Abstract:
:Today's successes would not be possible without the foundation of yesterday's practitioners and patients. This article assists in the exploration of cardiac surgery procedures, provides a brief historical review of the significant changes in cardiothoracic surgery, and provides an overview of current and future methods of treatment for coronary revascularization and heart failure. It is difficult for one article to encompass all aspects of cardiothoracic surgery. This article highlights many of the transforming moments that have led us to where we are today and explores the current trends of cardiac surgery and possibilities for tomorrow.
journal_name
Crit Care Nurs Clin North Amjournal_title
Critical care nursing clinics of North Americaauthors
Miga KCdoi
10.1016/j.ccell.2007.07.009subject
Has Abstractpub_date
2007-12-01 00:00:00pages
343-51, vissue
4eissn
0899-5885issn
1558-3481pii
S0899-5885(07)00057-3journal_volume
19pub_type
杂志文章,评审abstract::The detailed evaluation of a patient for liver transplant candidacy involves health care professionals from various disciplines to ensure that liver transplantation is optimal for patient morbidity and mortality from the medical and psychosocial perspective. The national liver allocation policy is complex and should b...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2010.05.002
更新日期:2010-09-01 00:00:00
abstract::Several studies suggest that the incidence of brain tumors is rising, an increase that cannot be accounted for by improved diagnostic abilities. Brain tumors can be subdivided according to their histology and location. When approached from this standpoint, survival statistics and treatment options can vary greatly. Un...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-03-01 00:00:00
abstract::Educational institutions are being asked to develop more meaningful ways to measure student learning. The critical care nursing faculty at this baccalaureate institution have delineated a process of outcomes-based education that they use as evidence of successful learning in their course. The faculty regard this as an...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::Patient competence is a prerequisite to fulfilling the primary ethical principle of patient autonomy or self-determination. This article defines the legal designation of incompetence and describes the components of the assessment of a patient's decision-making capacity. These assessments occur within the context of re...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract::Solid organ transplantation has become a well-established standard of care for end-organ failure, and the nurse in the intensive care unit may be exposed to these patients at any stage in the care continuum of pretransplant or posttransplant care. Knowledge of risk factors, timing, and treatments for infections may he...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2016.09.002
更新日期:2017-03-01 00:00:00
abstract::Heart failure is a complex disease that interacts with other organ systems, such as the lungs, kidneys, and the liver, in a complex manner. The stages of heart failure often define the acuity and onset of disease symptoms and progression as well as treatment measures, in addition to the patient's functional class. As ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2018.11.006
更新日期:2019-03-01 00:00:00
abstract::Coronary artery bypass graft (CABG) reoperation carries an increased risk for mortality and other complications when compared with the risks and complications associated with the initial operative procedure. The purpose of this article is to describe the incidence of repeat CABG surgical procedures, risk factors, asso...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2007.07.008
更新日期:2007-12-01 00:00:00
abstract::Continuous glucose monitoring systems (CGMS) offer a recent technological solution to fear of hypoglycemia and reduction in hyperglycemia. With glucose readings every 5 minutes, and the alarm capabilities to signal rapid increases or decreases in blood glucose, they afford a sense of security for both children and par...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2011.04.004
更新日期:2011-06-01 00:00:00
abstract::Nurses can play a major role in injury prevention. Nurses are, by nature, educators and role models to their families, patients, and communities. Knowing the magnitude and impact of injuries on both children and their families, nurses must become more informed about the necessity of injury prevention. They must also h...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1991-09-01 00:00:00
abstract::The greatest threats to America's public health include accidental importation of deadly diseases by international travelers and the release of biologic weapons by our adversaries. The greatest failure is unpreparedness because international travel and dispersion of biologic agents by our enemies are inevitable. An ef...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/s0899-5885(02)00079-5
更新日期:2003-06-01 00:00:00
abstract::The differential diagnosis of chest pain is a challenging clinical experience requiring a perceptive and observant clinician. The patient is dependent on the clinician's skill in eliciting a meaningful and relevant history. The clinician must consider reasonable alternative diagnoses while providing immediate therapie...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1991-03-01 00:00:00
abstract::An unexpected death is a traumatic event for everyone affected by it, especially family members. The manner in which a family is told that a death has occurred has a profound effect on their grief and bereavement process. The task of the health care professional working with these patients and their families is to ass...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1995-09-01 00:00:00
abstract::Interventional nutritional support is a complex therapeutic entity. Metabolic complications associated with this therapy are numerous. It is imperative to monitor electrolytes very closely during parenteral and enteral nutritional support and to correct deficiencies or to compensate for increases in serum concentratio...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1993-03-01 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
abstract::A basic understanding of metabolic alterations that occur following neurotrauma is essential for addressing nutritional requirements. Interventions must be research based and must focus on the support of metabolic alterations, minimizing the effect of catabolism and optimizing caloric delivery to meet metabolic demand...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:2000-12-01 00:00:00
abstract::To sustain optimal pain-relieving care for acutely and critically ill patients, organizations must have systems in place to support evidence-based interventions, facilitate expert practice in the area of pain management, and encourage ongoing communication among patients, families, and providers. The key to success ma...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:2001-06-01 00:00:00
abstract::Workplace violence is increasing, but through education, prevention, and man aging escalating crises, critical care nurses can help to minimize the negative consequences of violence. Critical care nurses are particularly prone to acts of aggression and acts of violence due to the stressful environment for them, their ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1997-06-01 00:00:00
abstract::This article presents an overview of postoperative nutritional requirements and goals following bariatric surgery. It summarizes current diet progression and nutrient intake guidelines geared toward optimizing weight loss and maintaining adequate nutritional status, nutrient absorption, as well as hydration. The artic...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2014.02.002
更新日期:2014-06-01 00:00:00
abstract::The gut organs are vulnerable to injury during shock because of ischemia and reperfusion of the microcirculation. These injuries result in upper GI hemorrhage, liver dysfunction, and pancreatic and mesenteric necrosis. Toxic mediators, released via lymph drainage and with reperfusion, contribute to the failure of othe...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1990-06-01 00:00:00
abstract::Inflammation is a physiologic response to irritants, injury, and infection. Inflammatory dysregulation is believed to contribute to mortality and morbidity in illnesses common to critical care units, such as burns, trauma, sepsis, and cardiovascular disease. This article reviews the approaches used to investigate the ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2008.01.007
更新日期:2008-06-01 00:00:00
abstract::Ventricular tachycardias include ventricular tachycardia, ventricular fibrillation, and torsades de pointes; although these rhythms may be benign and asymptomatic, others may be life threatening and lead to increased morbidity and mortality. To optimize patient outcomes, ventricular tachycardias need to be rapidly dia...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2016.04.004
更新日期:2016-09-01 00:00:00
abstract::To improve the past statistics of high mortality and morbidity in patients with TEN, definitive measures are required. Early referral and transfer to a burn center and withholding or withdrawing steroid therapy are two crucial factors. Therapeutic goals must be directed toward promotion of wound healing; correction of...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::The number of patients with heart failure is growing; the associated morbidity and mortality remains dismal. Advance care planning, end-of-life conversations, and palliative care referrals are appropriate, but do not occur regularly. Palliative care focuses on patients and families from diagnosis, to hospice, death, a...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2015.07.007
更新日期:2015-12-01 00:00:00
abstract::Patients with chronic liver diseases sustain impairment to immune systems, which worsens over time. These defects in their host defense lead to risks of bacterial infections and increased morbidity. Providers should have heightened surveillance for infectious diseases and suspect one with any acute change in status. P...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2010.04.002
更新日期:2010-09-01 00:00:00
abstract::Sleep is an important factor related to health and quality of life for all individuals. For people with cancer, sleep disturbances are common and are a source of distress. This article summarizes the problems and reviews the types, prevalence, etiology, risk factors, clinical sequelae, and management of sleep disturba...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2005.04.010
更新日期:2005-09-01 00:00:00
abstract::Insight into the experience of family-member decision making regarding treatment of incompetent ICU patients can be gained through an exploration of the literature regarding the ICU environment, normative bioethics, and the decision-making process (see Fig. 1). The review of these relevant bodies of literature has sug...
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::It is important that pediatric critical care nurses possess a thorough understanding of their patient and be able to provide exceptional care, especially during emergent situations in the operating room. This care is accomplished by assessing the pediatric patient, dosing medications accurately and effectively, and pe...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2014.10.007
更新日期:2015-03-01 00:00:00
abstract::Optimal management of the postoperative pediatric cardiac surgical patient requires a thorough understanding of patient anatomy, physiology, surgical repair or palliation, and clinical condition. This necessitates a dedicated team of clinicians including skilled nurses, physicians, and respiratory therapists specializ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2005.08.006
更新日期:2005-12-01 00:00:00
abstract::More than 375,000 Americans manage their diabetes with an insulin pump, and this number continues to increase. Many of these patients will want to remain on their insulin pump while hospitalized, so the nurse needs to know about how to care for the hospitalized patient wearing an insulin pump. This article discusses t...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2012.11.010
更新日期:2013-03-01 00:00:00
abstract::It is clear that as a chronic illness, heart disease can create multiple stressors for women, including limitations on the performance of daily activities, difficulties managing symptoms and treatment, changes in role performance, lack of social support, and a reduced quality of life. Although available studies provid...
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