Abstract:
:Pulmonary embolism is the leading cause of maternal death in the United States. Amniotic fluid embolism (AFE) represents the least preventable and most lethal of complications with a reported mortality of 86% and an associated fetal demise of 50%. Although it is widely accepted as a clinical entity, AFE is incompletely understood. A combination of clinical presentation, laboratory findings, and exclusion of other pathologies leads to the diagnosis of AFE. The mainstays of treatment are oxygenation, maintenance of cardiac output, and correction of coagulopathy. The prognosis for the patient experiencing AFE remains bleak because it is largely unpredictable and, except for supportive measures, cannot be corrected.
journal_name
Crit Care Nurs Clin North Amjournal_title
Critical care nursing clinics of North Americaauthors
Sisson MCsubject
Has Abstractpub_date
1992-12-01 00:00:00pages
667-73issue
4eissn
0899-5885issn
1558-3481journal_volume
4pub_type
杂志文章abstract::Trauma providers are engaged in a constant struggle to improve quality and to assure positive outcomes in an unpredictable disease process. Traditional quality assurance has been unsuccessful in achieving these goals. Continuous quality improvement methodologies hold promise as the tools to balance quality, outcomes, ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1994-09-01 00:00:00
abstract::Eating disorders are maladaptive eating behaviors that typically develop in adolescence and early adulthood. Psychiatric maladies and comorbid conditions, especially insulin-dependent diabetes mellitus, frequently co-exist with eating disorders. Serious medical complications affecting all organs and tissues can develo...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2004.07.002
更新日期:2004-12-01 00:00:00
abstract::Conscious sedation has become an important component of practice for many ambulatory procedures. Important factors to maintain the safety of this technique are proper patient selection, slow titration of the medication, continuous patient monitoring, proper education of the individuals administering the medication and...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1997-09-01 00:00:00
abstract::Chronic stable angina (CSA) is a symptomatic problem that is precipitated by ischemic heart disease. CSA is diagnosed when symptoms are present for at least 2 months without changes in severity, character, or triggering circumstances. This article is a summary of current treatment strategies aimed to prevent progressi...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2017.08.008
更新日期:2017-12-01 00:00:00
abstract::This ethnographic study of the VISICU eICU (VSISCU, Inc., Baltimore, MD) work environment in a large midwestern health care system describes everyday life working in a telemedicine intensive care. Data were gathered through 60 hours of observation and formal interviews of eICU clinician team members. Working in the re...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ccell.2008.08.013
更新日期:2008-12-01 00:00:00
abstract::Preclinical and clinical trial investigations are now underway for a variety of ventricular assist devices at centers around the country. The current progress of the HEMOPUMP is encouraging, and survival rates show the potential for a successful outcome. This article describes the HEMOPUMP system, and discusses patien...
journal_title:Critical care nursing clinics of North America
pub_type: 临床试验,杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::Sudden infant death syndrome (SIDS) is a perplexing and troubling problem for health care professionals and the community. This article discusses the epidemiology of SIDS and nursing interventions to meet the needs of families affected by SIDS. ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-09-01 00:00:00
abstract::This article has reviewed some of the current airway management practices as well as technologic advances in adult tracheal tube design in the critically ill patient. Although the primary goals of airway protection and facilitation of positive pressure ventilation remain unchanged, a better understanding of the limita...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1999-03-01 00:00:00
abstract::Heart failure is a progressive condition that continues to increase in both incidence and prevalence despite pharmacologic treatment. The high rate of morbidity and mortality associated with advanced heart failure has led to exploration of additional treatments, which include surgical interventions to improve outcomes...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2019.04.003
更新日期:2019-09-01 00:00:00
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journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::Hyperglycemia and diabetes place hospitalized patients at greater risk for serious complications such as infections, diabetic ketoacidosis, hyperosmolar hyperglycemic state, dehydration, electrolyte imbalances, greater antibiotic use, and lengthened hospitalization. Identification and proper treatment of hyperglycemia...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2012.11.001
更新日期:2013-03-01 00:00:00
abstract::Complications of enteral nutrition may compromise respiratory function by direct mechanical injury by feeding tubes, aspiration of formula, or alterations in metabolism. Although much of the data reviewed in this paper were published more than 10 years ago, these studies still comprise most of the literature on pulmon...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract::Commendable long-term care of cardiac transplant recipients begins with excellent discharge preparation. Routine follow-up allows for prompt detection of myriad problems commonly associated with long-term survival after transplantation. Long-term complications, including rejection, infection, hypertension, nephrotoxic...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:2000-03-01 00:00:00
abstract::Advances in medical technology during the past 3 decades altered the scenarios of our dying. It is now possible to prolong life, with the frightening reality that we also can extend death. This paper examines challenges to dying well in America, defines key end-of-life dilemmas faced by critical care nurses, and exami...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/s0899-5885(01)00004-1
更新日期:2002-06-01 00:00:00
abstract::Even though coronary artery disease is the leading cause of death in women, a diagnostic dilemma still remains owing to the high rate of false-positive results observed with noninvasive testing. It still is not clear why a gender bias exists in the noninvasive and invasive evaluation of women suspected of coronary art...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1997-12-01 00:00:00
abstract::Ablative therapy for treatment of tachycarrhythmias has developed rapidly in recent years due to an increased understanding of electrophysiologic mechanisms of arrhythmogenesis and improved modalities of destroying or isolating arrhythmogenic tissue. Radiofrequency catheter ablation is currently the most frequently pe...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
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journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1997-03-01 00:00:00
abstract::Escherichia coli is a bacterium that is an important part of the intestinal tract; however, it has the potential to become pathogenic. Shiga toxin-producing E coli (STEC) is a leading cause of E coli infections and has led to outbreaks in North America. Transmission is through ingestion of contaminated food sources, a...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2017.10.013
更新日期:2018-03-01 00:00:00
abstract::Health care providers rely on quality continuing education programs to increase their knowledge and to acquire new skills. Participation in programs such as CVVH: Implications for Clinical Practice-the Patient, the Circuit, the Team can potentially improve patient outcomes. While this study identifies critical care nu...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract::This article reviews the nursing care of the patient who receives a lung transplant, starting with preparation for admission to the ICU. Issues of oxygenation, airway clearance, hemodynamic and fluid assessment, infection control, incisional assessment, and pain are addressed throughout the hospitalization. Emotional ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1996-09-01 00:00:00
abstract::Hypertensive crisis presents as hypertensive urgency or hypertensive emergency, the differences being the presence or absence of target organ damage (TOD) and the type of treatment the patient will receive. Patients with hypertensive urgency do not express TOD, which is seen only in hypertensive emergencies and can in...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2015.08.003
更新日期:2015-12-01 00:00:00
abstract::Critical care nurses constitute front-line care provision for patients in the intensive care unit (ICU). Hypoxemic respiratory compromise/failure is a primary reason that patients require ICU admission and mechanical ventilation. Critical care nurses must possess advanced knowledge, skill, and judgment when caring for...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2016.07.003
更新日期:2016-12-01 00:00:00
abstract::Patients presenting with active infections or at increased risk for infections pose a significant challenge in critical care nursing. It is important for critical care nurses to use effective antimicrobial strategies in patient management to reduce the potential development of antimicrobial resistance. They should be ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2006.10.006
更新日期:2007-03-01 00:00:00
abstract::The patient reception team remains in existence, although its services have not been called upon since Hurricane Katrina. Drills are held, largely for ancillary personnel, with providers brought in on an as-needed basis. The team stands ready for the next challenge, knowing that the most important lesson is to expect ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2010.09.004
更新日期:2010-12-01 00:00:00
abstract::Myocardial infarction generally occurs in the presence of known risk factors and identifiable coronary artery disease. Atypical presentations due to therapeutic and illicit drug use are documented, however, and lead to the consideration of alternative pathophysiologic rationales for myocardial infarction. This article...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1992-06-01 00:00:00
abstract::It is well-documented in the literature that infants who suffer from hypoxic ischemic encephalopathy are at high risk for neurologic sequelae or even death. With the addition of therapeutic hypothermia into the treatment regimen for neonatal hypoxic ischemic encephalopathy, newborns afflicted with hypoxic ischemic enc...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2018.07.007
更新日期:2018-12-01 00:00:00
abstract::Based in Kuwait 3 years apart, the authors recount how nurses and corps staff, along with their physician counterparts, came together to form well-run medical facilities under adverse circumstances. Their respective hospitals became competent organizations because of specific formulas for success, along with preparati...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2007.10.009
更新日期:2008-03-01 00:00:00
abstract::The highly specialized knowledge and skills necessary to care for critically ill patients requires a team approach involving physicians, nurses, pharmacists, and other health care providers. The role of the pharmacist in the intensive care unit is evolving rapidly to a new responsibility for ensuring definite drug the...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::Transplant pharmacotherapy evolves as new agents are investigated and approved for use. Clinical immunosuppression has been plagued with maintaining a balance between rejection of the transplanted organ and complications of over-immunosuppression, including infection and malignancy. Clinicians must understand current ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0899-5885(03)00041-8
更新日期:2002-03-01 00:00:00
abstract::This article discuss the pathophysiology of traumatic brain injury and increased intracranial pressure, the consequences and treatment of secondary insults, and strategies for the medical and nursing management of the patient who has traumatic brain injury. ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2009.07.009
更新日期:2009-12-01 00:00:00