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AACN Advanced Critical Care

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https://read.qxmd.com/read/30842080/implications-of-antiarrhythmic-pharmacology
#1
Karen M Marzlin
No abstract text is available yet for this article.
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842079/burdened-by-a-secret-caring-for-older-adults-with-hiv-in-critical-care
#2
Tamryn F Gray
No abstract text is available yet for this article.
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842078/using-health-system-data-for-improvement-science-charting-progress
#3
Staci Reynolds, Bradi B Granger
No abstract text is available yet for this article.
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842077/ventilator-associated-pneumonia-precautions-for-children-what-is-the-evidence
#4
Lori Williams
No abstract text is available yet for this article.
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842076/creating-healthy-work-environments-our-voice-our-strength
#5
Nancy Blake
No abstract text is available yet for this article.
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842075/time-for-a-renaissance-of-the-clinical-nurse-specialist-role-in-critical-care
#6
Patricia M Davidson, Alphonsa Rahman
No abstract text is available yet for this article.
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842073/complex-medical-technology-strategies-for-selection-education-and-competency-assessment-and-adoption
#7
JoAnne Phillips
The prevalence of complex technology in the health care arena has increased dramatically in the 21st century. Nurses working in acute and critical care have the greatest interaction with technology, using it to manage patients and optimize clinical outcomes as well as to prevent errors and adverse events. The successful implementation of complex medical technology is, in itself, a complex process. The purpose of this article is to provide nurse leaders and clinical nurses with an overview of key steps in product selection, associated risk assessment, and establishing a business case for technology...
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842072/implementation-of-a-data-acquisition-and-integration-device-in-the-neurologic-intensive-care-unit
#8
Amanda Szatala, Bethany Young
The neurologic intensive care unit has evolved into a data-rich, complex arena. Various neurologic monitors, collectively referred to as multimodality monitoring, provide clinicians with a plethora of real-time information about a comatose patient's condition. The time and cognitive burden required to synthesize the available data and reach meaningful clinical conclusions can be overwhelming. The Moberg Component Neuromonitoring System (Moberg Research, Inc) is a data acquisition and integration device that collects data from multiple monitors, displaying them on a single screen in a way that highlights physiological trends throughout a patient's clinical course...
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842071/optimizing-fail-safe-use-of-complex-medical-devices
#9
Patricia Hercules, M Michael Shabot, Teresa Ryan, Susan Ratcliff
As part of its comprehensive journey toward high reliability, Memorial Hermann Health System has implemented multiple patient safety initiatives. An instance of actual patient harm due to staff unfamiliarity with a medical device triggered a project to ensure the competence of clinical staff in the operation of all approved new and updated medical devices. Medical devices are classified by level of risk to patients if caregivers are not reliably educated. Educational rigor, with tracking and accountability management, is then scaled to that risk assessment...
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842070/complex-patient-care-technology
#10
JoAnne Phillips
No abstract text is available yet for this article.
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842069/burnout-in-brazilian-intensive-care-units-a-comparison-of-nurses-and-nurse-technicians
#11
Francino Azevedo Filho, Maria Cristina Soares Rodrigues, Jeannie P Cimiotti
Job-related burnout has been reported by intensive care nurses worldwide; this study was performed to examine burnout in intensive care unit bedside nurses and nurse technicians in Brazil. A cross-sectional survey that included the Practice Environment Scale and the Maslach Burnout Inventory was completed by 209 nurses and nurse technicians working in 4 Brazilian intensive care units in 3 teaching hospitals. Compared with nurse technicians, nurses reported higher levels of emotional exhaustion and depersonalization, and a lower level of personal accomplishment...
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842068/use-errors-with-health-care-technologies-an-inconvenient-truth
#12
Linda Harrington
No abstract text is available yet for this article.
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30842067/strategies-for-the-management-of-sepsis
#13
Brian W Gilbert, Michael Reichert, Suzanne Fletcher
No abstract text is available yet for this article.
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30523014/tunneled-pleural-catheter-treatment-for-recurrent-pleural-effusion
#14
Chelsea Miller, Elizabeth Bridges, Balaji Laxmanan, Paula Cox-North, Hilaire Thompson
Recurrent pleural effusion is a symptom of several end-stage diseases and is associated with limited life expectancy. Patients with this condition have disabling symptoms resulting in reduced quality of life and often receive inconsistent treatment due to delayed recognition of pleural effusion, repeat procedures, and lengthy hospitalizations. Placement of a tunneled pleural catheter allows the patient to manage his or her symptoms at home, yet this treatment remains underused because of provider misconceptions and unfamiliarity with the intervention...
2018: AACN Advanced Critical Care
https://read.qxmd.com/read/30523013/reducing-tracheostomy-related-pressure-injuries
#15
Lois M Dixon, Susan Mascioli, Jefferson H Mixell, Tom Gillin, Camille N Upchurch, Kevin M Bradley
An interprofessional team was established to prevent tracheostomy-related acquired pressure injuries. The team performed an in-depth analysis of practice from tracheostomy insertion through postinsertion care. A literature evaluation identified best practices, and a root cause analysis for all tracheostomy-related pressure injury cases identified common causes. Lessons learned from the practice and literature reviews drove care standardization and reduced variation. Preimplementation and postimplementation data were analyzed to determine the effectiveness of improvement interventions...
2018: AACN Advanced Critical Care
https://read.qxmd.com/read/30523012/acute-respiratory-distress-syndrome-and-prone-positioning
#16
Dannette A Mitchell, Maureen A Seckel
Acute respiratory distress syndrome continues to have high morbidity and mortality despite more than 50 years of research. The Berlin definition in 2012 established risk stratification based on degree of hypoxemia and the use of positive end-expiratory pressure. The use of prone positioning as a treatment modality has been studied for more than 40 years, with recent studies showing an improvement in oxygenation and decreased mortality. The studies also provide evidence to support the methodology and length of treatment time...
2018: AACN Advanced Critical Care
https://read.qxmd.com/read/30523011/capnography-monitoring-during-procedural-sedation-and-analgesia
#17
John J Gallagher
Procedural sedation is used to alleviate pain and anxiety associated with diagnostic procedures in the acute care setting. Although commonly used, procedural sedation is not without risk. Key to reducing this risk is early identification of risk factors through presedation screening and monitoring during the procedure. Electrocardiogram, respiratory rate, blood pressure, and pulse oximetry commonly are monitored. These parameters do not reliably identify airway and ventilation compromise. Capnography measures exhaled carbon dioxide and provides early identification of airway obstruction and hypoventilation...
2018: AACN Advanced Critical Care
https://read.qxmd.com/read/30523010/alternative-modes-of-mechanical-ventilation
#18
John J Gallagher
Modern mechanical ventilators are more complex than those first developed in the 1950s. Newer ventilation modes can be difficult to understand and implement clinically, although they provide more treatment options than traditional modes. These newer modes, which can be considered alternative or nontraditional, generally are classified as either volume controlled or pressure controlled. Dual-control modes incorporate qualities of pressure-controlled and volume-controlled modes. Some ventilation modes provide variable ventilatory support depending on patient effort and may be classified as closed-loop ventilation modes...
2018: AACN Advanced Critical Care
https://read.qxmd.com/read/30523008/boot-camp-for-caregivers-of-children-with-medically-complex-conditions
#19
Julie Van Orne, Kaylan Branson, Mary Cazzell
BACKGROUND: The safe transition of children with complex medical conditions who are dependent on technology from hospital to home requires that caregivers receive specialized training from qualified health care professionals. Inadequate caregiver training can lead to discharge delays and hospital readmissions, often resulting in caregiver distress. OBJECTIVE: To determine the effectiveness of a structured boot camp-style predischarge training program for caregivers of pediatric patients with complex medical conditions...
2018: AACN Advanced Critical Care
https://read.qxmd.com/read/30523007/interoperability-of-infusion-pumps-with-electronic-health-records
#20
Linda Harrington
No abstract text is available yet for this article.
2018: AACN Advanced Critical Care
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