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：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

authors： Smith RE,Shifrin MM

更新日期：2020-10-01 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: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

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

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：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

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

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：: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

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

更新日期：2019-10-01 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

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

更新日期：2019-10-01 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

authors： McGee WT,Nathanson BH,Lederman E,Higgins TL

更新日期：2019-06-01 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：: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

authors： Albert NM,Kozinn MJ

更新日期：2018-10-01 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：BACKGROUND:Hospitals are increasingly turning to clinical decision support systems for sepsis, a life-threatening illness, to provide patient-specific assessments and recommendations to aid in evidence-based clinical decision-making. Lack of guidelines on how to present alerts has impeded optimization of alerts, specif...

journal_title：Critical care nurse

authors： Long D,Capan M,Mascioli S,Weldon D,Arnold R,Miller K

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:Catheter-associated urinary tract infections are preventable adverse outcomes that increase hospital morbidity, mortality, and costs. These infections are particularly prevalent in intensive care units. OBJECTIVES:To describe the success of an 18-bed neurological intensive care unit in using several nurse-i...

journal_title：Critical care nurse

authors： Richards B,Sebastian B,Sullivan H,Reyes R,D'Agostino JF,Hagerty T

更新日期：2017-06-01 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

authors： Leier M

更新日期：2017-04-01 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

abstract：:As surgery for complex congenital heart disease is becoming more advanced, an increasing number of patients are surviving into adulthood, yet many of these adult patients remain in the pediatric hospital system. Caring for adult patients is often a challenge for pediatric nurses, because the nurses have less experienc...

journal_title：Critical care nurse

authors： Anton K

更新日期：2016-08-01 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：: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

authors： Lawson T,Yeager S

更新日期：2016-04-01 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

authors： Donnellan A,Justice L

更新日期：2016-02-01 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：: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

authors： Brindise T,Baker MP,Juarez P

更新日期：2015-08-01 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：: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

authors： Stausmire JM

更新日期：2014-12-01 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：: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：: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：:During the springs and summers of 2009 to 2012, military and nongovernment organization nurses served side by side on hospital ships USNS Comfort and USNS Mercy to offer free humanitarian clinical services to developing nations in Central and South America and Southeast Asia. Translators were engaged to facilitate com...

journal_title：Critical care nurse

authors： Faulk JF,Hanly MA

更新日期：2013-08-01 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：: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：: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：: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：: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

authors： Ganz FD

更新日期：2012-04-01 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：: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 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：: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：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

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

更新日期：2011-02-01 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