Gastric tonometry: evaluating tissue oxygenation.

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 gastric tonometer (approximately $70) and facilities to measure arterial blood gases, this method allows early detection of covert compensated shock by determining pHi. Thus, early intervention and correction of deficits in tissue oxygenation are possible and may improve patients' outcome.

journal_name

Crit Care Nurse

journal_title

Critical care nurse

authors

Ferguson A

subject

Has Abstract

pub_date

1996-12-01 00:00:00

pages

48-55

issue

6

eissn

0279-5442

issn

1940-8250

journal_volume

16

pub_type

杂志文章,评审
  • Management of Clostridioides difficile Infection.

    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

    authors: Clarkin C,Quist S,Shamis R,King AE,Shah BM

    更新日期:2019-10-01 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

  • Methemoglobinemia: the hidden diagnosis.

    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:

    authors: Baker SA,Young DJ

    更新日期:1990-03-01 00:00:00

  • 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...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2020764

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

    更新日期:2020-02-01 00:00:00

  • The Power of Family Engagement in Rounds: An Exemplar With Global Outcomes.

    abstract::Family engagement in rounds has been recommended to improve communication, but its impact on patient outcomes is unknown. At the authors' institution, nurses encouraged family presence at rounds as part of a larger project to enhance communication during rounding. In the case reported here, family engagement resulted ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2019647

    authors: Strathdee SA,Hellyar M,Montesa C,Davidson JE

    更新日期:2019-10-01 00:00:00

  • A California Hospital's Response to COVID-19: From a Ripple to a Tsunami Warning.

    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

    pub_type: 杂志文章,评审

    doi:10.4037/ccn2020799

    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

  • Feasibility of Nurse-Led Multidimensional Outcome Assessments in the Neuroscience Intensive Care Unit.

    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

    authors: Schlichter E,Lopez O,Scott R,Ngwenya L,Kreitzer N,Dangayach NS,Ferioli S,Foreman B

    更新日期:2020-06-01 00:00:00

  • Managing pulmonary hypertension in heart transplantation: meeting the challenge.

    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:

    authors: Coe PF

    更新日期:2000-04-01 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

  • 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

  • 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

  • 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

  • Assessing the five points of the intra-aortic balloon pump waveform.

    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:

    authors: Wojner AW

    更新日期:1994-06-01 00:00:00

  • Using continuous quality improvement techniques to determine the causes of hospital readmission.

    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

    pub_type: 杂志文章

    doi:

    authors: Olsen J,Coleman JR

    更新日期:2001-04-01 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

  • 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

  • Monitoring pulmonary artery pressures: just the facts.

    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:

    authors: Bridges EJ

    更新日期:2000-12-01 00:00:00

  • Gas gangrene: certain diagnosis or certain death.

    abstract::Clostridia are organisms which, in the right environment, can cause a rapidly spreading, fulminant myonecrosis. Early diagnosis and a combined management program are clearly paramount to a successful outcome. Knowledge of this disease and ongoing meticulous assessment are the tools that a nurse must use when dealing w...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Corry M,Montoya L

    更新日期:1989-11-01 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

  • Addition of acute care nurse practitioners to medical and surgical rapid response teams: a pilot project.

    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

    pub_type: 杂志文章

    doi:10.4037/ccn2014847

    authors: Kapu AN,Wheeler AP,Lee B

    更新日期:2014-02-01 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

  • Postoperative nausea and vomiting in adults: implications for critical care.

    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

    pub_type: 杂志文章

    doi:10.4037/ccn2011470

    authors: Collins AS

    更新日期:2011-12-01 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

  • 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

  • A new view: tele-intensive care unit competencies.

    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

    authors: Goran SF

    更新日期:2011-10-01 00:00:00

  • Nursing Care and Treatment of Ambulatory Patients With Percutaneously Placed Axillary Intra-aortic Balloon Pump Before Heart Transplant.

    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

    pub_type: 杂志文章,评审

    doi:10.4037/ccn2019729

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

    更新日期:2019-04-01 00:00:00

  • Using the Mehran risk scoring tool to predict risk for contrast medium-induced nephropathy in patients undergoing percutaneous angiography.

    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

    authors: Raingruber B,Kirkland-Walsh H,Chahon N,Kellermann M

    更新日期:2011-02-01 00:00:00

  • Teaching the teachers: creating an effective critical care preceptor program.

    abstract::Staff nurse preceptors are integral members of effective critical care orientation programs. Much of the success of the orientation experience and orientee satisfaction depends on them. A critical care preceptor workshop containing a review of the orientation program and the application of educational principles in cr...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Quinn JR,Tibi DA

    更新日期:1993-02-01 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