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, written protocols are needed to identify appropriate patients, proper removal technique, and specific actions to take if complications occur. In addition, plans must be developed for initial education and ongoing competency evaluation to ensure that each nurse involved maintains an adequate knowledge base and skill level.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
Schickel S,Cronin SN,Mize A,Voelker Csubject
Has Abstractpub_date
1996-04-01 00:00:00pages
32-6issue
2eissn
0279-5442issn
1940-8250journal_volume
16pub_type
杂志文章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: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
更新日期:2020-10-01 00:00:00
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:
更新日期:1992-06-01 00:00:00
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
更新日期:2016-04-01 00:00:00
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
更新日期:2017-04-01 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::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
pub_type: 杂志文章,评审
doi:10.4037/ccn2015758
更新日期:2015-06-01 00:00:00
abstract::Hypoplastic left heart syndrome is a severe form of congenital heart disease that results in single-ventricle physiology. Although surgical palliation in infants with this syndrome is widely agreed on in practice, variation occurs in both surgical and medical management. Perinatal factors that affect preoperative mana...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2016461
更新日期:2016-02-01 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::Sjo2 monitoring has several important limitations, such as catheter reliability, sampling error, and lack of regional specificity. However, combining Sjo2 monitoring with other available technologies can facilitate optimization of treatment and improve outcomes in patients with severe brain injuries. ...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:
更新日期:2001-12-01 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::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:CLINICAL RELEVANCE:Clostridioides (formerly Clostridium) difficile infection is among the most identified causes of health care-associated infections in US hospitals and remains a major public health problem. The incidence and severity of C difficile infection are high among critically ill patients. Treating critically...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2019841
更新日期:2019-10-01 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::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: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: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
pub_type: 杂志文章
doi:10.4037/ccn2016756
更新日期:2016-08-01 00:00:00
abstract::The most common measurements of pulmonary hypertension include systolic and mean pulmonary artery pressures, PVR, and transpulmonary gradient. Pulmonary artery pressures greater than 50 mm Hg, PVR greater than 6 Woods units, and transpulmonary gradient greater than 15 mm Hg that are unresponsive to optimal vasodilator...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
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:
更新日期:1993-08-01 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: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: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
pub_type: 杂志文章
doi:10.4037/ccn2020251
更新日期:2020-08-01 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::Although methemoglobinemia is not commonly seen in the ER or the critical care setting, it can be life threatening if unrecognized and left untreated. A detailed case history illustrates the symptoms and some of the possible precipitating factors, and outlines treatment for a successful patient outcome. ...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:BACKGROUND:Patients who have radiological imaging with contrast material are at risk for contrast medium-induced nephropathy, reduced renal function, longer hospitalizations, and renal failure requiring dialysis. OBJECTIVE:To determine whether the Mehran risk scoring tool can be used to predict changes in hospitalized...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2011746
更新日期:2011-02-01 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
pub_type: 杂志文章
doi:10.4037/ccn2011186
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::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::IABP timing challenges the nurse not only with a waveform analysis but also an understanding of complex physiologic concepts crucial to patient management. Optimizing timing through assessment of the five points of the IABP waveform permits the critical care nurse to increase the hemodynamic benefits of IABP therapy, ...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1994-06-01 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