Abstract：
AIM:The aim of this paper is to reflect upon the management interventions of non-invasive ventilation (NIV) and diuretic therapy that were implemented for a patient admitted to an intensive care unit (ICU) with acute cardiogenic pulmonary oedema. BACKGROUND:Acute pulmonary oedema is a serious and life-threatening complication of acute heart failure, particularly if this results from an ischaemic event. Statistics highlight that of those patients treated for acute cardiogenic pulmonary oedema, approximately only one third were alive after 1 year. Many of these patients will require intensive care management in order to restore homeostasis. It is therefore imperative that nurses understand the condition and the relevant management of it in order to maximize the already poor prognosis. RESULTS:Using Driscoll's (2000) reflective model to guide critical thinking, this paper reflects on the management of one patient who was admitted to ICU with acute cardiogenic pulmonary oedema as a result of heart failure. Although there are many aspects of patient management that can be explored, specific care interventions that this patient received in relation to NIV and diuretic therapy will be considered. The evidence base for their use, together with the relevant nursing management issues, and patient implications will be critically analysed and outlined. CONCLUSIONS:This paper identifies that standard therapy for acute cardiogenic pulmonary oedema is largely supportive and aimed at promoting gaseous exchange. It also highlights that nurses have a key role in ensuring that these essential treatments are as efficacious as possible. RELEVANCE TO CLINICAL PRACTICE:By using a reflective analysis approach, this paper highlights how reflecting on practice improves knowledge and understanding of the use of NIV and diuretic therapy interventions and should facilitate nurses working in ICU to become more competent in ensuring that the treatment provided for acute cardiogenic pulmonary oedema is as successful as possible.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Skinner J,McKinney Adoi
10.1111/j.1478-5153.2011.00410.xsubject
Has Abstractpub_date
2011-07-01 00:00:00pages
193-200issue
4eissn
1362-1017issn
1478-5153journal_volume
16pub_type
杂志文章abstract：:Identification and evaluation of pain in critical care patients may be difficult because of communication problems. Moreover, at present there are very few nursing studies that examine the attitudes of critical care nurses towards the assessment of patients' pain. This study was designed to determine the approach of c...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1046/j.1478-5153.2003.00006.x
更新日期：2003-03-01 00:00:00
abstract：:This review examines, by means of a literature search, the needs of parents who have a critically ill child on adult intensive therapy units. These needs are compared with the needs of relatives of adult patients in ITUs. Whether nurses trained in adult nursing have the necessary skills, knowledge and attitudes to car...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：
更新日期：1997-05-01 00:00:00
abstract：BACKGROUND:Patients admitted to the intensive care unit (ICU) will more often than not require sedative and analgesic drugs to enable them to tolerate the invasive procedures and therapies caused as a result of their underlying condition and/or necessary medical interventions. AIM:This article reports a study explorin...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2008.00282.x
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND:chronic critical illness (CCI) is a complex syndrome with a high risk of dying in hospital. Intensive care unit nurses are well-positioned to lead conversations integrating palliative and end-of-life care, yet have reported limited involvement. AIM:To generate further understanding of nurses' experiences of...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12154
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Ventilator-associated pneumonia (VAP) has been identified as the most common nosocomial infection in intensive care units (ICUs) with associated health and financial costs. To date, more research has been carried out in adult ICUs than in paediatric units, thus prompting a review and investigation of the imp...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1478-5153.2008.00290.x
更新日期：2008-09-01 00:00:00
abstract：:A randomized controlled trial was conducted to compare the effectiveness of airflow- and waterflow-cooling blankets for febrile patients in intensive care unit. More patients in the airflow than in the waterflow-cooling blanket group reached the desired temperature of <38 degrees C at the end of 8h (94.1 versus 60.0%,...
journal_title：Nursing in critical care
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1362-1017.2005.00133.x
更新日期：2005-09-01 00:00:00
abstract：:Factors influential in the occurrence and timing of heart attacks are summarised. Patients' and partners' experiences of heart attack are reviewed. Evidence is presented for the efficacy and effectiveness of cardiac rehabilitation programmes. A three elemental model for cardiac rehabilitation is introduced. Key recomm...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：
更新日期：1996-09-01 00:00:00
abstract：AIM:To review clinical models and activities of critical care outreach (CCO) in New Zealand public hospitals. METHODS:Data were collected using a two-stage process. Stage 1 consisted of a cross-sectional descriptive online survey distributed to nurse managers of all CCO in New Zealand. Stage 2 requested that all respo...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12080
更新日期：2016-07-01 00:00:00
abstract：:The Intensive Care Society (1998) recommends that facilities should be available to follow up bereaved relatives. As part of bereavement follow up, a memorial service has been held at Royal Preston Hospital for the last three years. Over 300 people attended in 2003. A memorial service is often referred to as a ritual....
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1362-1017.2004.00081.x
更新日期：2004-09-01 00:00:00
abstract：BACKGROUND:Changes in patient profile, and in the health care environment, altering socioeconomic conditions and advances in science and information technology challenge the nursing profession, in particular intensive care nursing. All these changes will undoubtedly affect the way we will practice in the (near) future....
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1478-5153.2010.00409.x
更新日期：2010-09-01 00:00:00
abstract：:The issue of the presence of patients' loved ones during their intensive care unit (ICU) stay is a frequently discussed topic among ICU staff. Today, ICU patients' loved ones are seen as important for the care of the patient. There is a gap in knowledge and research concerning the frequency and duration of visits by l...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2006.00196.x
更新日期：2007-01-01 00:00:00
abstract：AIM:To compare accuracy and certainty of diagnosis of cardiac ischaemia using the Panoramic ECG display tool plus conventional 12-lead electrocardiogram (ECG) versus 12-lead ECG alone by UK critical care nurses who were members of the British Association of Critical Care Nurses (BACCN). BACKGROUND:Critically ill patie...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2012.00492.x
更新日期：2012-09-01 00:00:00
abstract：BACKGROUND:The intensive care unit (ICU) is not only a place to recover from injuries incurred during accidents and from serious illness. For many patients, it is also a place where they might die. Nursing care does not stop when a patient dies; rather, it continues with the care of the deceased and with family support...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2012.00525.x
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:Retaining experienced critical care nurses (CCNs) remains a challenge for health care organizations. Nursing practice environment and resilience are both seen as modifiable factors in ameliorating the impact on CCNs' intention to leave and have not yet been explored in Malaysia. AIMS AND OBJECTIVES:To asses...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12551
更新日期：2020-09-14 00:00:00
abstract：BACKGROUND:To avoid the possible complications of prolonged intubation, it is necessary and advisable to attempt weaning from the tracheostomy tube at the earliest opportunity. However, while weaning protocols have proven successful in reducing ventilation time of critical care patients, there is little evidence of the...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2008.00325.x
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND:Patients discharged from critical care to general hospital wards are vulnerable to clinical deterioration, critical care readmission, and death. In response, routine critical care stepdown programmes (CCSDPs) have been widely developed, which involve the review of all patients on general wards following disc...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12572
更新日期：2020-11-06 00:00:00
abstract：BACKGROUND:One of the most important bottlenecks in the organ donation process worldwide is the high family refusal rate. AIMS AND OBJECTIVES:The main aim of this study was to examine whether family guidance by trained donation practitioners increased the family consent rate for organ donation. DESIGN:This was a pros...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12462
更新日期：2020-09-01 00:00:00
abstract：:The aim of this small-scale study was to measure, analyse and compare levels of acoustic noise, in a nine-bedded general intensive care unit (ICU). Measurements were undertaken using the Norsonic 116 sound level meter recording noise levels in the internationally agreed 'A' weighted scale. Noise level data were obtain...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2007.00229.x
更新日期：2007-07-01 00:00:00
abstract：:The Cardiothoracic Centre Liverpool faced an acute nursing recruitment problem, which is accentuated in the specialist area of intensive care. To ensure that activity through the 20-bedded unit remains broadly in line with contracted levels, a number of initiatives were implemented to help maximise the financial and n...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
abstract：BACKGROUND:A primary focus of hospital treatment following admission for subarachnoid haemorrhage (SAH) is a prevention of cerebral artery vasospasm, which may result in ischaemic stroke. Intraventricular catheter (IVC) insertion to facilitate cerebral spinal fluid (CSF) drainage and intracranial pressure (ICP) monitor...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2010.00444.x
更新日期：2011-09-01 00:00:00
abstract：:This paper describes the introduction and subsequent evaluation of a 12-h shift system in a large ITU in the northeast of UK. To date, only a small number of studies has evaluated nurses working the 12-h shifts in critical care areas. To evaluate the level of staff satisfaction, data were collected by means of a quest...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1046/j.1478-5153.2003.00016.x
更新日期：2003-05-01 00:00:00
abstract：:The care bundle is a new concept in critical care, which is currently being promoted by the National Health Service Modernisation Agency for Critical Care. Care bundles originated in North America and are described best as groups of evidence-based practice interventions. The theory behind care bundles is that when sev...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1362-1017.2003.00039.x
更新日期：2003-11-01 00:00:00
abstract：:The purpose of this study was to investigate the needs of relatives of patients on a cardiothoracic ICU, as perceived by themselves. An exploratory research design was used--a modified replication of a study carried out by Molter (1979) in the USA. Data were collected from a sample of convenience consisting of 14 rela...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
abstract：AIMS:This literature review looks at the evidence around transferring patients from intensive care units (ICU) to wards. The literature informs us that patients and their families experience problems when being transferred from an ICU environment and that this increases overall anxiety. BACKGROUND:The effects of survi...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/nicc.12047
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:The shortage of critical care and specialist nurses has been an ongoing issue for many decades. Although all areas of nursing are affected, critical care areas are especially vulnerable to recruitment and retention problems. High nursing turnover in critical care areas is evident; however, research into the ...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/nicc.12348
更新日期：2019-01-01 00:00:00
abstract：:This study explores nurses' attitudes to the introduction of nurse-initiated thrombolysis, within a large district coronary care unit. A qualitative survey was used to elicit attitudes from all ENB 124 qualified members of staff presently employed within the unit. Concerns expressed by the nursing staff, prior to intr...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：1999-05-01 00:00:00
abstract：:Numbers of patients undergoing coronary angiography and angioplasty procedures have increased in England due to targets within the National Service Framework for Coronary Heart Disease. Little evidence is available regarding optimal bed-rest duration for patients post-femoral arterial sheath removal following these pr...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1362-1017.2005.00121.x
更新日期：2005-07-01 00:00:00
abstract：BACKGROUND AND AIMS:A trend towards lighter sedation has been evident in many intensive care units (ICUs). The aims of the survey were to describe sedation practice in European ICUs and to compare sedation practice in Nordic and non-Nordic countries. DESIGN AND METHODS:A cross-sectional survey of ICU nurses attending ...
journal_title：Nursing in critical care
pub_type： 杂志文章,多中心研究
doi：10.1111/nicc.12003
更新日期：2013-07-01 00:00:00
abstract：:A new high dependency unit is established for postoperative cardiac patients, from design to implementation Facilities were incorporated within financial, time and space constraints. Layout and use of space was determined for optimal working conditions and care of the patient. The choice of equipment was a vital part ...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：1996-07-01 00:00:00
abstract：BACKGROUND:Brain death is the total loss of all brain and brain stem functions, and its diagnosis is often confirmed by an apnoea test, which relies on disconnecting the patient from the ventilator. Auto-triggering or auto-cycling is defined as a ventilator being triggered in the absence of patient effort, intrinsic re...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/nicc.12029
更新日期：2013-09-01 00:00:00
