jueves, 31 de enero de 2013

Communication by Nurses in the Intensive Care Unit: Qualitative Analysis of Domains of Patient-Centered Care


Christopher G. Slatore, MD, MS, Lissi Hansen, RN, PhD, Linda Ganzini, MD, MPH, Nancy Press, PhD, Molly L. Osborne, MD, PhD, Mark S. Chesnutt, MD and Richard A. Mularski, MD, MSHS, MCR

Christopher G. Slatore is an investigator, Health Services Research and Development, a staff physician, Section of Pulmonary and Critical Care Medicine, Portland Veterans Affairs Medical Center, Portland, Oregon, and an assistant professor, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Oregon Health and Science University, Portland. Lissi Hansen is an associate professor, School of Nursing, Oregon Health and Science University. Linda Ganzini is a psychiatrist and director, Health Services Research and Development, Portland Veterans Affairs Medical Center. Nancy Press is a professor, School of Nursing and Department of Public Health and Preventive Medicine, School of Medicine, Oregon Health and Science University. Molly L. Osborne is a professor of medicine, integrated ethics program officer, Section of Pulmonary and Critical Care Medicine, Portland Veterans Affairs Medical Center, interim associate dean for education, associate dean for student affairs, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Oregon Health and Science University. Mark S. Chesnutt is a staff physician, Section of Pulmonary and Critical Care Medicine, director, Critical Care, Patient Care Services Division, Portland Veterans Affairs Medical Center, and a clinical professor, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Oregon Health and Science University. Richard A. Mularski is an investigator and senior staff physician, Center for Health Research, Kaiser Permanente Northwest, Pulmonary and Critical Care Medicine, Portland, Oregon, and an affiliate associate professor of medicine, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Oregon Health and Science University.

Corresponding author: Christopher G. Slatore, MD, 3710 SW US Veterans Hospital Rd, R&D 66, Portland, OR 97239 (e-mail: christopher.slatore@va.gov).

Abstract

Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2012


R. Phillip Dellinger, MD; Mitchell M. Levy, MD; Andrew Rhodes, MB BS; Djillali Annane, MD; Herwig Gerlach, MD, PhD; Steven M. Opal, MD; Jonathan E. Sevransky, MD; Charles L. Sprung, MD; Ivor S. Douglas, MD; Roman Jaeschke, MD; Tiffany M. Osborn, MD, MPH; Mark E. Nunnally, MD; Sean R. Townsend, MD; Konrad Reinhart, MD; Ruth M. Kleinpell, PhD, RN-CS; Derek C. Angus, MD, MPH; Clifford S. Deutschman, MD, MS; Flavia R. Machado, MD, PhD; Gordon D. Rubenfeld, MD; Steven A. Webb, MB BS, PhD; Richard J. Beale, MB BS; Tean-Louis Vincent, MD, PhD; Rui Moreno, MD, PhD; and the Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup*

Special Articles

Pharmacology of milrinone in neonates with persistent pulmonary hypertension of the newborn and suboptimal response to inhaled nitric oxide*.

Pediatr Crit Care Med. 2013 Jan;14(1):74-84. doi: 10.1097/PCC.0b013e31824ea2cd.

McNamara PJ, Shivananda SP, Sahni M, Freeman D, Taddio A.

Departments of Pediatrics, University of Toronto, Toronto, Canada.
Physiology and Experimental Medicine Program, Hospital for Sick Children, Toronto, Canada.
Department of Medicine, University of Western Ontario, London, Canada. 4 Department of Pharmacology, University of Toronto, Toronto, Canada.

Abstract

lunes, 28 de enero de 2013

Time to effective antibiotic administration in adult patients with septic shock: A descriptive analysis

Zahra Kanjia, Carla Dumaresquec

  • Clinical Pharmacy Specialist – Critical Care, Lions Gate Hospital, Lower Mainland Pharmacy Services – Fraser Health, Providence Health Care, Provincial Health Services Authority, Vancouver Coastal Health, Vancouver, British Columbia, Canada
  • Clinical Associate Professor, Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia, Canada
  • Pharmacy Resident, Lower Mainland Pharmacy Services – Fraser Health, Providence Health Care, Provincial Health Services Authority, Vancouver Coastal Health, Vancouver, British Columbia, Canada

Volume 28, Issue 5, October 2012, Pages 288–293


Summary

domingo, 27 de enero de 2013

Is the evidence for the use of subglottic drainage to prevent ventilated-associated pneumonia sufficient to change practice?

Teresa A. Williams, RN, BN, ICU Cert, M HlthSci (Res), GD Clin Epi, PhD


Summary

This paper critiques the systematic review and meta-analysis of the effect of subglottic drainage among patients who received mechanical ventilation. Subglottic secretion drainage can reduce bacterial pathogens from entering the lower respiratory tract and potentially reduce the occurrence of ventilator-associated pneumonia. A summary of the systematic review and meta-analysis is provided. The critique examines the study's strengths and weaknesses and implications for practice are discussed. It is a well-conducted systematic review and meta-analysis with few suggestions for improvement. Subglottic secretion drainage reduced the incidence of ventilator-associated pneumonia. Several studies have shown positive effects of using subglottic drainage but despite the evidence, the practice in ICUs is not widespread.

Feasibility of a sedation wake-up trial and spontaneous breathing trial in critically ill trauma patients: A secondary analysis

Milagros I. Figueroa-Ramos,  Carmen Mabel Arroyo-Novoa, Geraldine Padilla, Pablo Rodríguez-Ortiz,  Bruce A. Cooper, Kathleen A. Puntillo

February 2013 (Vol. 29 | No. 1 | Pages 20-27)

Summary

Management of Delirium in Critically Ill Older Adults

Michele C. Balas, RN, PhD, APRN-NP, CCRN, Michael Rice, RN, PhD, APRN-NP, Claudia Chaperon, PhD, APRN-NP, Heather Smith, PT, MHS, MPH, Maureen Disbot, RN, MS, CCRN and Barry Fuchs, MD

Crit Care Nurse August 2012 vol. 32 no. 4 15-26

Corresponding author: Michele Christina Balas, RN, PHD, APRN-NP, CCRN, 4903 N 142nd St, Omaha, NE 68164 (e-mail: mbalas@unmc.edu).

Abstract

Clinical Outcomes of a Furosemide Infusion Protocol in Edematous Patients in the Intensive Care Unit

George Thomsen, MD, Louise Bezdjian, ACNP, Larissa Rodriguez, AS and Ramona O. Hopkins, RN, PhD

Crit Care NurseDecember 2012 vol. 32 no. 6 25-34

Corresponding author: Ramona O. Hopkins, PhD, Critical Care Medicine, Intermountain Medical Center, 5121 South Cottonwood Street, Murray, Utah 84107 (e-mail: ramona.hopkins@imail.org).

Abstract

Incidence and clinical effects of intra-abdominal hypertension in critically ill patients

Vidal, Maria Gabriela;  Weisser, Javier Ruiz; Gonzalez, Francisco; Toro, Maria America; Loudet, Cecilia; Balasini, Carina; Canales, Hector; Reina, Rosa; Estenssoro, Elisa.

Critical Care Medicine: June 2008 - Volume 36 - Issue 6 - pp 1823-1831
doi: 10.1097/CCM.0b013e31817c7a4d
Clinical Investigations

Abstract

Earplugs improve patients’ subjective experience of sleep in critical care

Carrie J Scotto 1, Carol McClusky 2, Scott Spillan 3, Justin Kimmel 4

Critical Care Nurses

1 CJ Scotto, PhD, RN, CCRN, Staff Nurse, ICU/CCU, Cuyahoga Falls General Hospital, and Assistant Professor of Nursing, University of Akron, College of Nursing, Uniontown, OH, USA
2 C McClusky, RN, CCRN, Staff Nurse, ICU/CCU, Cuyahoga Falls General Hospital, Akron, OH, USA
3 S Spillan, RN, BSN, Graduate Student, University of Akron, College of Nursing, Cuyahoga Falls, OH, USA
4 J Kimmel, BS, MS, Instructor, Statistics Department, University of Akron, Akron, OH, USA

Abstract

Critical thinking and clinical decision making in critical care nursing: a pilot study.

Hicks FD, Merritt SL, Elstein AS
Rush University College of Nursing, Chicago, Illinois, USA.
Heart & Lung : the Journal of Critical Care [2003, 32(3):169-180]

Abstract

A Simplified Approach to the Diagnosis of Elevated Intra-abdominal Pressure

Lee, Steven L. ; Anderson, John T.; Kraut, Eric J. ; Wisner, David H. ; Wolfe, Bruce M.
Journal of Trauma-Injury Infection & Critical Care
Volume 52 - Issue 6 - pp 1169-1172

Abstract