journal
https://read.qxmd.com/read/36346434/the-radonda-vaught-case-a-critical-conversation-on-nursing-practice-and-technology
#1
JOURNAL ARTICLE
Linda Harrington
No abstract text is available yet for this article.
November 8, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067265/bundled-bispectral-index-monitoring-and-sedation-during-paralysis-in-acute-respiratory-distress-syndrome
#2
JOURNAL ARTICLE
Sunitha Abraham, Bethany L Lussier
BACKGROUND: Clinical assessments of depth of sedation are insufficient for patients undergoing neuromuscular blockade during treatment of acute respiratory distress syndrome (ARDS). This quality initiative was aimed to augment objective assessment and improve sedation during therapeutic paralysis using the bispectral index (BIS). METHODS: This quality improvement intervention provided education and subsequent implementation of a BIS monitoring and sedation/analgesia bundle in a large, urban, safety-net intensive care unit...
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067264/an-interprofessional-approach-to-mobilizing-patients-with-covid-19-receiving-extracorporeal-membrane-oxygenation
#3
JOURNAL ARTICLE
Jenelle Sheasby, Suzanne Krais, Monica Do, Amy Hall, Holland Pace, David P Myers, Timothy J George
OBJECTIVE: To assess survival outcomes with the intervention of an interprofessional mobilization program for patients with COVID-19 who were receiving venovenous extracorporeal membrane oxygenation (VV-ECMO). DESIGN: Preintervention and postintervention retrospective cohort study. METHODS: Survival outcomes of nonmobilized, adult patients (n = 16) with COVID-19 who were receiving VV-ECMO (May 2020 through December 2020) were compared with those of 26 patients who received a mobility care plan (January 2021 through November 2021)...
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067263/ethical-challenges-and-implications-of-deactivating-mechanical-circulatory-support-for-patients-with-preserved-cognitive-function
#4
JOURNAL ARTICLE
Caitlin B McGeehan, Cynda Hylton Rushton
No abstract text is available yet for this article.
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067262/use-of-extracorporeal-membrane-oxygenation-therapy-during-pregnancy-and-covid-19-a-case-study
#5
JOURNAL ARTICLE
Roberta Kaplow, Casey Miller
Extracorporeal membrane oxygenation is emerging as a vital resource for survival of patients with acute respiratory distress syndrome related to COVID-19. Although recent research provides much insight into the advantages of extracorporeal membrane oxygenation in this patient population, little has been published on its use in pregnancy. This case study describes the use of venovenous extracorporeal membrane oxygenation in a young pregnant woman with acute respiratory distress syndrome due to COVID-19. It illustrates the benefits of a multidisciplinary approach to this treatment modality, allowing time for a fetus to become viable while preserving the life of the mother...
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067261/update-on-posttraumatic-stress-disorder-and-implications-for-acute-and-critical-care-aprns
#6
JOURNAL ARTICLE
Tamar Rodney, Emma Mangano, Jesus Casida
No abstract text is available yet for this article.
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067260/use-of-albumin-as-a-resuscitative-fluid-in-the-intensive-care-unit
#7
JOURNAL ARTICLE
Nicolas Tran, Christopher Allen
No abstract text is available yet for this article.
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067259/strategies-to-sustain-quality-interventions-case-examples-of-chlorhexidine-gluconate-bathing
#8
JOURNAL ARTICLE
Deborah H Allen, Katia Anello, Yvette Destine, Monique Fleurant, Bing Yang, Bradi B Granger, Staci S Reynolds
No abstract text is available yet for this article.
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067258/interventions-to-optimize-survival-and-recovery-in-patients-with-ards
#9
JOURNAL ARTICLE
Mary Fran Tracy
No abstract text is available yet for this article.
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067257/technology-enabled-advances-in-pain-management
#10
JOURNAL ARTICLE
Linda Harrington
No abstract text is available yet for this article.
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/36067256/appropriate-staffing-after-the-pandemic-a-new-challenge-for-healthy-work-environments
#11
JOURNAL ARTICLE
Nancy Blake
No abstract text is available yet for this article.
September 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/35657764/pressure-injury-risk-assessment-and-prevention-in-patients-with-covid-19-in-the-intensive-care-unit
#12
JOURNAL ARTICLE
Jenny Alderden, Susan M Kennerly, Jill Cox, Tracey L Yap
BACKGROUND: Patients critically ill with COVID-19 are at risk for hospital-acquired pressure injury, including device-related pressure injury. METHODS: Braden Scale predictive validity was compared between patients with and without COVID-19, and a logistic regression model was developed to identify risk factors for device-related pressure injury. RESULTS: A total of 1920 patients were included in the study sample, including 407 with COVID-19...
June 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/35657763/differentiation-of-lower-extremity-skin-changes-in-the-intensive-care-setting
#13
JOURNAL ARTICLE
Karen L Bauer
Digital and lower extremity skin changes often signify critical underlying disorders. Patients in the intensive care unit also frequently have hemodynamic instability requiring the use of vasoactive medications, which may lead to various presentations of limb ischemia; preexisting conditions increase these patients' risk for arterial embolization. Most arterial emboli are clots that originate in the heart and travel to distant vascular beds, where they cause arterial occlusion, ischemia, and, potentially, infarction; the 2 most common sequelae are stroke and lower limb ischemia...
June 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/35657762/time-to-hemostasis-after-trauma-and-transfusion-by-patient-blood-type
#14
RANDOMIZED CONTROLLED TRIAL
Justin L Miller, Hallie Harper, Hannah Jane McCarty, Peng Li, Allison R Jones
BACKGROUND: Although evidence supports an increased risk of mortality after major trauma among patients with type O blood, the relationship between patient blood type and clinical outcomes aside from mortality has not been fully elucidated. OBJECTIVE: To examine the relationship between patient blood type and time to hemostasis after trauma and massive transfusion. METHODS: A secondary analysis of the Pragmatic, Randomized Optimal Platelet and Plasma Ratios (PROPPR) trial was performed (N = 544)...
June 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/35657761/cutaneous-manifestations-of-covid-19-in-critical-care
#15
JOURNAL ARTICLE
Laura Swoboda
SARS-CoV-2 infection can cause virus-mediated endothelial dysfunction, which in turn may lead to coagulopathy and ischemic microangiopathy. In the critical care population, cutaneous skin manifestations related to vascular compromise due to COVID-19 include livedo and purpura. These lesions can be difficult to differentiate from other dermatologic conditions seen in this population, including skin failure and deep-tissue pressure injuries. In addition, similarities in underlying pathophysiological mechanisms of these skin conditions can cause diagnostic overlap...
June 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/35657760/cutaneous-anomalies-of-the-critically-ill-patient
#16
JOURNAL ARTICLE
Melania Howell, Salomé Loera, Holly Kirkland-Kyhn
Critically ill patients are at high risk for organ failure, including that of the integumentary system. Nurses working in intensive care are adept at performing comprehensive assessments that include the skin. Although pressure injury is a well-known complication associated with critical illness, patients may also have debilitating and life-threatening dermatoses. Conditions such as skin failure and medical adhesive-related skin damage are commonly seen in the critically ill. Infectious processes, such as Fournier gangrene, invasive candidiasis, mucormycosis, and herpetic lesions, can result in severe or superimposed critical illness and elude detection...
June 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/35657759/analgesia-and-sedation-in-critically-ill-patients-with-burns
#17
JOURNAL ARTICLE
Paige Weaver, Rochelle Brual, David Blair
No abstract text is available yet for this article.
June 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/35657758/primer-on-artificial-intelligence-used-in-electronic-health-records
#18
JOURNAL ARTICLE
Linda Harrington
No abstract text is available yet for this article.
June 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/35657757/advancing-nursing-science-through-site-based-clinical-inquiry-designing-problem-pyramids
#19
JOURNAL ARTICLE
Bradi B Granger, Anna Mall, Staci S Reynolds
No abstract text is available yet for this article.
June 15, 2022: AACN Advanced Critical Care
https://read.qxmd.com/read/35657756/threats-to-skin-integrity-in-the-critically-ill-patient
#20
JOURNAL ARTICLE
Ruth A Bryant
No abstract text is available yet for this article.
June 15, 2022: AACN Advanced Critical Care
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