Abstract：
AIMS AND OBJECTIVES:To compare international literature on the detection of complications associated with early mobilization of mechanically ventilated patients in intensive care units (ICUs). BACKGROUND:Early mobilization of mechanically ventilated ICU patients is considered to be a more beneficial approach to treatment in intensive care; however, it remains unclear how safe this approach is and what complications to expect. SEARCH STRATEGIES:A systematic literature research in English and German was conducted in June 2013 in the databases Pubmed, CINAHL, Cochrane library and MedPilot without limiting by year of publication. References of the included studies were screened and supplemented by manual search. INCLUSION AND EXCLUSION CRITERIA:Inclusion criteria were studies about mechanically ventilated adult patients on ICU, who were mobilized and reported complications. Excluded were studies that (a) did not differentiate between non-ventilated and ventilated patients, (b) did not report complications and (c) focused on in-bed mobilization. CONCLUSIONS:Of 952 titles, 16 articles fit the criteria including 3 reviews and 13 clinical trials. The percentage of complications in clinical trials ranged between 0% and 16%. In total, 453 patients were mobilized 3613 times (up to walking with ventilation) with a complication mean rate of 3·9% (n = 144) using the inherent safety limits. No fall, cardiac arrest, or death was reported. Most complications were pulmonary, followed by haemodynamic ones. Serious complications that led to further consequences were observed in 0·3% (n = 10) of all mobilizations. The clinical studies have been carried out in trained, interdisciplinary teams with most of them using adapted algorithms for safety. RELEVANCE TO CLINICAL PRACTICE:Despite a low complication rate, a frame for safety during early mobilization including team training and adapted criteria is recommended.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Nydahl P,Ewers A,Brodda Ddoi
10.1111/nicc.12134subject
Has Abstractpub_date
2014-11-07 00:00:00eissn
1362-1017issn
1478-5153pub_type
杂志文章abstract：INTRODUCTION:Delirium in the intensive care unit (ICU) is associated with increased mortality, longer hospital stays, and increased odds of institutionalization after discharge. Delirium is a significant complication that occurs frequently in ICU yet lacks a standardized treatment protocol. Because of the limited effec...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12594
更新日期：2021-01-20 00:00:00
abstract：:It has been recommended that nursing staff who are new to paediatric intensive care should be offered an orientation programme There is no guidance currently available to influence the content or duration of such a programme on a national level A multi-centre research study was carried out to identify the existing pro...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：2002-07-01 00:00:00
abstract：:The aim of this study was to describe Danish parents' experiences when their newborn or small child was critically ill. Thirteen parents were interviewed. Data were analysed using qualitative content analysis. The child's transfer to the paediatric intensive care unit (PICU) meant either help or death for the parents....
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1362-1017.2005.00096.x
更新日期：2005-03-01 00:00:00
abstract：BACKGROUND:Co-administration of multiple intravenous (IV) medicines down the same lumen of an IV catheter is often necessary in the intensive care unit (ICU) while ensuring medicine compatibility. AIMS AND OBJECTIVES:This study explores ICU nurses' views on the everyday practice surrounding co-administration of multip...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12497
更新日期：2020-05-01 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：AIMS AND OBJECTIVES:The aim of this research was to investigate the effect of five selected intensive care nursing interventions on the intracranial pressure (ICP) of moderate to severe traumatic brain-injured children in intensive care. BACKGROUND:The physiological effects of many nursing interventions in paediatric ...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2010.00412.x
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:Critical care consensus groups recommend providing bereavement support; however, little is known about what cardiac intensive care patients' families would find useful and beneficial in their grieving process. AIM AND OBJECTIVES:To describe cardiac intensive care unit (ICU) patients' families' opinions on s...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12439
更新日期：2019-07-01 00:00:00
abstract：:This descriptive study explores the effects on nurses of treatment-withdrawal decisions made in ten ICUs and two SCBUs in Southern England. The study focused on the decision-making process, the reasons given in support of a decision to withdraw, the actions taken subsequently and the nurses' roles throughout the proce...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：1997-07-01 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：: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：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:The aim of this study was to establish a standardized approach to the initial care of patients with diabetic ketoacidosis (DKA) and hyperglycaemic hyperosmolar syndrome (HHS). DKA and HHS are metabolic emergencies. Effective and efficient management is the responsibility of the multidisciplinary team. The ad...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1478-5153.2007.00259.x
更新日期：2008-01-01 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：:It was observed in practice that the withdrawal of extracorporeal membrane oxygenation (ECMO) was the cause of much ethical and moral discussion amongst nurses within the ITU where the study took place. No previous literature was located addressing the withdrawal of ECMO, from either a medical or nursing perspective. ...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：2002-05-01 00:00:00
abstract：AIMS AND OBJECTIVES:To determine the effectiveness of an oral health care program for preventing ventilator-associated pneumonia (VAP). BACKGROUND:Research has shown a significant correlation between oral bacteria and VAP, indicating that an oral health care program plays a very important role in VAP prevention. DESI...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12037
更新日期：2015-03-01 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：BACKGROUND:Diaries in the Intensive Care Unit (ICU) support patients and relatives during and after a stay on the ICU. Barriers to implementation of the ICU diary are workload, unwanted closeness to patients and lack of time. AIMS AND OBJECTIVES:The purpose of the study was to evaluate the time nurses consume writing ...
journal_title：Nursing in critical care
pub_type： 杂志文章,多中心研究
doi：10.1111/nicc.12046
更新日期：2014-09-01 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：AIM:To explore the meaning of vigilant attendance for relatives of critically ill patients in Greece. BACKGROUND:A plethora of international research has identified proximity to the patient to be a major concern for relatives of critically ill patients. Greece however follows a strict visiting policy in intensive care...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/nicc.12054
更新日期：2014-09-01 00:00:00
abstract：BACKGROUND:Establishing and sustaining enteral feeding in critically ill children is challenging and has met with many problems. AIMS AND OBJECTIVES:The aim of this study was to investigate (a) how actual calorie intake compared with estimated caloric requirements and (b) whether feeding guideline adherence resulted i...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2010.00420.x
更新日期：2010-11-01 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：AIMS AND OBJECTIVES:To critically review evidence on the effects of psychological support during intensive care unit (ICU) treatment on adult ICU patients' psychological and physiological outcomes. Evidence from intervention studies on imagery and relaxation has been included, as well. BACKGROUND:Stress and negative e...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：10.1111/j.1478-5153.2009.00383.x
更新日期：2010-05-01 00:00:00
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 comp...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：10.1111/j.1478-5153.2011.00410.x
更新日期：2011-07-01 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：: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 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：: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:Fatigue and abnormalities in cardiovascular parameters are recognized as major problems for patients with acute coronary syndrome. Non-pharmacological nursing interventions are useful for controlling this fatigue and reducing patients' suffering during hospitalization. AIM:The present study compared the eff...
journal_title：Nursing in critical care
pub_type： 杂志文章,随机对照试验
doi：10.1111/nicc.12302
更新日期：2018-09-01 00:00:00
abstract：:Quality of life is a dynamic, multi-dimensional concept, the essence of which is its individuality. In this study quality of life six to 12 months after intensive care was not significantly lower than quality of life prior to intensive care, assessed retrospectively. Family, leisure activities and people were seen as ...
journal_title：Nursing in critical care
pub_type： 杂志文章
doi：
更新日期：1998-09-01 00:00:00
abstract：:The nature of informed consent is bound within legal and moral duties. An analysis of informed consent includes the elements of understanding, disclosure, competence, voluntariness and authorisation, all of which can be affected by a variety of factors. Nurses can make a unique contribution to informed consent situati...
journal_title：Nursing in critical care
pub_type： 杂志文章,评审
doi：
更新日期：1996-05-01 00:00:00
