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 Nursejournal_title
Critical care nurseauthors
Ferguson Asubject
Has Abstractpub_date
1996-12-01 00:00:00pages
48-55issue
6eissn
0279-5442issn
1940-8250journal_volume
16pub_type
杂志文章,评审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::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:
更新日期:1991-09-01 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: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
更新日期:2020-02-01 00:00:00
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
更新日期:2019-10-01 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
pub_type: 杂志文章,评审
doi:10.4037/ccn2020799
更新日期:2020-12-01 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::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::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
更新日期:2012-10-01 00:00:00
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:
更新日期:1993-06-01 00:00:00
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
更新日期:2014-12-01 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
pub_type: 杂志文章,评审
doi:10.4037/ccn2009451
更新日期:2009-02-01 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::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:
更新日期:2001-04-01 00:00:00
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:
更新日期:1999-06-01 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::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::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:
更新日期:1989-11-01 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
pub_type: 杂志文章
doi:10.4037/ccn2012877
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
pub_type: 杂志文章
doi:10.4037/ccn2014847
更新日期:2014-02-01 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::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
更新日期:2014-06-01 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
pub_type: 杂志文章
doi:10.4037/ccn2011470
更新日期:2011-12-01 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
pub_type: 杂志文章
doi:
更新日期:1996-04-01 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::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::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
更新日期:2019-04-01 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::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:
更新日期:1993-02-01 00:00:00
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
更新日期:2019-06-01 00:00:00