Abstract：
:The critical care nurse caring for the postoperative bleeding patient must have a thorough knowledge of basic hemostatic principles and inherited and acquired disorders. Early recognition and treatment of bleeding problems reduces surgical morbidity and mortality; therefore astute clinical observations and a thorough understanding of selected laboratory testing are imperative. Because of the risk of disease transmission associated with homologous blood transfusion, new alternatives in blood therapy--autologous blood from preoperative and perioperative salvage; the conservative and individualized use of homologous blood and its components; blood substitutes to support oxygen transport (e.g., modified hemoglobin solutions and perfluorochemical emulsions); new pharmacologic approaches for minimizing blood loss (e.g., desmopressin); and increasing the body's ability to produce blood (e.g., recombinant erythropoietin)--must be considered and the patient response carefully assessed. A broad knowledge base and clinical expertise are requisite in meeting the critical needs of the postoperative bleeding patient in a climate of rapidly developing diagnostic and therapeutic alternatives.
journal_name
Crit Care Nurs Clin North Amjournal_title
Critical care nursing clinics of North Americaauthors
Griffin KBsubject
Has Abstractpub_date
1990-12-01 00:00:00pages
549-57issue
4eissn
0899-5885issn
1558-3481journal_volume
2pub_type
杂志文章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：:Transplantation of skin has been recognized as a method to increase the survival of patients who have suffered a massive skin deficit. Until about 30 years ago, a patient who suffered a 60% BSA skin deficit usually died from the effects of overwhelming sepsis. Great strides have since been made in the techniques and t...
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：:This article summarizes a critical analysis of 18 studies that examined the link between hand washing and infection. Although several factors made it difficult to evaluate the effect of hand washing, the authors conclude that (1) hand washing can add incremental value to infection-control strategies in acute care sett...
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：: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：:Congenital coagulopathies in the pediatric population continue to be a serious cause of morbidity and mortality. Familiarity with such disorders is essential for individuals responsible for the care of children. This article discusses a variety of congenital and inherited coagulation disorders, classifying them in eit...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1993-09-01 00:00:00
abstract：:PAH is a chronic disease requiring lifelong therapy, regardless of chosen treatment options. Nurses and other providers must allow for open, honest discussion on the risks and benefits of each therapy. Determining the best treatment option for patients requires consideration of the patient's overall function and socia...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2011.08.010
更新日期：2011-12-01 00:00:00
abstract：:Rabies is a devastating encephalitis caused by RNA viruses that use mammals as reservoirs. In the United States, most naturally acquired human cases have come from bats. The use of appropriate preexposure and postexposure prophylaxis can be nearly 100% effective. If prophylaxis is not used, or is implemented incorrect...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2013.02.001
更新日期：2013-06-01 00:00:00
abstract：:Because of their diverse education, experience, and practice settings, nurses are uniquely qualified to be first receivers, care givers, and leaders in any large-scale public health emergency. Many nurses, however, continue to feel inadequately prepared to function effectively in these types of situations. Great strid...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2007.10.008
更新日期：2008-03-01 00:00:00
abstract：:Despite recent advances in critical care and cardiopulmonary support, mortality from septic shock and its complications remains high. Effective therapies are needed to halt the progression of SIRS and the septic cascade prior to development of shock and organ ischemia/dysfunction. Such therapies are directed at preven...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1994-06-01 00:00:00
abstract：:A fearful stranger to the healthcare sector when she became a frequent user 2 years ago, Goeltz clearly is now a sophisticated and creative partner. She is fully engaged in decision-making and holds the decisions made as her own. Physicians often worry that their patients don't fully consent to the treatment given the...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：10.1016/s0899-5885(02)00033-3
更新日期：2002-12-01 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：:Most public education about the clinical symptoms of MI and the appropriate response to those symptoms has been designed to reach educated segments of the white population based on data gathered from white men. As a result, AAs and Korean-Americans may be less alert to chest pain, less likely to relate this symptom to...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：:This brief overview of the role of source control in sepsis emphasizes the underlying principles rather than the empiric evidence from well-performed clinical studies. The reasons for this are several. First there is a paucity of high-level published evidence, with few rigorous large clinical series, and even fewer cl...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2010.12.006
更新日期：2011-03-01 00:00:00
abstract：:The successful management of burns and related injuries requires a comprehensive team approach at a designated burn center. This team should consist of burn surgeons, burn nurses, respiratory therapists, physical therapists, occupational therapists, clinical nutritionists, social workers, chaplains, and other clinical...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2006.05.003
更新日期：2006-09-01 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：:As IPV increases in our society, hospitals need to prepare to best meet the needs of these individuals. Hospitals should have policies that encourage critical care nurses to consider abuse with the patients they serve. These policies need to ensure private, confidential interviewing of all patients and standardize the...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2011.12.003
更新日期：2012-03-01 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：: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：: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：: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：: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：:Multiple organ dysfunction syndrome (MODS) is a common complication following traumatic surgery. Aggressive volume resuscitation, restoration of perfusion, and preventive interventions may prevent or lessen the severity of MODS. The nurse, as an integral member of the multidisciplinary team, can affect the ultimate ou...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1994-12-01 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：: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：: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：: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：:Transthoracic monitoring lines yield vital information in the care of the pediatric postoperative cardiovascular surgical patient. It is the critical care nurse, in the holistic care of the patient, who integrates this data into the daily plan of care. Invasive monitoring carries risks; therefore, guidelines for care ...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1989-06-01 00:00:00
abstract：:Respiratory syncytial virus is a highly infectious virus that commonly causes bronchiolitis and leads to high morbidity and a low, but important, incidence of mortality. Supportive therapy is the foundation of management. Hydration/nutrition and respiratory support are important evidence-based interventions. For child...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2012.07.008
更新日期：2012-12-01 00:00:00
abstract：:Continuity of nursing care between the preoperative and postoperative phases of the patient with congenital heart disease is the goal of the perioperative nurse. Good assessment and planning are essential to efficient participation in the various stages of the operative course, from premedication to transport to the I...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1989-06-01 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
