a burn intensive care unit and to develop a standard protocol. METHODS: This study involved female patients admitted to a burn intensive care unit from 2017 to 2020...
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257875/a-review-of-thromboelastography-for-nurses
#52
REVIEW
Nicholas J Vollmer, Nicole A Leshko, Charles S Wilson, Brian W Gilbert
BACKGROUND: Thromboelastography is a viscoelastic test with multiple potential advantages over conventional coagulation tests in various disease states. Thromboelastography rapidly provides qualitative and quantitative information related to a patient's coagulation status. OBJECTIVE: To describe recent studies of the use of thromboelastography in various clinical states and how thromboelastography is used in coagulation management. METHODS: A literature review using the MEDLINE and PubMed databases was conducted...
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257874/nursing-care-of-patient-with-tracheostomy-tube-cuff-rupture-caused-by-tracheal-polyp-a-case-report
#53
JOURNAL ARTICLE
Ye Feifei, Zhen Junhai, Guan Xiaoxiao
INTRODUCTION: Tracheostomy is common in patients with critical illness. Mechanical ventilation requires the airway to be closed by an inflated tracheostomy tube cuff. Tracheostomy tube cuff rupture is a serious complication of airway management. This case study summarizes the nursing care of a patient who received prolonged mechanical ventilation and had recurrent tracheostomy tube cuff ruptures caused by a tracheal polyp. CLINICAL FINDINGS AND DIAGNOSIS: An 81-year-old woman was admitted because of acute exacerbation of chronic obstructive pulmonary disease...
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257873/impact-of-case-review-debriefings-on-moral-distress-of-extracorporeal-membrane-oxygenation-nurses
#54
JOURNAL ARTICLE
Sherry Griggs, Debra Hampton, Jean Edward, Jessica McFarlin
BACKGROUND: Moral distress occurs when nurses know the ethically correct action to take but are restrained from taking it. Moral distress is prevalent in nurses who work in intense stress situations, as do extracorporeal membrane oxygenation nurses. LOCAL PROBLEM: Nurses who work in critical care settings have higher levels of moral distress than nurses who work in other practice areas. The purpose of this project was to evaluate the effectiveness of case review debriefings on moral distress of extracorporeal membrane oxygenation nurses...
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257872/task-oriented-nursing-care-through-a-positive-lens
#55
JOURNAL ARTICLE
Annette M Bourgault
No abstract text is available yet for this article.
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257871/navigating-nutrition
#56
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257870/overworked-and-underpaid-an-impending-nursing-crisis
#57
JOURNAL ARTICLE
Stephanie Ford, Garvita Thareja
No abstract text is available yet for this article.
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257869/creating-an-escape-room-for-continuous-renal-replacement-therapy-validation
#58
JOURNAL ARTICLE
Heather Przybyl, Emily Boyle
No abstract text is available yet for this article.
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37257868/best-practices-in-oral-care
#59
JOURNAL ARTICLE
Barbara Quinn
No abstract text is available yet for this article.
June 1, 2023: Critical Care Nurse
https://read.qxmd.com/read/37001879/app-based-mindfulness-intervention-to-improve-psychological-outcomes-in-pretransplant-patients-with-heart-failure
#60
JOURNAL ARTICLE
Elizabeth Vandenbogaart, Anna Gawlinski, Karen A Grimley, Mary Ann Lewis, Carol Pavlish
BACKGROUND: Patients hospitalized with life-threatening conditions experience psychological stressors that can lead to anxiety and poor patient outcomes. Mindfulness stress reduction interventions have been shown to decrease stress and anxiety with sustained effect. LOCAL PROBLEM: In a single center's cardiac care units, only pharmacological stress reduction options were embedded in the daily care plan. METHODS: This project evaluated the feasibility and effect of a brief mindfulness intervention on stress, anxiety, and resilience in 20 hospitalized patients with advanced heart failure awaiting transplant...
April 1, 2023: Critical Care Nurse
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