Management of an open abdominal wound with a synthetic covering.

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

authors： Chiafery MC,Stephany RA,Holliday KJ

更新日期：1993-06-01 00:00:00

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

authors： Curran C

更新日期：2014-06-01 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

authors： Smith MA

更新日期：1994-10-01 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

authors： Mattox E

更新日期：2012-08-01 00:00:00

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

authors： Upvall MJ,Bourgault AM,Pigon C,Swartzman CA

更新日期：2019-12-01 00:00:00

abstract：:More patients in the intensive care unit are surviving their critical illnesses because of advances in medical care. This change in survival has led to an increased awareness of the emotional consequences of being critically ill. Posttraumatic stress disorder has been identified in approximately 9% to 27% of criticall...

journal_title：Critical care nurse

authors： Warlan H,Howland L

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:The outbreak of coronavirus disease 2019 (COVID-19) rippled across the world from Wuhan, China, to the shores of the United States within a few months. Hospitals and intensive care units were suddenly faced with a "tsunami" warning requiring instantaneous implementation and escalation of disaster plans. EVI...

journal_title：Critical care nurse

authors： Bader MK,Braun A,Fox C,Dwinell L,Cord J,Andersen M,Noakes B,Ponticiello D

更新日期：2020-12-01 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

authors： Macapagal FR,McClellan E,Macapagal RO,Green L,Bonuel N

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:Although critical care nurses gain satisfaction from providing compassionate care to patients and patients' families, the nurses are also at risk for fatigue. The balance between satisfaction and fatigue is considered professional quality of life. OBJECTIVES:To establish the prevalence of compassion satisfa...

journal_title：Critical care nurse

authors： Sacco TL,Ciurzynski SM,Harvey ME,Ingersoll GL

更新日期：2015-08-01 00:00:00

abstract：:Malnutrition is common in critically ill patients and is associated with poor outcomes for patients and increased health care spending. Enteral nutrition is the method of choice for nutrition delivery. Enteral nutrition delivery practices vary widely, and underfeeding is widespread in critical care. Interruptions in e...

journal_title：Critical care nurse

authors： Stewart ML

更新日期：2014-08-01 00:00:00

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

authors： Logan A,Sangkachand P,Funk M

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Immobility contributes to many adverse effects in critically ill patients. Early progressive mobility can mitigate these negative sequelae but is not widely implemented. Appreciative inquiry is a quality improvement method/change philosophy that builds on what works well in an organization. OBJECTIVES:To ex...

journal_title：Critical care nurse

authors： Fernald MM,Smyrnios NA,Vitello J

更新日期：2020-08-01 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

authors： Kerber K,Zangmeister J,McNett M

更新日期：2020-04-01 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

authors： Olsen J,Coleman JR

更新日期：2001-04-01 00:00:00

abstract：:Postoperative nausea and vomiting is a dreaded, uncomfortable, and unpleasant patient experience that is also a factor contributing to adverse outcomes in postoperative recovery. The key to management of this concern is to identify high-risk patients and to develop a systematic method of assessment, intervention, and ...

journal_title：Critical care nurse

authors： Collins AS

更新日期：2011-12-01 00:00:00

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

authors： Rauen CA

更新日期：2012-10-01 00:00:00

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

authors： Sacco KM,Barkley TW Jr

更新日期：2016-06-01 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

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

更新日期：1996-04-01 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

authors： Armour-Burton T,Fields W,Outlaw L,Deleon E

更新日期：2013-06-01 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

authors： Trujillo EB,Robinson MK,Jacobs DO

更新日期：2001-08-01 00:00:00

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 t...

journal_title：Critical care nurse

authors： Bibro C,Lasich C,Rickman F Jr,Foley NE,Kunugiyama SK,Moore E,O'Brien A,Sherman N,Schulman CS

更新日期：2011-10-01 00:00:00

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

authors： Albert NM

更新日期：2012-04-01 00:00:00

abstract：:Background Vanderbilt University Hospital's original rapid response team included a critical care charge nurse and a respiratory therapist. A frequently identified barrier to care was the time delay between arrival of the rapid response team and arrival of the primary health care team. Objective To assess the impact o...

journal_title：Critical care nurse

authors： Kapu AN,Wheeler AP,Lee B

更新日期：2014-02-01 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

authors： Wilson EB,Malley N

更新日期：1990-07-01 00:00:00

abstract：:The congenital heart defect of HLHS is nearly uniformly fatal without intervention. As surgeons gain experience with the techniques the success rates are improving; more infants with HLHS are being offered hope for survival and quality of life. The critical nature of this diagnosis, the relatively new treatment option...

journal_title：Critical care nurse

authors： Swanson LT

更新日期：1995-06-01 00:00:00

abstract：:This article discusses congenital heart defects that are marginal candidates for biventricular repair and highlights the anatomic considerations upon which the surgical decision is based. Specifically, the article reviews the importance of capacitance and compliance of the ventricles and their associated atrioventricu...

journal_title：Critical care nurse

authors： Tracey M

更新日期：2018-10-01 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

authors： Derrick D

更新日期：2009-02-01 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

authors： Goran SF

更新日期：2011-10-01 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

authors： Smithburger PL,Kane-Gill SL,Nestor BL,Seybert AL

更新日期：2010-10-01 00:00:00

abstract：OBJECTIVE:Preparation of drug solutions used with electronic syringe infusion pumps plays a crucial role in the delivery of an accurate drug concentration. Is there a correlation between drug concentrations during syringe pump infusion and preparation protocols? METHOD:Norepinephrine, insulin, and sufentanil were prep...

journal_title：Critical care nurse

authors： Garrigue B,Dehu Y,Girault F,Figadère B,Leblanc K,Briole N,Capitani GA,Lagadec S,Laborne FX

更新日期：2016-08-01 00:00:00