Subcutaneous tissue oximetry: implications for wound healing and monitoring critically ill patients.

abstract：:Hypoxemia, visible as cyanosis, is present in infants and children with congenital cardiac defects that result in arterial desaturation. Although many of these defects can be surgically repaired, some children remain cyanotic. Chronic cyanosis causes adaptive changes such as polycythemia and potentially damaging chang...

journal_title：Critical care nursing clinics of North America

authors： O'Brien P,Smith PA

更新日期：1994-03-01 00:00:00

abstract：:An unexpected death is a traumatic event for everyone affected by it, especially family members. The manner in which a family is told that a death has occurred has a profound effect on their grief and bereavement process. The task of the health care professional working with these patients and their families is to ass...

journal_title：Critical care nursing clinics of North America

authors： McQuay JE,Schwartz R,Goldblatt PC,Giangrasso VM

更新日期：1995-09-01 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

authors： Hawley DA,Hawley Barker AC

更新日期：2012-03-01 00:00:00

abstract：:Despite advances in understanding the cause of ischemic stroke, cryptogenic stroke remains a diagnostic and therapeutic challenge for clinicians. Approximately 15% to 40% of all ischemic strokes have no identifiable cause. CS is a diagnosis of exclusion after completing the standard stroke work-up. Further investigati...

journal_title：Critical care nursing clinics of North America

authors： Amatangelo MP

更新日期：2020-03-01 00:00:00

abstract：:The purpose of this article is to present an option for a model of care that allows small rural hospitals to be able to provide specialty physicians for critical care patient needs in lieu of on-site critical care physician coverage. A real-time, 2-way audio and video remote presence robot is used to bring a specialis...

journal_title：Critical care nursing clinics of North America

authors： Murray C,Ortiz E,Kubin C

更新日期：2014-12-01 00:00:00

abstract：:Aging is a multidimensional process that involves the physical, psychosocial, and spiritual domains. The reserves in each of these areas are challenged during the stressful experience of acute and critical care illness and hospitalization. It is imperative that hospital nursing staff recognize the vulnerability of the...

journal_title：Critical care nursing clinics of North America

authors： Fletcher K

更新日期：2007-09-01 00:00:00

abstract：:Sex and gender-based differences in responses to infection and sepsis are evident. Estrogens increase immune function, sometimes to the point of inducing autoimmune disease. Testosterone suppresses immune function, sometimes leading to a worsened outcome following traumatic injury. Therapies using sex hormones to impr...

journal_title：Critical care nursing clinics of North America

authors： Beery TA

更新日期：2003-03-01 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

authors： Crawford K

更新日期：2013-03-01 00:00:00

abstract：:A great deal of preparation and coordination is necessary for participation in the investigational use of temporary circulatory assist devices. The use of engineers for technical support as well as for programs coordination has been very useful in the ongoing evaluation of our device performance. It is hoped that the ...

journal_title：Critical care nursing clinics of North America

authors： Cleavinger MR,Smith RG,Loffing DH,Nelson RJ,Sato DJ

更新日期：1989-09-01 00:00:00

abstract：:Integration of flexible visitation into a large health system requires concentrated effort. Evaluating impact on patient, family, and staff outcomes is important to facilitate changes and ensure visiting policy success. The medical intensive care unit staff participated in a collaborative quality improvement effort to...

journal_title：Critical care nursing clinics of North America

authors： Winkelman C,Kerber K,Zangmeister J,McNett M

更新日期：2020-06-01 00:00:00

abstract：UNLABELLED:NO has been used successfully to treat PPHN, reducing the need for ECMO. NO has also been used in the cardiac catheterization laboratory to determine if pulmonary hypertension will decrease with NO. Patients who do not respond to NO are at higher risk after open-heart surgery, because their pulmonary hyperte...

journal_title：Critical care nursing clinics of North America

authors： Ware LE

更新日期：2002-03-01 00:00:00

abstract：:Resuscitation documentation assists health care professionals in trending patient status, determining what treatments may be most effective, and determining where opportunities for improvement may exist. An overview of what is known about resuscitation documentation is provided in this article, as are implications for...

journal_title：Critical care nursing clinics of North America

authors： Howard PK

更新日期：2005-03-01 00:00:00

abstract：:In order for nurses to be effective advocates, they must practice in an environment that fosters competency, collaboration, communication, and ethical values. This article addresses the meaning of advocacy, explores whether nurses can be effective advocates in complex practice environments, identifies barriers to advo...

journal_title：Critical care nursing clinics of North America

authors： Rushton CH

更新日期：1995-06-01 00:00:00

abstract：:The pharmacology and pharmacokinetics of diuretics are unique among therapeutic drugs. Knowledge of these principles can be used to great advantage in the management of heart failure, whereas ignoring them can lead to either minor or life-threatening adverse consequences. Two major categories of potential therapeutic ...

journal_title：Critical care nursing clinics of North America

authors： Paul RV

更新日期：2003-12-01 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

authors： Centeno MM

更新日期：2011-12-01 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

authors： Myer SA

更新日期：1999-06-01 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

authors： Littleton-Kearney MT,Slepski LA

更新日期：2008-03-01 00:00:00

abstract：:Caring for the bariatric patient in the acute care environment poses many challenges to the team delivering care. The management of obstructive sleep apnea with noninvasive ventilation is one priority. Treatment options, including bi-level ventilation and continuous positive airway pressure, and delivery strategies ar...

journal_title：Critical care nursing clinics of North America

authors： Ecklund MM,Kurlak SA

更新日期：2004-09-01 00:00:00

abstract：:Sepsis in the elderly occurs frequently and carries a high rate of mortality. With increasing numbers of elderly patients being cared for in critical care units, the critical care nurse must have a thorough understanding of the unique aspects of this patient population. Nurses must be prepared to deliver expert nursin...

journal_title：Critical care nursing clinics of North America

authors： Stanley M

更新日期：1996-03-01 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

authors： Lee H,Bahler R,Park OJ,Kim CJ,Lee HY,Kim YJ

更新日期：2001-12-01 00:00:00

abstract：:One essential component of AD that many mistakenly overlook is that health care wishes should not be kept secret. Copies of the document should not be locked up; several should be distributed among family, health care providers, and significant others. Resistance can be expected with discussion of AD and ultimate deci...

journal_title：Critical care nursing clinics of North America

authors： Basile CM

更新日期：2002-06-01 00:00:00

abstract：:A review of the mechanism of ischemic-reperfusion injury, proposed interventions to prevent injury, and future directions have been presented to enhance the practitioner's knowledge of this new, exciting concept in myocardial injury. There is increasing evidence in the literature that reperfusion injury may occur in o...

journal_title：Critical care nursing clinics of North America

authors： Misinski M

更新日期：1990-12-01 00:00:00

abstract：:The critical care nurse is responsible for monitoring the effects of parenteral therapy. If the nurse is to collaborate with the physician on the type of solution appropriate for the patient, it is imperative that the nurse understand how the solution will impact the patient. Only through comprehending the effects and...

journal_title：Critical care nursing clinics of North America

authors： Krau SD

更新日期：1998-12-01 00:00:00

abstract：:Pediatric brain tumors are the most common solid tumor and the second most common neoplasm in childhood. Diagnosis is made by CT scan and MR imaging. Treatment includes surgery followed by observation, chemotherapy, or radiation therapy. A multidisciplinary approach in the treatment of these children is necessary with...

journal_title：Critical care nursing clinics of North America

authors： Shiminski-Maher T,Wisoff JH

更新日期：1995-03-01 00:00:00

abstract：:Ethically challenging situations are an increasing phenomenon in the nurse's environment, and literature on the subject is growing. Morally challenging experiences common in the critical care environment include end-of-life situations, barriers to providing the best care possible, and lack of organizational resources....

journal_title：Critical care nursing clinics of North America

authors： Stutzer K,Rodriguez AM

更新日期：2020-09-01 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

authors： Weant KA,Baker SN

更新日期：2013-06-01 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

authors： Goeltz R,Hatlie MJ

更新日期：2002-12-01 00:00:00

abstract：:Commendable long-term care of cardiac transplant recipients begins with excellent discharge preparation. Routine follow-up allows for prompt detection of myriad problems commonly associated with long-term survival after transplantation. Long-term complications, including rejection, infection, hypertension, nephrotoxic...

journal_title：Critical care nursing clinics of North America

authors： Augustine SM

更新日期：2000-03-01 00:00:00

abstract：:Continuous glucose monitoring systems (CGMS) offer a recent technological solution to fear of hypoglycemia and reduction in hyperglycemia. With glucose readings every 5 minutes, and the alarm capabilities to signal rapid increases or decreases in blood glucose, they afford a sense of security for both children and par...

journal_title：Critical care nursing clinics of North America

authors： Minnock PP,Howe CJ

更新日期：2011-06-01 00:00:00

abstract：:Advances in technology have resulted in a plethora of invasive neuromonitoring options for practitioners to manage while caring for the complex needs of the critical care patient. Although many types of invasive neuromonitoring are available to the practitioner, intraparenchymal monitors and external ventricular devic...

journal_title：Critical care nursing clinics of North America

authors： Heck C

更新日期：2016-03-01 00:00:00