Abstract:
:Critically ill obese patients have many challenging pulmonary problems. The first key is to understand pathophysiology in the pulmonary system related to obesity. Second, it is important to identify the altered physical assessments and diagnostics that occur because of the pulmonary pathophysiology of obesity. Lastly, one should be aware of medical and nursing intervention options that treat symptoms or pulmonary problems of obesity. This article summarizes pulmonary issues related to obesity in critical care.
journal_name
Crit Care Nurs Clin North Amjournal_title
Critical care nursing clinics of North Americaauthors
Siela Ddoi
10.1016/j.ccell.2009.07.015subject
Has Abstractpub_date
2009-09-01 00:00:00pages
301-10, vissue
3eissn
0899-5885issn
1558-3481pii
S0899-5885(09)00052-5journal_volume
21pub_type
杂志文章,评审abstract::Throughout the years, bum care treatment in the United States has made major strides in the ability to save the lives of those once rendered helpless as a result of an extensive bum injury. Bum care professionals are able to assist these individuals to live as normal a life as possible as they heal from one of the mos...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2003.10.003
更新日期:2004-03-01 00:00:00
abstract::Organ transplantation has become a viable treatment option for end-stage organ disease. With the advent of immunosuppressive medication and vastly improved preservation practices and surgical techniques, it is now possible to transplant an increasing number and variety of organs. In their role as direct care givers to...
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::Integration of flexible visitation into a large health system requires concentrated effort. Evaluating impact on patient, family, and staff outcomes is important to facilitate changes and ensure visiting policy success. The medical intensive care unit staff participated in a collaborative quality improvement effort to...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.cnc.2020.02.007
更新日期:2020-06-01 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
abstract::The high-tech homecare nurse is operationalizing the trend to bring critical care nursing and medical services directly to the homecare environment. With the continuing advancement in technologic capability, the role of this newly emerging critical care nurse clinician will grow in scope of practice. As the health car...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1998-09-01 00:00:00
abstract::Sepsis and septic shock are complex, clinical conditions associated with high morbidity and mortality rates. There are evidence-based guidelines outlining priority care areas for sepsis, including early screening outside the intensive care unit. Nurses are directly involved with patient care and must be able to provid...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2018.05.005
更新日期:2018-09-01 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::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::Liver transplantation has evolved into an accepted treatment for many suffering from end-stage liver failure. The complex nature of the liver results in every organ system being impacted by either the failing or the transplanted liver. Organ shortage remains problematic, and work to ensure maximizing the organ donor p...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2011.08.002
更新日期:2011-09-01 00:00:00
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 incompletel...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:
更新日期:1992-12-01 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::Coagulopathy-related bleeding events are a major concern in the management of acute and chronic liver disease. The liver attempts to maintain a balance between procoagulant and anticoagulant factors, and providers struggle with poor prognostic indicators to manage bleeding and critical complications. Subtle changes in...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2013.09.001
更新日期:2013-12-01 00:00:00
abstract::Sepsis in the elderly occurs frequently and carries a high rate of mortality. With increasing numbers of elderly patients being cared for in critical care units, the critical care nurse must have a thorough understanding of the unique aspects of this patient population. Nurses must be prepared to deliver expert nursin...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1996-03-01 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::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::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::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::A review of the mechanism of ischemic-reperfusion injury, proposed interventions to prevent injury, and future directions have been presented to enhance the practitioner's knowledge of this new, exciting concept in myocardial injury. There is increasing evidence in the literature that reperfusion injury may occur in o...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1990-12-01 00:00:00
abstract::Patients who acquire sepsis, ARDS, ARF, or MSOF subsequent to multiple trauma have a high mortality rate. The pathophysiology of these complications is complex and is thought to involve ischemia, the generation of mediators, alterations in regional perfusion, and cellular oxygen use. Because of the critical nature of ...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1989-03-01 00:00:00
abstract::The nutritional needs of the bum-injured patient are exaggerated and change constantly with the patient's stage of convalescence. Nurses working closely with other members of the health care team, specifically the nutritional specialist, can positively affect the patient's survival by optimizing the nutritional assess...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2003.09.004
更新日期:2004-03-01 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::Complementary therapies are becoming widely used in health care in the United States. Most nurses, as are many Americans, are familiar with complementary therapies such as imagery, aromatherapy, massage, and healing touch. Many nurses, however, are not familiar with complementary therapies that are widely used in othe...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/s0899-5885(02)00048-5
更新日期:2003-09-01 00:00:00
abstract::Scientifically valid data about the risks and rates of nosocomial infection are important to assist critical care nurses in developing clinical care improvement strategies. Contemporary epidemiologic methods should be used to facilitate the accurate assessment of data, whether for intrahospital or interhospital compar...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:
更新日期:1995-12-01 00:00:00
abstract::In most inpatient settings, the complexity of care required by individual patients coupled with the wide range of services provided within a single institution mean patients are routinely cared for in highly specialized units. Service lines, such as surgical services; intensive care; emergency services; and maternity,...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2010.03.008
更新日期:2010-06-01 00:00:00
abstract::The purpose of this article is to provide an appreciation for a significant risk to quality of care affecting patients receiving mechanical ventilation: unplanned extubation. A summary of the current literature provides evidence-based recommendations for how to minimize this potentially dangerous complication. In addi...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2012.06.004
更新日期:2012-09-01 00:00:00
abstract::The adult intensive care unit (ICU) at Baystate Medical Center is a 24-bed medical-surgical-trauma ICU that provides high-quality care to critically ill patients. Collaboration and expertise among the nursing staff, intensivists, and interdisciplinary colleagues have contributed to its development into a Beacon Award-...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章
doi:10.1016/j.ccell.2005.01.005
更新日期:2005-06-01 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::Often used interchangeably, chronic lung disease (CLD) or bronchopulmonary dysplasia (BPD) develops primarily in extremely low birth weight infants weighing <1000 g who receive prolonged oxygen therapy and or positive pressure ventilation. CLD, which occurs in as many as 30 percent of infants born weighing <1000 g, co...
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.ccell.2008.09.006
更新日期:2009-03-01 00:00:00
abstract::Ethically challenging situations are an increasing phenomenon in the nurse's environment, and literature on the subject is growing. Morally challenging experiences common in the critical care environment include end-of-life situations, barriers to providing the best care possible, and lack of organizational resources....
journal_title:Critical care nursing clinics of North America
pub_type: 杂志文章,评审
doi:10.1016/j.cnc.2020.05.002
更新日期:2020-09-01 00:00:00