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AACN Advanced Critical Care最新文献

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Focused and Extended Focused Assessment With Sonography for Trauma. 创伤超声聚焦和扩展聚焦评估。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023597
Cynthia Blank-Reid, Denise M Zappile, Thomas A Santora
{"title":"Focused and Extended Focused Assessment With Sonography for Trauma.","authors":"Cynthia Blank-Reid,&nbsp;Denise M Zappile,&nbsp;Thomas A Santora","doi":"10.4037/aacnacc2023597","DOIUrl":"https://doi.org/10.4037/aacnacc2023597","url":null,"abstract":"<p><p>Timing is crucial when caring for an injured patient, and the evaluation requires a systematic, rapid, and thorough assessment to identify and treat immediate life-threatening injuries. An integral component of this assessment is the Focused Assessment with Sonography for Trauma (FAST) and the extended FAST (eFAST). These assessments allow for a rapid, noninvasive, portable, accurate, repeatable, and inexpensive means of diagnosing internal injury to the abdomen, chest, and pelvis. Understanding the basic principles of ultrasonography, having a thorough familiarity with the equipment, and being knowledgeable in anatomy allow the bedside practitioner to use this tool to rapidly assess injured patients. This article reviews the basic tenets that underpin the FAST and eFAST evaluations. Practical interventions and tips are provided to assist novice operators-all with the goal of decreasing the learning curve.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"129-138"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9608063","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: 2
Thromboelastography: A Novel Approach to Hemostasis in Cardiac Surgery. 血栓弹性成像:心脏外科止血的新方法。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023957
Cristina A Wojack, Anna M Marrocco, Jeanne Caitlyn Enstrom, Jesus Casida
{"title":"Thromboelastography: A Novel Approach to Hemostasis in Cardiac Surgery.","authors":"Cristina A Wojack, Anna M Marrocco, Jeanne Caitlyn Enstrom, Jesus Casida","doi":"10.4037/aacnacc2023957","DOIUrl":"10.4037/aacnacc2023957","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"139-144"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600360","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
Competency Assessment of Pediatric Intensive Care Nurses. 儿科重症监护护士能力评估。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023556
Nicole Robbins, Sara Gandora, Kenneth J Oja, David C Mulkey
{"title":"Competency Assessment of Pediatric Intensive Care Nurses.","authors":"Nicole Robbins,&nbsp;Sara Gandora,&nbsp;Kenneth J Oja,&nbsp;David C Mulkey","doi":"10.4037/aacnacc2023556","DOIUrl":"https://doi.org/10.4037/aacnacc2023556","url":null,"abstract":"<p><p>One of the biggest challenges that clinical nurse educators at the unit level face today is measuring the ongoing competency of nursing staff members to ensure provision of high-quality, evidence-based care. Pediatric nursing leaders at an urban, level I trauma teaching institution in the southwestern United States used a shared governance approach to create a standardized competency assessment tool for pediatric intensive care unit nurses. Donna Wright's competency assessment model was used as a framework to guide the tool's development. The adoption of the standardized competency assessment tool was aligned with the organization's institutional goals and enabled clinical nurse educators to comprehensively evaluate staff members on a regular basis. This standardized competency assessment system for pediatric intensive care nurses is more effective than use of a practice-based, task-oriented assessment method and has improved nursing leaders' ability to staff the pediatric intensive care unit safely.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"95-102"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600362","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
Preventative Dressings Reduce Postoperative Tracheostomy-Related Pressure Injury. 预防性敷料减少气管造口术后压力损伤。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023188
Anita Rose
{"title":"Preventative Dressings Reduce Postoperative Tracheostomy-Related Pressure Injury.","authors":"Anita Rose","doi":"10.4037/aacnacc2023188","DOIUrl":"10.4037/aacnacc2023188","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"148-153"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600361","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
Potentially Inappropriate Treatment: Competing Ethical Considerations. 潜在的不当治疗:竞争的伦理考虑。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023884
Kerri O Kennedy, Deirdre F Puccetti, Jonathan M Marron, Stephen D Brown
{"title":"Potentially Inappropriate Treatment: Competing Ethical Considerations.","authors":"Kerri O Kennedy,&nbsp;Deirdre F Puccetti,&nbsp;Jonathan M Marron,&nbsp;Stephen D Brown","doi":"10.4037/aacnacc2023884","DOIUrl":"https://doi.org/10.4037/aacnacc2023884","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"161-167"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365317","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
Pulmonary Point-of-Care Ultrasonography in the Intensive Care Unit. 重症监护病房的肺部即时超声检查。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023550
Shameek Gayen, Jin Sun Kim, Parag Desai
{"title":"Pulmonary Point-of-Care Ultrasonography in the Intensive Care Unit.","authors":"Shameek Gayen,&nbsp;Jin Sun Kim,&nbsp;Parag Desai","doi":"10.4037/aacnacc2023550","DOIUrl":"https://doi.org/10.4037/aacnacc2023550","url":null,"abstract":"<p><p>Pulmonary point-of-care ultrasonography (POCUS) is a quick and essential tool in the diagnosis of various pulmonary pathologies. Pulmonary POCUS can aid in the detection of pneumothorax, pleural effusion, pulmonary edema, and pneumonia, with sensitivity and specificity comparable, if not superior, to those of chest radiograph and chest computed tomography. Knowledge of anatomy and scanning of both lungs in multiple positions is essential for effective pulmonary POCUS. In addition to identifying pertinent anatomic structures such as the diaphragm, liver, spleen, and pleura and identifying specific ultrasonography findings such as A-lines, B-lines, lung sliding, and dynamic air bronchograms, POCUS helps detect pleural and parenchymal abnormalities. Proficiency in pulmonary POCUS is an attainable and essential skill in the care and management of the critically ill patient.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"113-118"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600364","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: 2
Point-of-Care Ultrasonography in Critical Care: Part 1. 危重症护理点超声检查:第1部分。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023415
Cynthia Blank-Reid, Zoë Maher
{"title":"Point-of-Care Ultrasonography in Critical Care: Part 1.","authors":"Cynthia Blank-Reid, Zoë Maher","doi":"10.4037/aacnacc2023415","DOIUrl":"10.4037/aacnacc2023415","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"104-105"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365316","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
Why Meaningful Recognition and Gratitude Are Important in Addressing Staffing Shortages. 为什么有意义的认可和感激对解决人员短缺很重要。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023812
Nancy Blake
{"title":"Why Meaningful Recognition and Gratitude Are Important in Addressing Staffing Shortages.","authors":"Nancy Blake","doi":"10.4037/aacnacc2023812","DOIUrl":"10.4037/aacnacc2023812","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"145-147"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600357","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
Collaborative Approach to Organ Donation in a Level II Trauma Center. 二级创伤中心器官捐献的合作方法。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023552
Jesse E Gibson, Teisha Campbell, Kyle Gibson, Kim Kottemann, Morgan A Krause, Leigh Pack
{"title":"Collaborative Approach to Organ Donation in a Level II Trauma Center.","authors":"Jesse E Gibson,&nbsp;Teisha Campbell,&nbsp;Kyle Gibson,&nbsp;Kim Kottemann,&nbsp;Morgan A Krause,&nbsp;Leigh Pack","doi":"10.4037/aacnacc2023552","DOIUrl":"https://doi.org/10.4037/aacnacc2023552","url":null,"abstract":"<p><strong>Background: </strong>Although a shortage of organ donors is a continuing global problem in health care, obtaining authorization for donation after an individual experiences a traumatic nonsurvivable event can be difficult.</p><p><strong>Objective: </strong>To improve organ donation practices at a level II trauma center.</p><p><strong>Methods: </strong>After reviewing trauma mortality cases and performance improvement metrics with their organ procurement organization's hospital liaison, leaders at the trauma center implemented a multidisciplinary performance improvement initiative to engage the facility's donation advisory committee, provide education for staff members, and increase program visibility to create a more donation-friendly culture for the facility.</p><p><strong>Results: </strong>The initiative led to an improved donation conversion rate and a greater number of organs procured. Continued education increased staff and provider awareness of organ donation, contributing to the positive outcomes.</p><p><strong>Conclusion: </strong>A multidisciplinary initiative that includes continuing staff education can improve organ donation practices and program visibility, ultimately benefiting patients in need of organ transplantation.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"88-94"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600363","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
Introduction to Point-of-Care Ultrasonography. 点位超声检查简介。
IF 2.2
AACN Advanced Critical Care Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023867
Dorothy Liu, Erica Roth, Abhijit Pathak
{"title":"Introduction to Point-of-Care Ultrasonography.","authors":"Dorothy Liu,&nbsp;Erica Roth,&nbsp;Abhijit Pathak","doi":"10.4037/aacnacc2023867","DOIUrl":"https://doi.org/10.4037/aacnacc2023867","url":null,"abstract":"<p><p>Medical ultrasonography was first used as a diagnostic tool in 1942 by Theodore Karl Dussik to visualize brain structures. Use of ultrasonography broadened to the field of obstetrics in the 1950s and has since expanded to many other medical special-ties owing to ease of use, reproducibility, low cost, and lack of radiation. Advancements in ultrasonography technology have allowed clinicians to perform procedures with greater accuracy and to characterize tissue better than ever before. Piezoelectric crystals used to produce ultrasound waves have been replaced by silicon chips; artificial intelligence can be used to mitigate user variability; and more portable ultrasound probes are available for use with mobile devices. Ultrasonography requires training to be used appropriately, and patient and family education are crucial when performing an examination. Although some data are available regarding the amount of training needed for users to reach proficiency, this topic remains controversial and no standard currently exists.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"34 2","pages":"106-112"},"PeriodicalIF":2.2,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600365","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: 1
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