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American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses

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https://www.readbyqxmd.com/read/30385545/cardiac-dysrhythmia-during-pacing-in-an-infant
#1
Ashlee Shields, Salah S Al-Zaiti, Teri M Kozik, Michele M Pelter, Mary G Carey
No abstract text is available yet for this article.
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385544/acquisition-and-retention-of-resuscitation-knowledge-and-skills-what-s-practice-have-to-do-with-it
#2
REVIEW
Margo Halm, Catherine Crespo
No abstract text is available yet for this article.
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385543/impact-of-nurses-taking-daily-work-breaks-in-a-hospital-garden-on-burnout
#3
Makayla Cordoza, Roger S Ulrich, Bette J Manulik, Stuart K Gardiner, Paul S Fitzpatrick, Teresia M Hazen, Alar Mirka, R Serene Perkins
BACKGROUND: Nurses working in hospital environments are at risk for burnout. Exposure to nature has psychological benefits, but the effect of hospital gardens on nurse burnout is less understood. OBJECTIVE: To compare the effect on nurse burnout of taking daily work breaks in a hospital-integrated garden with the effect of indoor-only breaks. METHODS: A prospective crossover trial was conducted of nurses assigned to either 6 weeks of a work break in an outdoor hospital garden or 6 weeks of indoor-only breaks...
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385542/using-digestive-fluid-biomarkers-to-predict-acute-gastrointestinal-injury-in-critically-ill-patients-a-pilot-study
#4
Cheng Minhua, Gao Tao, Xi Fengchan, Yu Wenkui
BACKGROUND: Acute gastrointestinal injury is associated with significantly increased mortality in critically ill patients. However, markers for measuring acute gastrointestinal injury are neither sensitive nor specific. OBJECTIVE: To determine whether enzymes in digestive fluid are predictive of the severity of acute gastrointestinal injury. METHODS: A prospective observational study was conducted between June 2015 and December 2015 in a surgical intensive care unit...
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385541/effect-of-transcutaneous-electrical-neuromuscular-stimulation-on-myopathy-in-intensive-care-patients
#5
Evangelia Koutsioumpa, Demosthenes Makris, Athina Theochari, Dimitra Bagka, Stathis Stathakis, Efstratios Manoulakas, Markos Sgantzos, Epaminondas Zakynthinos
BACKGROUND: Critical illness polyneuropathy or myopathy is a severe disorder that may adversely affect patients in the intensive care unit, resulting in reduced mobilization, decline in muscle mass, and prolonged recovery periods. OBJECTIVE: To examine whether the application of trans-cutaneous electrical neuromuscular stimulation (TENMS) reduces the incidence or severity of myopathy related to critical illness in intensive care unit patients. METHODS: A total of 80 patients aged 18 years or older with an intensive care unit stay of 96 hours or more and receipt of mechanical ventilation for 96 hours or more were initially enrolled in a prospective, open-label randomized controlled trial in a university hospital...
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385540/long-term-effects-of-saline-instilled-during-endotracheal-suction-in-pediatric-intensive-care-a-randomized-trial
#6
Dianne F McKinley, Sharon B Kinney, Beverley Copnell, Frank Shann
BACKGROUND: Saline instillation is still used to assist in removal of secretions from endotracheal tubes in some pediatric intensive care units. OBJECTIVE: To compare the effect of using either no saline, quarter-normal (0.225%) saline, or normal (0.9%) saline during endotracheal suctioning of children receiving ventilatory support in a pediatric intensive care unit. METHOD: An unblinded, randomized trial with 3 treatment groups was conducted with 427 children who received ventilatory support for at least 12 hours...
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385539/score-for-predicting-ventilator-weaning-duration-in-patients-with-tracheostomies
#7
Jared A Greenberg, Robert A Balk, Raj C Shah
BACKGROUND: Factors affecting the timing of ventilator liberation among patients requiring prolonged mechanical ventilation (≥21 consecutive days) are poorly understood. After tracheostomy placement, ventilator liberation typically involves daily reductions in ventilator support as patients regain the capacity to breathe independently. OBJECTIVES: To determine the association between ventilator requirements on the day after tracheostomy placement and subsequent weaning duration...
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385538/outcomes-associated-with-stage-1-pressure-injuries-a-retrospective-cohort-study
#8
Jenny Alderden, Yunchuan Lucy Zhao, Yingying Zhang, Donna Thomas, Ryan Butcher, Yue Zhang, Mollie Rebecca Cummins
BACKGROUND: Approximately half of hospital-acquired pressure injuries identified among critical care patients are stage 1. Although stage 1 injuries are common, outcomes associated with them among critical care patients have not been examined. OBJECTIVES: To examine the outcomes of stage 1 pressure injuries among critical care patients and to identify factors associated with worsening of pressure injuries. METHODS: Electronic health records were used to determine which surgical critical care patients at a level I trauma center and academic medical center had stage 1 pressure injuries...
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385537/predicting-pressure-injury-in-critical-care-patients-a-machine-learning-model
#9
Jenny Alderden, Ginette Alyce Pepper, Andrew Wilson, Joanne D Whitney, Stephanie Richardson, Ryan Butcher, Yeonjung Jo, Mollie Rebecca Cummins
BACKGROUND: Hospital-acquired pressure injuries are a serious problem among critical care patients. Some can be prevented by using measures such as specialty beds, which are not feasible for every patient because of costs. However, decisions about which patient would benefit most from a specialty bed are difficult because results of existing tools to determine risk for pressure injury indicate that most critical care patients are at high risk. OBJECTIVE: To develop a model for predicting development of pressure injuries among surgical critical care patients...
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385536/treatment-of-alcohol-withdrawal-syndrome-phenobarbital-vs-ciwa-ar-protocol
#10
William P Tidwell, Tonya L Thomas, Jonathon D Pouliot, Angelo E Canonico, Angus J Webber
BACKGROUND: Benzodiazepine-based therapy for alcohol withdrawal is associated with agitation and respiratory depression. Treatment can be complicated by a need for adjunctive therapy to control these symptoms and in patients requiring mechanical ventilation. Strong evidence for the effectiveness of alternative treatment modalities is lacking, despite the availability of promising pharmacological agents such as phenobarbital. OBJECTIVE: To compare the standard of care for the treatment of alcohol withdrawal-a symptom-triggered benzodiazepine protocol used in conjunction with the revised Clinical Institute Withdrawal Assessment of Alcohol (CIWA-Ar) scale-with a phenobarbital protocol...
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385535/contributors-to-intensive-care-unit-clinicians-predictions-of-patient-outcomes-a-qualitative-analysis
#11
Anna E Buehler, Isabella V Ciuffetelli, Aaron M Delman, Saida A Kent, Dominique F Bayard, Elizabeth Cooney, Scott D Halpern, Michael E Detsky
BACKGROUND: Information about a critically ill patient's prognosis is important to the shared decision-making process. The factors that physicians and nurses consider when generating their prognoses are not well understood. OBJECTIVE: To explore the factors that intensive care unit clinicians consider when prognosticating for their patients. METHODS: Intensive care unit clinicians (physicians and nurses) were asked to predict 6-month survival and describe the patient-related factors that they considered in their prognoses...
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385534/clinical-pearls
#12
EDITORIAL
Rhonda Board
No abstract text is available yet for this article.
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385533/response
#13
LETTER
Brian H Nathanson, Karthik Raghunathan
No abstract text is available yet for this article.
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385532/blood-transfusion-in-sepsis-and-iatrogenic-hemodilution
#14
LETTER
Azriel Perel, Mazyar Javidroozi, Aryeh Shander
No abstract text is available yet for this article.
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30385531/for-better-or-worse-we-are-all-connected-contemplating-the-stark-reality-of-social-media
#15
EDITORIAL
Richard H Savel, Cindy L Munro
No abstract text is available yet for this article.
November 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30173176/cardiac-cause-of-frequent-falls-in-an-elderly-patient
#16
Teri M Kozik, Jacquie M DeMellow, Salah S Al-Zaiti, Mary G Carey, Michele M Pelter
No abstract text is available yet for this article.
September 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30173175/understandability-and-actionability-of-the-cdc-s-printable-sepsis-patient-education-material
#17
Christa Schorr, Krystal Hunter, Patti Rager Zuzelo
BACKGROUND: Quality improvement efforts in sepsis management have increased patients' survival rates. Many sepsis survivors experience sequelae leading to unplanned hospital readmissions and subsequent mortality, especially when survivors delay seeking medical attention because they do not recognize the signs and symptoms of recurrent sepsis. Thus, increasing knowledge of sepsis among patients and caregivers before initial hospital discharge is essential. OBJECTIVE: To evaluate the understandability and actionability of a printable patient education tool on sepsis...
September 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30173174/cerebral-autoregulation-in-neonates-with-and-without-congenital-heart-disease
#18
Nhu N Tran, S Ram Kumar, Felicia S Hodge, Paul M Macey
BACKGROUND: Congenital heart disease (CHD) is a leading birth defect in the United States, affecting about 40 000 neonates each year. Despite efforts to prevent developmental delays, many children with CHD have neurological deficits that last into adulthood, influencing employability, self-care, and quality of life. OBJECTIVE: To determine if neonates with CHD have impaired cerebral autoregulation and poorer neurodevelopmental outcomes compared with healthy controls...
September 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30173173/a-competency-based-curriculum-for-critical-care-nurse-practitioners-transition-to-practice
#19
R Scott Kopf, Penni I Watts, Eileen S Meyer, Jacqueline A Moss
BACKGROUND: Nearly one-third of new-graduate nurse practitioners report undergoing no formal orientation process, and postcertification orientation processes vary. A validated curriculum would address the need for structured training to enhance new graduates' practice transition. METHODS: A competency-based practice transition curriculum for intensive care unit nurse practitioners was created using a literature review and expert panels. Competencies were established that were based on clinical categories essential to nurse practitioner practice in the intensive care unit and adapted from existing Accreditation Council for Graduate Medical Education training, aligned with the precertification nursing curriculum...
September 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/30173172/improving-communication-between-surgery-and-critical-care-teams-beyond-the-handover
#20
Christian James Turner, Barbara Haas, Christie Lee, Savtaj Brar, Michael Eric Detsky, Laveena Munshi
BACKGROUND: Structured communication tools for postoperative surgical handover to the intensive care unit (ICU) have shown promise, yet little work has addressed ongoing daily communication between the surgery and ICU teams thereafter. OBJECTIVES: Evaluation of a novel, 2-part communication intervention between surgery and ICU teams focused on postoperative handover and ongoing daily communication. METHODS: A mixed-methods, pre- and postintervention survey study was conducted in a closed quaternary medical-surgical ICU...
September 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
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