International Journal of Critical Care and Emergency Medicine最新文献_第2页

More Than A Game: Extended Reality in Critical Care Nursing 超过一个游戏:扩展现实在重症护理

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-07-27 DOI: 10.29173/ijcc66

S. Justice, Kelly Sullivan

引用次数: 0

Disciplined Disruption in Nursing Education 护理教育中的纪律破坏

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-07-27 DOI: 10.29173/ijcc76

Michael Ackerman

引用次数: 0

Story of Life Lines 生命线的故事

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-05-01 DOI: 10.29173/ijcc71

L. Rose

引用次数: 0

Survey for Insertion and Management of Peripheral Arterial Catheter in the Acute Care Unit 急诊病房外周动脉导管插入与管理的调查

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-05-01 DOI: 10.29173/ijcc35

M. Shirasaka, T. Unoki, Hideaki Sakuramoto, Koji Ishikawa, H. Okamura, Mio Kitayama, Asami Nakayama, Yuta Ikeda, Yuki Wakabayashi

{"title":"Survey for Insertion and Management of Peripheral Arterial Catheter in the Acute Care Unit","authors":"M. Shirasaka, T. Unoki, Hideaki Sakuramoto, Koji Ishikawa, H. Okamura, Mio Kitayama, Asami Nakayama, Yuta Ikeda, Yuki Wakabayashi","doi":"10.29173/ijcc35","DOIUrl":"https://doi.org/10.29173/ijcc35","url":null,"abstract":"Background: Arterial catheters are commonly used in acute care units for hemodynamic monitoring in conjunction with blood pressure and blood gas analysis. Complications arising from the use of arterial catheters have been reported; however, few studies have focused on standard practice of arterial catheters.\u0000Aim: To clarify the management, particularly the insertion frequency and timing, of peripheral radial arterial catheters in acute care units in Japan.\u0000Methods: We developed 34 questions through an interactive process based on guidelines and clinical experience to create a digital survey. This survey was conducted over a month. Participants were nurses working in acute care units in Japan who received electronically distributed surveys through nursing-specific mailing lists and social network services.\u0000Results: A total of 451 responses were collected; 224 were used for analysis. Respondents reported 35% implemented routine insertion of arterial catheters for all newly admitted patients, while 58% would insert the arterial catheter within 24 hours of admission. Only 7% of respondents did not add heparin to the pressurized bag. Of the respondents, 51% had a rule to change the pressurized bag of fluids every 3 days. Splinting of the wrist was a routine procedure for 41% of respondents.\u0000Conclusions: Arterial catheters were commonly used in all acute care units. Based on the results of the survey, we recommend the use of heparin as a flush fluid should be reconsidered. The high rate of unnecessary arterial catheter insertions and the routine use of splinting need to be reassessed.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78627933","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 Positive Effects of Manual Pronation in a United States Community Based Hospital Intensive Care Unit During the COVID-19 Surge Crisis 在COVID-19激增危机期间，美国社区医院重症监护病房人工旋前的积极影响

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-05-01 DOI: 10.29173/ijcc34

Mollie Hoerr, Mary Heitschmidt, Hugh Vondracek

{"title":"The Positive Effects of Manual Pronation in a United States Community Based Hospital Intensive Care Unit During the COVID-19 Surge Crisis","authors":"Mollie Hoerr, Mary Heitschmidt, Hugh Vondracek","doi":"10.29173/ijcc34","DOIUrl":"https://doi.org/10.29173/ijcc34","url":null,"abstract":"Background \u0000Patients in acute respiratory distress syndrome suffer a high mortality rate; however, manual pronation has a survival advantage up to 17% (Gattinoni, 2013). March 2020 marked the initial COVID-19 surge in the US, characterized by government lock-downs, inundation of healthcare systems, and high patient fatality levels. Initially, COVID-19 patients who might benefit from manual pronation were transferred to other local facilities until our interdisciplinary team implemented a manual pronation policy within 27 days of receiving our first COVID-19 positive patient. \u0000Aim \u0000The aim of this study was to describe the impact of a community hospital partaking in manual pronation for the first time, quality care metrics—specifically Central Line-Associated Bloodstream Infections (CLABSIs), Catheter-Associated Urinary Tract Infections (CAUTIs), and Ventilator-Associated Pneumonia/Events (VAP/VAEs)—associated with the COVID-19 surge, and the barriers overcome during this process. \u0000Methods \u0000This retrospective data collection study included hypoxemia, intubation, discharge and quality safety data from March 13 to June 1, 2020 for patients who underwent manual pronation. \u0000Results/Findings \u0000Pronation occurred a total of twenty-seven times in 13 patients (seven (53.8%) survived and six (46.2%) died during hospital admission). Four (57.1%) of the patients who survived were discharged home, two (28.6%) went to a rehabilitation facility, and one (14.3%) was transferred to an outside hospital. Zero CAUTIs (458 catheter days), CLABSIs (371 central line days), and VAEs (384 ventilator days) occurred during the study. \u0000Conclusions \u0000With the newly acquired proning policy in place and creative COVID-19 care, data were consistent with an overall improvement in patient outcomes. Manual pronation was shown to improve P/F ratios. There were no upticks in hospital acquired infections, notably CAUTIs, CLABSIs, and VAP/VAEs at our facility.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87755732","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

Reinvigorating Critical Care Nurses Post-Pandemic Through a Critical Care Certification Pilot Program 通过重症监护认证试点计划重振大流行后重症监护护士

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-05-01 DOI: 10.29173/ijcc61

Stacy Hull, Benson Yeung, J. Sohal, J. D'Alfonso, L. Perez

{"title":"Reinvigorating Critical Care Nurses Post-Pandemic Through a Critical Care Certification Pilot Program","authors":"Stacy Hull, Benson Yeung, J. Sohal, J. D'Alfonso, L. Perez","doi":"10.29173/ijcc61","DOIUrl":"https://doi.org/10.29173/ijcc61","url":null,"abstract":"Background \u0000In 2022, after two and a half long years of caring for COVID-19 patients on the frontlines, critical care nurses were burnt out and leaving the bedside. Aim To reinvigorate critical care nurses, a large multisystem healthcare organization’s Nurse Scholars Academy partnered with Springer Publishing to offer a dynamic self-paced online review course for the critical care certification exam.\u0000Methods\u0000Recruitment strategies for all regional critical care departments were implemented through education departments at each facility. Springer Publishing would provide participating nurses with access to the self-paced study program on ExamPrepConnect. The Nurse Scholars Academy would provide a prepaid certification exam voucher at no cost. In exchange, participants would commit to take the certification exam within 3 months of Pilot kick-off.\u0000Results/Findings By month 4, 70 nurses took the Adult CCRN® certification exam. Of those 70 who took the exam, 58 passed. The pass rate was 82.8%, 11.3% above the national pass rate of 71.5% (AACN, 2021). Nurses spent more than 1,500 hours studying in ExamPrepConnect and successful ExamPrepConnect users studied for an average of 19 hours. Conclusions. The pass rate was a successful outcome. The overwhelming response from local critical care nurses who wanted to obtain their critical care certification was encouraging. The need was apparent, and the resources were there. Of note, only 30% of those participants took the certification exam, future implications for this study involve further brainstorming on effective promotion to improve awareness and support frontline staff to take full advantage of these unique programs.\u0000 ","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78282931","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

Recognizing Professor Louise Rose 认识露易丝·罗斯教授

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-05-01 DOI: 10.29173/ijcc69

Ged Williams, P. Zrelak

引用次数: 0

Brief Overview of the Use of Extracorporeal Membrane Oxygenation (ECMO) in COVID-19 Patients with Severe Acute Respiratory Distress Syndrome (ARDS) 体外膜氧合(ECMO)在COVID-19合并严重急性呼吸窘迫综合征(ARDS)患者中的应用综述

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-05-01 DOI: 10.29173/ijcc48

Antony Macido, Vidya Nair

{"title":"Brief Overview of the Use of Extracorporeal Membrane Oxygenation (ECMO) in COVID-19 Patients with Severe Acute Respiratory Distress Syndrome (ARDS)","authors":"Antony Macido, Vidya Nair","doi":"10.29173/ijcc48","DOIUrl":"https://doi.org/10.29173/ijcc48","url":null,"abstract":"Background\u0000A serious complication of coronavirus disease 2019 (COVID-19) is acute respiratory distress syndrome (ARDS). Hypoxemia refractory to traditional management, including invasive positive pressure ventilation, is not uncommon with COVID-19. It can lead to circulatory failure necessitating the use of mechanical circulatory support devices, specifically extracorporeal membrane oxygenation (ECMO).\u0000Aim\u0000This paper provides a brief update on the use and indications of ECMO for adult patients with COVID-19 around the world.\u0000Methods\u0000We conducted a rapid umbrella review on the use of ECMO in treating COVID-19-related ARDS (CARDS), as well as current indications and contraindications for the initiation of ECMO. We reviewed the use of venovenous (V-V) ECMO and veno-arterial (V-A) ECMO in CARDS.\u0000Findings\u0000V-V ECMO is the primary ECMO mode employed in the majority of the patients who required ECMO support for CARDS. Although the duration of V-V ECMO in COVID-19 was longer than the V-V ECMO in non-COVID-19 patients with ARDS, the mortality rate appears similar. Meta-analyses reviewed reported an in-hospital mortality rate ranging from 37% to 49% for COVID-19 patients who required V-V ECMO.\u0000Conclusion\u0000The survival benefit of ECMO in COVID-19 patients with severe cardiopulmonary failure is not clearly established, but V-V ECMO may be considered in adults with COVID-19 and severe cardiopulmonary compromise when resources are available. V-A ECMO may be considered in COVID-19 patients with severe cardiac failure, but limited data are available on survival benefits.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79854656","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

Narrative Review of Non-Convulsive Status Epilepticus in Adults in Intensive Care 重症监护成人非惊厥性癫痫持续状态的叙述性回顾

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-04-30 DOI: 10.29173/ijcc33

Hallie Kelly, Juan Jose Goyanes, M.D, Catherine H. Moore, Pharm D., Brittany Hudson, DNP

{"title":"Narrative Review of Non-Convulsive Status Epilepticus in Adults in Intensive Care","authors":"Hallie Kelly, Juan Jose Goyanes, M.D, Catherine H. Moore, Pharm D., Brittany Hudson, DNP","doi":"10.29173/ijcc33","DOIUrl":"https://doi.org/10.29173/ijcc33","url":null,"abstract":"ABSTRACT\u0000Background \u0000Seizures are common in the Neurocritical Intensive Care Unit. Early identification and treatment of clinical and sub-clinical seizures remain important in managing the neurologically critically ill patient.\u0000Aim\u0000The aim of this narrative review is to provide an overview of the different types of sub-clinical seizures, diagnosis and detection, correlative physiology, and the importance of prompt treatment.\u0000Methods\u0000A group of physicians, advanced practice providers, and pharmacists performed a literature search based on their area of expertise and provided the most relevant evidence for the narrative review.\u0000Findings \u0000There are many types of subclinical seizures and pharmaceutical interventions. Seizures can be complex and early treatment is crucial to good outcomes.\u0000Conclusions\u0000This review is a narrative overview of sub-clinical seizures seen in the Neurocritical care unit. It is written for all practicing providers to describe the physiology, identification, and treatment of sub-clinical seizures to facilitate improved patient outcomes.","PeriodicalId":13937,"journal":{"name":"International Journal of Critical Care and Emergency Medicine","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78278197","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

Constrictive Cardiomyopathy Secondary to Calcified Pericardium 继发于心包钙化的收缩性心肌病

International Journal of Critical Care and Emergency Medicine Pub Date : 2023-03-31 DOI: 10.23937/2474-3674/1510152

Sermadevi Vinaya, Shaw Connor S

引用次数: 0