Abstract：
:The most common cause of death due to the H1N1 subtype of influenza A virus (swine flu) in the 2009 to 2010 epidemic was severe acute respiratory failure that persisted despite advanced mechanical ventilation strategies. Extracorporeal membrane oxygenation (ECMO) was used as a salvage therapy for patients refractory to traditional treatment. At Legacy Emanuel Hospital, Portland, Oregon, the epidemic resulted in a critical care staffing crisis. Among the 15 patients with H1N1 influenza A treated with ECMO, 4 patients received the therapy simultaneously. The role of ECMO in supporting patients with severe respiratory failure due to H1N1 influenza is described, followed by discussions of the nursing care challenges for each body system. Variations from standards of care, operational considerations regarding staff workload, institutional burden, and emotional wear and tear of the therapy on patients, patients' family members, and the entire health care team are also addressed. Areas for improvement for providing care of the critically ill patient requiring ECMO are highlighted in the conclusion.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
Bibro C,Lasich C,Rickman F Jr,Foley NE,Kunugiyama SK,Moore E,O'Brien A,Sherman N,Schulman CSdoi
10.4037/ccn2011186subject
Has Abstractpub_date
2011-10-01 00:00:00pages
e8-e24issue
5eissn
0279-5442issn
1940-8250pii
31/5/e8journal_volume
31pub_type
杂志文章abstract：:Clinical practice must be based on evidence. When evidence suggests that a certain practice may be ineffective or even harmful, that practice should be discontinued. The Choosing Wisely campaign, an initiative of the ABIM (American Board of Internal Medicine) Foundation, is intended to bring attention to tradition-bas...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2019534
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Hospital-acquired pressure ulcers are serious clinical complications that can lead to increased length of stay, pain, infection, and, potentially, death. The surgical progressive care unit at Sharp Grossmont Hospital, San Diego, California, developed the multidisciplinary Healthy Skin Project to decrease the...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2013290
更新日期：2013-06-01 00:00:00
abstract：:TEB is proving to be an exciting hemodynamic monitoring technique. It has been shown to accurately measure trends in the patient's volume and vasoactive state without the risks and discomfort of invasive monitoring. It can be applied easily and does not require specialized skill of nurses or physicians. A broad range ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：:Staff nurse preceptors are integral members of effective critical care orientation programs. Much of the success of the orientation experience and orientee satisfaction depends on them. A critical care preceptor workshop containing a review of the orientation program and the application of educational principles in cr...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1993-02-01 00:00:00
abstract：:BACKGROUND Many hospitals have well-planned nursing competency assessment programs, but these are meant to measure competency in traditional bedside roles, not in tele-intensive care unit (tele-ICU) nurses practicing remotely. OBJECTIVE To determine whether current tele-ICU programs have a formal competency assessment...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011552
更新日期：2011-10-01 00:00:00
abstract：:There are many traditional beliefs about the need to restrict visitors on coronary care units (CCUs). Some hospitals, however, have modified their visiting policies. This article identifies factors related to the setting and control of visiting policies on CCUs. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
abstract：BACKGROUND:Catheter-associated urinary tract infections are preventable adverse outcomes that increase hospital morbidity, mortality, and costs. These infections are particularly prevalent in intensive care units. OBJECTIVES:To describe the success of an 18-bed neurological intensive care unit in using several nurse-i...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2017742
更新日期：2017-06-01 00:00:00
abstract：:Heart failure is a burdensome cardiovascular condition associated with high rates of morbidity and mortality. The 3-month period after hospitalization is a vulnerable phase in which patients are at high risk for mortality and rehospitalization. To reduce risk during this period, patients with heart failure and reduced...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2018669
更新日期：2018-10-01 00:00:00
abstract：:Everyone experiences stress. That stress may be related to work (internal), community (external), or family; it may be cumulative or related to a particular critical incident. The cost related to treating acute stress is staggering, both to individuals and to organizations. Critical care nurses are well educated in th...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2003-02-01 00:00:00
abstract：:Numerous research-based guidelines for PA pressure monitoring are available. Despite the availability of this large body of literature related to PA pressure monitoring, critical care nurses continue to demonstrate insufficient knowledge and ability to apply information related to the collection and interpretation of ...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2000-12-01 00:00:00
abstract：:As the field of surgery advances and the conservative use of banked blood transfusion increases the need for postoperative autotransfusion has increased. By using the CATR, the patient's demands for blood can be more adequately met without causing further complications for the patient. This article presents one method...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
abstract：:"Broken heart syndrome," or takotsubo cardiomyopathy, is a spontaneously reversible form of cardio-myopathy that is often induced by emotional or physical stress. Signs and symptoms include chest pain, dyspnea, electrocardiographic changes, and elevated levels of cardiac biomarkers. Patients often have signs and sympt...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2009451
更新日期：2009-02-01 00:00:00
abstract：:Clinical practice varies regarding the choice of agent to treat hypertensive emergencies. With the development of national guidelines, a standardized pharmacotherapeutic approach would be recommended on the basis of evidence in the published literature. Such an approach might decrease the variability among practitione...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2010664
更新日期：2010-10-01 00:00:00
abstract：:Scientists are only beginning to fully understand the purpose of sleep and its underlying mechanisms. Lack of sleep is associated with many diseases, including infection, and with increased mortality. Lack of proper sleep is an important problem in the intensive care unit, and interventions have been designed to impro...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2012689
更新日期：2012-04-01 00:00:00
abstract：:IL-2 is a biotherapeutic drug and a biological response modifier. This drug has not been approved by the Food and Drug Administration for general use but continues to undergo clinical trials. Candidates for this therapy are patients with advanced carcinoma that has not responded to standard modalities of treatment. Ad...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:The results of this evaluation indicate that specially trained critical care nurses can remove femoral sheaths with an acceptable margin of safety. As a result, these nurses can provide quality, cost-effective care to angioplasty patients. However, before this procedure is included as part of the RN's responsibility, ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:A 9-member educational task force and a 4-member panel of experts was used to establish the validity of the PEDS-BKAT, which was modified from version 4 of the adult BKAT for critical care nursing. A sample of 105 pediatric ICU nurses from 6 settings took the PEDS-BKAT. Test results include a mean score of 78.9 points...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：:To prepare a presentation, the critical care staff member must be willing to invest time and effort. Time and effort combined with an organized approach to the development process should result in a quality presentation. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：:Transplant cardiologists in our hospital have performed the percutaneously placed axillary-subclavian intra-aortic balloon pump procedure since 2007. This procedure allows patients to mobilize and walk while they wait for a heart transplant, rather than remaining on bed rest as they would with a traditional femoral in...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2019729
更新日期：2019-04-01 00:00:00
abstract：:Music therapy is an effective intervention for critically ill patients for such purposes as anxiety reduction and stress management. The therapy is readily accepted by patients and is an intervention patients thoroughly enjoy. The MAIT is one resource that nurses caring for critically ill patients can use to implement...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1999-06-01 00:00:00
abstract：BACKGROUND:Delirium is a common neuropsychiatric diagnosis in intensive care units and often leads to extended hospital stays and an increased rate of complications. Delirium can be classified as hypoactive, hyperactive, or mixed. Hyperactive delirium is often accompanied by agitation, which is a predictive factor for ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020697
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:The outcome focus for survivors of critical care has shifted from mortality to patient-centered outcomes. Multidimensional outcome assessments performed in critically ill patients typically exclude those with primary neurological injuries. OBJECTIVE:To determine the feasibility of measurements of physical f...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020681
更新日期：2020-06-01 00:00:00
abstract：:A patient with a new tracheostomy will face threatening changes upon discharge from hospital support. Nurses, particularly in the critical care unit, frequently and closely support a patient and family through new and often difficult situations during hospitalization. The patient leaving the hospital with a new trache...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1990-07-01 00:00:00
abstract：:The insertion of Silastic sheeting provides an opportunity for improved survival of patients with severe abdominal trauma. This new treatment modality represents a challenge to nurses to expand their knowledge base. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：:This 6-month retrospective study provided our medical center with a profile of the population of patients readmitted within 31 days of discharge. We found that chronic illness and age greater than 65 years were the high risk factors related to patient readmissions. These 2 attributes are common in critical care patien...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:Provision of nutritional support to critically ill patients can be challenging. Critical care nurses must be aware of which patients require specific nutritional support, when to initiate nutritional support, and by which route to provide nutritional support. Consultation with a dietitian or nutritional support servic...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2001-08-01 00:00:00
abstract：:Errors related to health care devices are not well understood. Nurses in intensive care and progressive care environments can benefit from understanding manufacturer-related error and device-use error, the principles of human factors engineering, and the steps that can be taken to reduce risk of errors related to heal...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2012925
更新日期：2012-08-01 00:00:00
abstract：:Critically ill patients require vigilant monitoring of tissue oxygenation, particularly oxygenation of the gut mucosa, because of the mucosa's fragile blood supply. With the advent of gastric tonometry, splanchnic tissue oxygenation can be measured in a minimally invasive and cost-effective manner. Requiring only a ga...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1996-12-01 00:00:00
abstract：:The end of the formal unit orientation program is a stressful time of adjustment for nurses hired into critical care without previous critical care experience. Although most units offer reassurance that experienced colleagues will provide the needed guidance, consistent support may not be available for many reasons. D...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2015368
更新日期：2015-08-01 00:00:00
abstract：TOPIC:The growing use of acute mechanical circulatory support devices to provide hemodynamic support that has accompanied the increasing prevalence of heart failure and cardiogenic shock, despite significant improvement in the treatment of acute myocardial infarction. CLINICAL RELEVANCE:The critical care nurse plays a...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020764
更新日期：2020-02-01 00:00:00
