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Critical Care Nursing Clinics of North America

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https://www.readbyqxmd.com/read/28778299/preface
#1
EDITORIAL
Patricia O'Malley
No abstract text is available yet for this article.
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778298/the-lived-experience-of-anemia-without-a-cause
#2
REVIEW
Patricia O'Malley
This article explores anemia without an obvious cause from two perspectives: a patient and the evidence. Although evidence is required to drive favorable patient outcomes, the focus on evidence often hides the patient experience during diagnosis and treatment. Knowledge of experience with evidence can provide a deeper perspective for clinical decision making and meet nursing's ethical mandate to relieve suffering. Although one patient experience does not reflect every patient experience, this patient's experience demonstrates how difficult and dark anemia can be...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778297/resources-for-hematology-on-and-off-the-web
#3
REVIEW
Shirley Sebald-Kinder, Janet L Petty
Searching the literature can be challenging because of the large volume of information. It can be time consuming to locate and determine what evidence will provide the best health outcomes for patients. In addition, locating hematology information for patients and family members is one of the most challenging of all health care topics. Hematology can be technical and difficult for most people to understand, especially for those with little or no science background and poor reading skills. This article provides guidance on how and where to locate information to address the needs of both clinicians and patients...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778296/use-of-high-fidelity-simulation-to-increase-knowledge-and-skills-in-caring-for-patients-receiving-blood-products
#4
REVIEW
Tonya Breymier, Tonya Rutherford-Hemming
Simulation has emerged in health care education programs over the past few decades. Acute-care institutions now provide simulation and high-fidelity simulation (HFS) experiences, nurse development, competency training, and evaluation. The International Association for Clinical Simulation and Learning has established best practice guidelines and a framework for multiple skills, such as blood transfusion. The Institute of Medicine report, To Err Is Human, brought patient safety issues to the forefront. Blood transfusion management is a skill for which HFS can provide a safe environment to educate and evaluate nurse competencies for blood transfusion management processes...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778295/hidden-anemias-in-the-critically-ill
#5
REVIEW
Patricia O'Malley
With increasing knowledge of the risks associated with receiving blood transfusions, a new paradigm of bloodless medicine is needed. Principles of bloodless medicine include careful monitoring for obvious and hidden anemias, rapid intervention, minimizing blood losses from laboratory testing and procedures, and careful management of bleeding diatheses. As evidence is revealed and refined, standard treatment of anemia in the intensive care unit will include erythropoietin-stimulating agents, iron, folate, and vitamin B12, which will reduce risks associated with blood transfusions...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778294/coagulopathy-in-and-outside-the-intensive-care-unit
#6
REVIEW
Marie Bashaw
Coagulopathy is life threatening. Through technologic advances of today, early recognition of the signs and symptoms of coagulopathy and the complicating factors is possible in most settings. By implementing appropriate treatment modalities early, the progression of coagulopathy can be halted, reducing morbidity and mortality.
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778293/nursing-care-of-adult-hematopoietic-stem-cell-transplant-patients-and-families-in-the-intensive-care-unit-an-evidence-based-review
#7
REVIEW
Linda K Young, Brianne Mansfield, Jared Mandoza
This article addresses evidence-based practice related to adult hematopoietic stem cell transplant (HSCT) patients when admitted to the intensive care unit. Specifically, it addresses non-HSCT staff, patient, and family needs and the strategies to address those needs.
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778292/balance-between-the-proinflammatory-and-anti-inflammatory-immune-responses-with-blood-transfusion-in-sepsis
#8
REVIEW
Teresa C Rice, Amanda M Pugh, Charles C Caldwell, Barbara St Pierre Schneider
Blood product transfusion may exacerbate the initial immunosuppressive response of sepsis. Nurses and other patient care providers must be diligent in recognizing and managing a worsening immune status, using flow cytometry to monitor patients' immune status. This type of monitoring may be instrumental in reducing morbidity and mortality in persons with sepsis. This article discusses the recent literature on the associated inflammatory responses that occur with blood transfusion and provides an analysis of alterations in key inflammatory pathways in response to transfusion in a sepsis population...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778291/collaborative-strategies-for-management-of-obstetric-hemorrhage
#9
REVIEW
Betsy Babb Kennedy, Suzanne McMurtry Baird
Obstetric hemorrhage is a significant cause of perinatal morbidity and mortality that requires prompt recognition and collaborative intervention to prevent poor outcomes. Medical and surgical management goals include controlling bleeding, supporting tissue oxygenation and perfusion, and monitoring for coagulopathies and complications.
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778290/the-risks-associated-with-red-blood-cell-transfusion-implications-for-critical-care-practice
#10
REVIEW
Douglas H Sutton, Deborah A Raines
This systematic literature review informs the clinician caring for the critically ill patient of the risks associated with red blood cell (RBC) transfusion. Data were extracted from publications between 2008 and 2016 and were reviewed to determine their usefulness in providing evidence associated with the risk of receiving an RBC transfusion. They reveal that this intervention may exacerbate certain clinical conditions and increase mortality and morbidity rates. Further scientific study is needed to better inform clinical practitioners about the inherent risks and benefits associated with the common clinical intervention of RBC transfusion in the critically ill patient...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778289/alternative-to-blood-replacement-in-the-critically-ill
#11
REVIEW
Deborah J Tolich, Kelly McCoy
This article reviews treatments and strategies that can be used to reduce, or as adjuncts to, blood transfusion to manage blood volumes in patients who are critically ill. Areas addressed include iatrogenic anemia, fluid management, pharmaceutical agents, hemostatic agents, hemoglobin-based oxygen carriers, and management of patients for whom blood is not an option.
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778288/adverse-reactions-to-transfusion-of-blood-products-and-best-practices-for-prevention
#12
REVIEW
Susan K Frazier, Jacob Higgins, Andrew Bugajski, Allison R Jones, Michelle R Brown
Transfusion, a common practice in critical care, is not without complication. Acute adverse reactions to transfusion occur within 24 hours and include acute hemolytic transfusion reaction, febrile nonhemolytic transfusion reaction, allergic and anaphylactic reactions, and transfusion-related acute lung injury, transfusion-related infection or sepsis, and transfusion-associated circulatory overload. Delayed transfusion adverse reactions develop 48 hours or more after transfusion and include erythrocyte and platelet alloimmunization, delayed hemolytic transfusion reactions, posttransfusion purpura, transfusion-related immunomodulation, transfusion-associated graft versus host disease, and, with long-term transfusion, iron overload...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28460706/bundles-guidelines-protocols-and-more-a-pediatric-medley
#13
EDITORIAL
Jerithea Tidwell, Brennan Lewis
No abstract text is available yet for this article.
June 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28460705/massive-transfusion-protocol-simulation-an-innovative-approach-to-team-training
#14
REVIEW
Allison Langston, Dayna Downing, Jennifer Packard, Marion Kopulos, Shelley Burcie, Kay Martin, Brennan Lewis
At a 72-bed pediatric facility, a multidisciplinary team approach was used to prepare for the expansion of services for patients requiring spinal fusion. This preparation included emergency response requiring massive transfusion, necessitating the need for a Massive Transfusion Protocol (MTP) process to be in place. Such instances are low volume/high risk, creating difficulty for staff to gain and maintain proficiency with the equipment and processes related to the MTP in a secure environment. The purpose of this article is to highlight the preparation and education put into place before receiving the first pediatric patient for spinal fusion...
June 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28460704/continuous-capnography-in-pediatric-intensive-care
#15
REVIEW
Christine M Riley
Capnography or end-tidal carbon dioxide (Etco2) monitoring has a variety of uses in the pediatric intensive care setting. The ability to continuously measure exhaled carbon dioxide can provide vital information about airway, breathing, and circulation in critically ill pediatric patients. Capnography has diagnosis-specific applications for pediatric patients with congenital heart disease, reactive airway disease, neurologic emergencies, and metabolic derangement. This modality allows for noninvasive monitoring and has become the standard of care...
June 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28460703/putting-the-family-back-in-the-center-a-teach-back-protocol-to-improve-communication-during-rounds-in-a-pediatric-intensive-care-unit
#16
REVIEW
Terri L Bogue, Lynn Mohr
Patient- and family-centered care is endorsed by leading health care organizations. To incorporate the family in interdisciplinary rounds in the pediatric intensive care unit, it is necessary to prepare the family to be an integral member of the child's health care team. When the family is part of the health care team, interdisciplinary rounds ensure that the family understands the process of interdisciplinary rounds and that it is an integral part of the discussion. An evidence-based protocol to provide understanding and support to families related to interdisciplinary rounds has significant impact on satisfaction, trust, and patient outcomes...
June 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28460702/unbundling-the-bundles-using-apparent-and-systemic-cause-analysis-to-prevent-health-care-associated-infection-in-pediatric-intensive-care-units
#17
REVIEW
Terri L Bogue, Robert L Bogue
Today's health care environment emphasizes patient outcomes, although financial incentives and penalties have placed a high priority on elimination of health care-associated infections (HAIs). The use of standardized care bundles is evidence-based; however, implementation of these bundles has not proven effective in eliminating HAIs. Actively learning from HAI events through the use of apparent and systemic cause analysis identifies new barriers to success and opportunities for improvement in further reducing HAIs...
June 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28460701/effective-management-of-pain-and-anxiety-for-the-pediatric-patient-in-the-emergency-department
#18
REVIEW
Virginia B Young
Inadequate treatment of pain for children in the emergency department is a persistent problem. Health care professionals are bound by ethical principles to provide adequate pain management; in children, this may be challenging owing to cognitive and developmental differences, lack of knowledge regarding best practices, and other barriers. Studies have concluded that immediate assessment, treatment, and reassessment of pain after an intervention are essential. Self-report and behavioral scales are available...
June 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28460700/airways-and-injuries-protecting-our-pediatric-patients-from-respiratory-device-related-pressure-injuries
#19
REVIEW
Laura J Miske, Molly Stetzer, Melissa Garcia, Judith J Stellar
Pressure injury prevention is required in all health care environments. Respiratory technology includes invasive and noninvasive positive pressure ventilation methods of support and life-saving equipment. Pressure injury can occur from tracheostomy tubes and their securement devices, or use of noninvasive positive pressure ventilation interfaces or the head gear. Methods instituted to decrease hospital-acquired pressure injury related to noninvasive positive pressure ventilation and tracheostomy securement devices are discussed...
June 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28460699/case-study-of-high-dose-ketamine-for-treatment-of-complex-regional-pain-syndrome-in-the-pediatric-intensive-care-unit
#20
REVIEW
Tracy Ann Pasek, Kelli Crowley, Catherine Campese, Rachel Lauer, Charles Yang
Complex regional pain syndrome (CRPS) is a life-altering and debilitating chronic pain condition. The authors are presenting a case study of a female who received high-dose ketamine for the management of her CRPS. The innovative treatment lies not only within the pharmacologic management of her pain, but also in the fact that she was the first patient to be admitted to our pediatric intensive care unit solely for pain control. The primary component of the pharmacotherapy treatment strategy plan was escalating-dose ketamine infusion via patient-controlled-analgesia approved by the pharmacy and therapeutics committee guided therapy for this patient...
June 2017: Critical Care Nursing Clinics of North America
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