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Critical Care Nursing Quarterly最新文献

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Tribute to Janet Barber, MSN, RN, FAAFS - Editor CCNQ from 1976 to 2023. 向珍妮特-巴伯（Janet Barber）、MSN、RN、FAAFS致敬--1976年至2023年的CCNQ编辑。
IF 1
Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000516
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引用次数: 0
Cardiogenic Shock: An Overview. 心源性休克：概述。
IF 1
Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000513
Mohamed Toufic El Hussein, Camila Mushaluk
{"title":"Cardiogenic Shock: An Overview.","authors":"Mohamed Toufic El Hussein, Camila Mushaluk","doi":"10.1097/CNQ.0000000000000513","DOIUrl":"10.1097/CNQ.0000000000000513","url":null,"abstract":"<p><p>Cardiogenic shock (CS) is a complex and dreadful condition for which effective treatments remain unclear. The concerningly high mortality rate of CS emphasizes a need for developing effective therapies to reduce its mortality and reverse its detrimental course. This article aims to provide an updated and evidence-based review of the pathophysiology of CS and the related pharmacotherapeutics with a special focus on vasoactive and inotropic agents.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 3","pages":"243-256"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Foreword. 前言
IF 1.4
Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000517
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引用次数: 0
Foreword. 前言。
IF 1
Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000517
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引用次数: 0
A Qualitative Study to Explore the Nurses' Experience of Writing Caring Notes in Diaries for Extracorporeal Oxygenation Membrane (ECMO) Patients: Explore the nurse's experience. 一项定性研究，探索护士在日记中为体外氧合膜（ECMO）患者撰写护理笔记的经验：探索护士的经验。
IF 1
Critical Care Nursing Quarterly Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1097/CNQ.0000000000000511
Tamara Norton, Laura Chechel, Courtney Sanchez, Garni Terterian
{"title":"A Qualitative Study to Explore the Nurses' Experience of Writing Caring Notes in Diaries for Extracorporeal Oxygenation Membrane (ECMO) Patients: Explore the nurse's experience.","authors":"Tamara Norton, Laura Chechel, Courtney Sanchez, Garni Terterian","doi":"10.1097/CNQ.0000000000000511","DOIUrl":"10.1097/CNQ.0000000000000511","url":null,"abstract":"<p><p>The use of diaries is known to reduce post-intensive care syndrome in the intensive care unit (ICU) for survivors and families. Studies are needed to explore nurses' experience with diaries. Although the diaries are written for the patient, the diary entries may be helpful for the nurse as well. Research has shown that ICU diaries fill in significant memory gaps and aid in the resolution of delusional memories. However, there is a shortage of knowledge about the nurses' experience of writing caring notes in diaries. The purpose of this research was to explore the extracorporeal membrane oxygenation (ECMO) nurses' experience of writing caring notes in diaries during the patients' ICU stay. This is a descriptive phenomenological qualitative research study using semi-structured interviews. A one-on-one interview was performed, audiotaped, and transcribed. Three investigators analyzed the data for themes, subcategories, and indicators. A purposive sample of 15 specialty-trained ECMO nurses participated in the study. Three themes emerged from the study relating to the nurse, family, and patient, including positive and negative aspects of writing in the diary and barriers. The vast majority (88%) of 340 comments answered during the interviews were positive. Overall, nurses found the diaries to be beneficial to the nurse, family, and patient. Diary writing may help nurses get back to the core of why we do what they do. Understanding the nurses' experience may help to improve communication and family satisfaction while optimizing dairy programs.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 3","pages":"184-192"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation and Management of a Flight Program. 飞行计划的实施与管理。
IF 1
Critical Care Nursing Quarterly Pub Date : 2024-04-01 DOI: 10.1097/CNQ.0000000000000501
Candice J Myrgo
{"title":"Implementation and Management of a Flight Program.","authors":"Candice J Myrgo","doi":"10.1097/CNQ.0000000000000501","DOIUrl":"10.1097/CNQ.0000000000000501","url":null,"abstract":"<p><p>Air medical transport of critically ill and injured patients began during World War II. Now air transport has become an integral part of health care, nationally and internationally. With the development of portable medical equipment critical care has extended beyond the hospital by bringing critical care to the scene or to rural hospitals. Air medical programs transport critically ill and injured patients by helicopter or airplane while continuously providing critical care enroute. These transports are interfacility from accident scenes, disaster areas, and remote locations where the patient is transported to a tertiary care center so that definitive care will be provided. The 2 modes of air transport are rotor wing (helicopters) and fixed wing (airplanes). Air medical transport is utilized when ground transportation is not conducive to patient criticality or location relative to a tertiary care center. There are many factors to consider when choosing a mode of transport, and each mode has its own unique advantages and disadvantages. Air medical programs place emphasis on clinical care, safety, and quality assurance, with the patient being the focused beneficiary. This article addresses implementation and management of rotor wing air medical transport with a focus on standards of care, safety, and quality.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 2","pages":"119-125"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transitions in Video Laryngoscope Technology to Improve First-Pass Success. 过渡视频喉镜技术，提高首次通气成功率。
IF 1
Critical Care Nursing Quarterly Pub Date : 2024-04-01 DOI: 10.1097/CNQ.0000000000000505
Brandon Jones, Cassandra Asberry
{"title":"Transitions in Video Laryngoscope Technology to Improve First-Pass Success.","authors":"Brandon Jones, Cassandra Asberry","doi":"10.1097/CNQ.0000000000000505","DOIUrl":"10.1097/CNQ.0000000000000505","url":null,"abstract":"<p><p>Prehospital intubation is a high-risk, relatively low frequency procedure. Provider experience plays a key role in first-pass success rates, especially in the setting of a difficult airway. While strong foundational knowledge is necessary to equip providers with an adequate understanding of intubation procedures and the skill set needed to manage a difficult airway, effective equipment may provide an extra boost in first-pass success for novice airway providers. First-pass success is correlated with decreased adverse events and should be maximized in the prehospital setting. After evaluating overall first-pass success of 66% to 83% from 2016 to 2020, AHN LifeFlight enacted changes in education, training, and video laryngoscopy equipment to successfully increase first-pass success to over 90%.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 2","pages":"152-156"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
LifeFlight Case Studies: Lessons Learned From Notable Flights. LifeFlight 案例研究：从著名航班中汲取的经验教训。
IF 1
Critical Care Nursing Quarterly Pub Date : 2024-04-01 DOI: 10.1097/CNQ.0000000000000503
Brian Mikolich, Geoff Shank, David Thomas
{"title":"LifeFlight Case Studies: Lessons Learned From Notable Flights.","authors":"Brian Mikolich, Geoff Shank, David Thomas","doi":"10.1097/CNQ.0000000000000503","DOIUrl":"10.1097/CNQ.0000000000000503","url":null,"abstract":"<p><p>Air medical providers are responsible for the care of an incredibly diverse patient population. When it is time to transport a patient, providers must be prepared for complex situations, each requiring different skills, medications, and critical thinking. Scene flights will have providers landing and providing care in the prehospital setting where an interfacility transport requires the patient to be taken from one hospital to another. Specialty flights require special equipment, personnel, and aircraft preparedness to be completed. The case studies provided within this article highlight the complexity and diversity that is encountered each shift at Allegheny LifeFlight.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 2","pages":"126-142"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AHN LifeFlight, 45 Years in the Making: Current Condition and Capabilities of Air Medical Transport. AHN LifeFlight，45 年的发展历程：空中医疗运输的现状和能力。
IF 1
Critical Care Nursing Quarterly Pub Date : 2024-04-01 DOI: 10.1097/CNQ.0000000000000498
Annale Yobbi
{"title":"AHN LifeFlight, 45 Years in the Making: Current Condition and Capabilities of Air Medical Transport.","authors":"Annale Yobbi","doi":"10.1097/CNQ.0000000000000498","DOIUrl":"10.1097/CNQ.0000000000000498","url":null,"abstract":"<p><p>In Pittsburgh, Pennsylvania, the skies have become a battleground against time in a world where every second counts. Since its inception in 1978, a revolution has occurred in emergency medical services, with LifeFlight Helicopters soaring to new heights in emergency treatment and transport. This article will explore the transformation of helicopter emergency medical services through the decades, where every rotor blade spins with a mission to save lives and rewrite the rules of survival. Allegheny Health Network's LifeFlight is a rotor-wing (helicopter) aeromedical transport service that provides rapid emergent transport for critically ill and injured persons. The program hub of operations is primarily in Western Pennsylvania. Since its inception in 1978, the program has grown and transformed into the sophisticated, highly technical, expanded scope of practice, critical care transport service it is today. The crews spend a significant portion of clinical care focusing on preparing the patient to survive the transport and ensure stability during transit; this phase of transport is equally crucial as the patient care during the actual flight. This article introduces the evolution and innovations that LifeFlight's medical crews and aviation practices have undergone since the program started.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 2","pages":"102-110"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Full-Dose Versus Half-Dose Ketamine for Induction During Rapid Sequence Intubation on Patient Outcomes. 在快速插管过程中使用全剂量与半剂量氯胺酮进行诱导对患者预后的影响。
IF 1
Critical Care Nursing Quarterly Pub Date : 2024-04-01 DOI: 10.1097/CNQ.0000000000000507
Cassandra Asberry, Alaina Martini
{"title":"The Effect of Full-Dose Versus Half-Dose Ketamine for Induction During Rapid Sequence Intubation on Patient Outcomes.","authors":"Cassandra Asberry, Alaina Martini","doi":"10.1097/CNQ.0000000000000507","DOIUrl":"10.1097/CNQ.0000000000000507","url":null,"abstract":"<p><p>Prehospital rapid sequence intubation (RSI), like inpatient RSI, is not without risk of adverse effects to the patient. The most notable of these adverse effects is postintubation hemodynamic instability. Air medical providers choose induction agents for critically ill patients who require emergent airway management, some of whom may already be hemodynamically unstable prior to RSI. Ketamine is often selected as the induction agent of choice for patients who are either unstable before RSI or have a high index of suspicion of becoming unstable in the postintubation period. Although widely considered to have a good safety profile for induction, ketamine administration has been correlated with episodes of postintubation hypotension. In this retrospective literature review, the effect of using half-dose ketamine for induction in patients who show pre-RSI instability (systolic blood pressure <90 mm Hg or body mass index >30) on postintubation hemodynamics is examined.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"47 2","pages":"163-169"},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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