Nursing Management of Patients Requiring Acute Mechanical Circulatory Support Devices.

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 crucial role in managing patients receiving acute mechanical circulatory support devices and monitoring for potential complications. PURPOSE:To review the anatomical placement and mechanics of each type of device so that nurses can anticipate patients' hemodynamic responses and avoid complications whenever possible, thereby improving patients' clinical outcomes. CONTENT COVERED:Nursing considerations regarding the intra-aortic balloon pump, the TandemHeart, the Impella, and extracorporeal membrane oxygenation.

journal_name

Crit Care Nurse

journal_title

Critical care nurse

authors

Asber SR,Shanahan KP,Lussier L,Didomenico D,Davis M,Eaton J,Esposito M,Kapur NK

doi

10.4037/ccn2020764

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

e1-e11

issue

1

eissn

0279-5442

issn

1940-8250

pii

30731

journal_volume

40

pub_type

杂志文章
  • Early identification and management of critical incident stress.

    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:

    authors: Caine RM,Ter-Bagdasarian L

    更新日期:2003-02-01 00:00:00

  • Fluid management strategies in heart failure.

    abstract::In patients with chronic heart failure, fluid retention (or hypervolemia) is often the stimulus for acute decompensated heart failure that requires hospitalization. The pathophysiology of fluid retention is complex and involves both hemodynamic and clinical congestion. Signs and symptoms of both hemodynamic and clinic...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2012877

    authors: Albert NM

    更新日期:2012-04-01 00:00:00

  • Critical Care Considerations in Adult Patients With Influenza-Induced ARDS.

    abstract:TOPIC:Acute respiratory distress syndrome is a complex respiratory disease that can be induced by influenza virus infection. Critical care providers are uniquely positioned to manage this pathological progression in adult patients through evidence-based practice. CLINICAL RELEVANCE:Influenza and subsequent acute respi...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2020746

    authors: Smith RE,Shifrin MM

    更新日期:2020-10-01 00:00:00

  • Discharge planning for the patient with a new tracheostomy.

    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:

    authors: Wilson EB,Malley N

    更新日期:1990-07-01 00:00:00

  • Epidural sympathetic blockade to relieve vascular insufficiency in an infant with purpura fulminans.

    abstract::The patient in septic shock who develops vascular insufficiency secondary to purpura fulminans is a challenge to the healthcare team. Initial management is directed toward reversing the disease process by administering antibiotics immediately and initiating life-support measures. Emergency measures include optimizing ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Chiafery MC,Stephany RA,Holliday KJ

    更新日期:1993-06-01 00:00:00

  • Pathologic pupillary signs: self-learning module, Part 3.

    abstract::Designed for independent study, this module explores some of the common, but often missed, pupillary abnormalities and eye movement irregularities. Part 3 concludes the module and provides the posttest and answer keys for the posttest and the three review exercises in Part 2. ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Bishop BS

    更新日期:1991-09-01 00:00:00

  • Hereditary Hemorrhagic Telangiectasia: A Primer for Critical Care Nurses.

    abstract::Hereditary hemorrhagic telangiectasia is a rare, autosomal dominant genetic disease that causes abnormal growth of blood vessels and, subsequently, life-threatening arteriovenous malformations in vital organs. Epistaxis may be one of the initial clues that a patient has more serious, generalized arteriovenous malforma...

    journal_title:Critical care nurse

    pub_type: 杂志文章,评审

    doi:10.4037/ccn2016270

    authors: Sacco KM,Barkley TW Jr

    更新日期:2016-06-01 00:00:00

  • Challenges Caring for Adults With Congenital Heart Disease in Pediatric Settings: How Nurses Can Aid in the Transition.

    abstract::As surgery for complex congenital heart disease is becoming more advanced, an increasing number of patients are surviving into adulthood, yet many of these adult patients remain in the pediatric hospital system. Caring for adult patients is often a challenge for pediatric nurses, because the nurses have less experienc...

    journal_title:Critical care nurse

    pub_type: 杂志文章,评审

    doi:10.4037/ccn2016131

    authors: Anton K

    更新日期:2016-08-01 00:00:00

  • Quality improvement or research--deciding which road to take.

    abstract::Critical care nurses are constantly challenged to provide safe, high-quality patient care at a low cost with increasingly scarce resources while implementing the latest evidence-based practices into their own clinical practice. This article is the first in a 4-part series to provide a practical quality improvement gui...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2014177

    authors: Stausmire JM

    更新日期:2014-12-01 00:00:00

  • Noninvasive hemodynamic monitoring with thoracic electrical bioimpedance.

    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:

    authors: Smith MA

    更新日期:1994-10-01 00:00:00

  • Caring for the victim of near drowning.

    abstract::If no complications arise, the near-drowning victim is usually discharged within 48 hours. However, some patients require complex care because of multisystem failure. These patients challenge the critical care nurse, who must understand the interrelationships of the problems to provide quality care. The major focus of...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Glankler DM

    更新日期:1993-08-01 00:00:00

  • Heparin-associated thrombocytopenia: nursing implications.

    abstract::Because of the potential severity of the associated complications, nurses have an essential role in the care of patients with HAT. Bedside nurses have the opportunity to report information that may indicate a change in a patient's condition after administration of heparin. This information could lead to diagnosis of h...

    journal_title:Critical care nurse

    pub_type: 杂志文章,评审

    doi:

    authors: Jerdee AL

    更新日期:1998-12-01 00:00:00

  • Management of children in status asthmaticus.

    abstract::Children admitted to the ICU with status asthmaticus require continuous nursing assessment of respiratory status and monitoring of the response to therapy. Nurses must be aware of the progression of respiratory distress and of the expected response to treatment and the side effects that can occur with each therapy. By...

    journal_title:Critical care nurse

    pub_type: 杂志文章,评审

    doi:

    authors: Briening EP

    更新日期:1998-02-01 00:00:00

  • Development of a Tele-ICU Postorientation Support Program for Bedside Nurses.

    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

    authors: Brindise T,Baker MP,Juarez P

    更新日期:2015-08-01 00:00:00

  • Pressure Injuries at Intensive Care Unit Admission as a Prognostic Indicator of Patient Outcomes.

    abstract:BACKGROUND:Pressure injuries, also known as pressure ulcers, are a serious complication of immobility. Patients should be thoroughly examined for pressure injuries when admitted to the intensive care unit to optimize treatment. Whether community-acquired pressure injuries correlate with poor hospital outcomes among cri...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2019530

    authors: McGee WT,Nathanson BH,Lederman E,Higgins TL

    更新日期:2019-06-01 00:00:00

  • Removal of femoral sheaths by registered nurses: issues and outcomes.

    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:

    authors: Schickel S,Cronin SN,Mize A,Voelker C

    更新日期:1996-04-01 00:00:00

  • A study of factors associated with CCU visiting policies.

    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:

    authors: Hopping BL,Sickbert SF,Ruth J

    更新日期:1992-02-01 00:00:00

  • Optimal management of shivering during therapeutic hypothermia after cardiac arrest.

    abstract::Both pharmacological and nonpharmacological methods are used to control shivering in therapeutic hypothermia. An evidence-based protocol based on the most current research has been developed for the management of shivering during therapeutic hypothermia. Meperidine is the drug of choice and provides the greatest reduc...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2011618

    authors: Logan A,Sangkachand P,Funk M

    更新日期:2011-12-01 00:00:00

  • Interleukin-2 therapy: needs of the patient in a critical care setting.

    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:

    authors: Raymond BA,Haney PE,Gimesky J

    更新日期:1994-12-01 00:00:00

  • Status Epilepticus in Adults: A Review of Diagnosis and Treatment.

    abstract::Status epilepticus is a medical emergency that requires rapid diagnosis and treatment. Nonconvulsive status epilepticus is frequently underdiagnosed and therefore undertreated, which can lead to permanent neuronal damage resulting in disability or death. Despite the frequent occurrence and morbidity associated with st...

    journal_title:Critical care nurse

    pub_type: 杂志文章,评审

    doi:10.4037/ccn2016892

    authors: Lawson T,Yeager S

    更新日期:2016-04-01 00:00:00

  • Tales from the sea: critical care nurses serving aboard the USNS Comfort and USNS Mercy.

    abstract::During the springs and summers of 2009 to 2012, military and nongovernment organization nurses served side by side on hospital ships USNS Comfort and USNS Mercy to offer free humanitarian clinical services to developing nations in Central and South America and Southeast Asia. Translators were engaged to facilitate com...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2013584

    authors: Faulk JF,Hanly MA

    更新日期:2013-08-01 00:00:00

  • Music therapy in critical care: indications and guidelines for intervention.

    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:

    authors: Chlan L,Tracy MF

    更新日期:1999-06-01 00:00:00

  • Beyond the bloody mess: hematologic assessment.

    abstract::Hematologic assessment is part of the routine assessment of acute and critically ill patients. Nurses must be aware of the reference ranges for complete blood cell counts and common coagulation profiles. A case study is presented of an elderly patient, taking warfarin for atrial fibrillation, who falls and sustains a ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2012596

    authors: Rauen CA

    更新日期:2012-10-01 00:00:00

  • Sleep and immune function.

    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

    authors: Ganz FD

    更新日期:2012-04-01 00:00:00

  • Smartphone applications: potential tools for use in preparing for CCRN certification examinations.

    abstract::Recent advances in smartphone technology now allow clinicians to use commercially produced applications when studying for nursing certification examinations. The quality of currently available CCRN review applications varies in this first generation of products. Most are limited to multiple-choice practice questions, ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2014842

    authors: Curran C

    更新日期:2014-06-01 00:00:00

  • The"broken heart syndrome": understanding Takotsubo cardiomyopathy.

    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

    authors: Derrick D

    更新日期:2009-02-01 00:00:00

  • Automated external defibrillators: an update of additions to the ACLS algorithms.

    abstract::Instruction in the use of the automated external defibrillator is now a mandatory component of ACLS certification. Here's a review of changes to the ACLS algorithm. ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Barbiere CC,Liberatore K

    更新日期:1992-06-01 00:00:00

  • Management of an open abdominal wound with a synthetic covering.

    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:

    authors: Bolton PJ,Von Rotz NP

    更新日期:1994-04-01 00:00:00

  • Introducing the Basic Knowledge Assessment Tool for pediatric critical care nursing (PEDS-BKAT).

    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:

    authors: Runton NG,Toth JC

    更新日期:1998-06-01 00:00:00

  • Advancements in Pacemaker Technology: The Leadless Device.

    abstract::Leadless pacemakers will most likely be the future of cardiac pacing. Leadless pacing employs a single-chamber system to pace only the right ventricle and is fully self-contained, which eliminates the need for leads. These systems, implanted by using a transcatheter sheath, are indicated for patients who need right ve...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2017453

    authors: Leier M

    更新日期:2017-04-01 00:00:00