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AACN Advanced Critical Care最新文献

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Analgesia and Sedation in Critically Ill Patients With Burns. 危重烧伤患者的镇痛和镇静。
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022588
P. Weaver, Rochelle Brual, David Blair
{"title":"Analgesia and Sedation in Critically Ill Patients With Burns.","authors":"P. Weaver, Rochelle Brual, David Blair","doi":"10.4037/aacnacc2022588","DOIUrl":"https://doi.org/10.4037/aacnacc2022588","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"125-129"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42447857","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
Primer on Artificial Intelligence Used in Electronic Health Records. 电子健康记录中使用的人工智能入门。
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022390
L. Harrington
{"title":"Primer on Artificial Intelligence Used in Electronic Health Records.","authors":"L. Harrington","doi":"10.4037/aacnacc2022390","DOIUrl":"https://doi.org/10.4037/aacnacc2022390","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"130-133"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44770112","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
A Hospital's Roadmap for Improving Nursing Excellence Using AACN's Healthy Work Environment Standards. 使用AACN的健康工作环境标准提高护理质量的医院路线图。
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022632
N. Blake, R. Sandoval, Ria Sangalang, Jamenica Reyes, Kelli Anderson, Debra Hunt
{"title":"A Hospital's Roadmap for Improving Nursing Excellence Using AACN's Healthy Work Environment Standards.","authors":"N. Blake, R. Sandoval, Ria Sangalang, Jamenica Reyes, Kelli Anderson, Debra Hunt","doi":"10.4037/aacnacc2022632","DOIUrl":"https://doi.org/10.4037/aacnacc2022632","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"208-211"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45026597","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
Beyond Burnout and Resilience: The Disillusionment Phase of COVID-19. 超越倦怠和恢复力:COVID-19的幻灭阶段。
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022248
Perry M Gee, Marla J Weston, Tom Harshman, Lesly A Kelly
{"title":"Beyond Burnout and Resilience: The Disillusionment Phase of COVID-19.","authors":"Perry M Gee,&nbsp;Marla J Weston,&nbsp;Tom Harshman,&nbsp;Lesly A Kelly","doi":"10.4037/aacnacc2022248","DOIUrl":"https://doi.org/10.4037/aacnacc2022248","url":null,"abstract":"<p><p>In caring for patients during the COVID-19 pandemic, nurses are experiencing a crisis of emotional highs and lows that will have lasting implications for their professional and personal well-being. As a result, much attention has been focused on nurse burnout, but the range of nurses' experiences is more nuanced, complicated, and profound. With the recognition that the nursing workforce was already experiencing burnout before the pandemic, this article explores how individuals respond to disasters and the detrimental effects of the repeated surges of critically ill patients, which have led nurses to experience an extended period of disillusionment that includes secondary traumatic stress, cumulative grief, and moral distress. This article describes the range of psychological responses to the COVID-19 pandemic so that nurse leaders can better identify resources and interventions to support nurses.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2","pages":"134-142"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39642733","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: 15
Threats to Skin Integrity in the Critically Ill Patient. 危重病人皮肤完整性的威胁。
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022200
R. Bryant
{"title":"Threats to Skin Integrity in the Critically Ill Patient.","authors":"R. Bryant","doi":"10.4037/aacnacc2022200","DOIUrl":"https://doi.org/10.4037/aacnacc2022200","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"163-164"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47204957","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
Differentiation of Lower Extremity Skin Changes in the Intensive Care Setting. 重症监护环境下下肢皮肤变化的鉴别。
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022737
K. Bauer
{"title":"Differentiation of Lower Extremity Skin Changes in the Intensive Care Setting.","authors":"K. Bauer","doi":"10.4037/aacnacc2022737","DOIUrl":"https://doi.org/10.4037/aacnacc2022737","url":null,"abstract":"Digital and lower extremity skin changes often signify critical underlying disorders. Patients in the intensive care unit also frequently have hemodynamic instability requiring the use of vasoactive medications, which may lead to various presentations of limb ischemia; preexisting conditions increase these patients' risk for arterial embolization. Most arterial emboli are clots that originate in the heart and travel to distant vascular beds, where they cause arterial occlusion, ischemia, and, potentially, infarction; the 2 most common sequelae are stroke and lower limb ischemia. Emboli also arise from atherosclerotic plaques. Other conditions can also cause skin color changes in this vulnerable population. Prompt recognition and differentiation of lower extremity skin changes can result in improved patient outcomes. A thorough literature search was conducted to differentiate the primary causes of lower extremity and digital skin changes in the critically ill patient and outline diagnostic and management techniques.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"196-207"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44648545","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
Time to Hemostasis After Trauma and Transfusion by Patient Blood Type. 创伤后止血时间和按患者血型输血。
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022432
Justin L Miller, Hallie Harper, Hannah Jane McCarty, Peng Li, Allison R. Jones
{"title":"Time to Hemostasis After Trauma and Transfusion by Patient Blood Type.","authors":"Justin L Miller, Hallie Harper, Hannah Jane McCarty, Peng Li, Allison R. Jones","doi":"10.4037/aacnacc2022432","DOIUrl":"https://doi.org/10.4037/aacnacc2022432","url":null,"abstract":"BACKGROUND\u0000Although evidence supports an increased risk of mortality after major trauma among patients with type O blood, the relationship between patient blood type and clinical outcomes aside from mortality has not been fully elucidated.\u0000\u0000\u0000OBJECTIVE\u0000To examine the relationship between patient blood type and time to hemostasis after trauma and massive transfusion.\u0000\u0000\u0000METHODS\u0000A secondary analysis of the Pragmatic, Randomized Optimal Platelet and Plasma Ratios (PROPPR) trial was performed (N = 544). Blood type was dichotomized into type O versus non-type O. It was hypothesized that patients with non-type O blood would achieve hemostasis more quickly owing to the theoretical presence of increased clotting factors. Bivariate analysis and multiple Cox regression were conducted to test this assumption.\u0000\u0000\u0000RESULTS\u0000No significant difference was found in time to hemostasis between patients with type O blood and those with non-type O blood. However, mechanism of injury, diastolic blood pressure, and international normalized ratio affected the time to hemostasis in these trauma patients.\u0000\u0000\u0000CONCLUSION\u0000This study showed no significant difference in time to hemostasis by blood type.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"154-161"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43112172","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
Silent Hypoxia in COVID-19 Pneumonia: State of Knowledge, Pathophysiology, Mechanisms, and Management. COVID-19肺炎的无症状性缺氧:知识状况、病理生理学、机制和管理。
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022448
Ruff Joseph Macale Cajanding
{"title":"Silent Hypoxia in COVID-19 Pneumonia: State of Knowledge, Pathophysiology, Mechanisms, and Management.","authors":"Ruff Joseph Macale Cajanding","doi":"10.4037/aacnacc2022448","DOIUrl":"https://doi.org/10.4037/aacnacc2022448","url":null,"abstract":"<p><p>Patients with COVID-19 often present with life-threatening hypoxemia without dyspnea or signs of respiratory distress. Termed silent or happy hypoxia, it has puzzled clinicians and challenged and defied our understanding of normal respiratory physiology. A range of host- and pathogen-related factors appears to contribute to its development, including SARS-CoV-2's ability to produce different COVID-19 phenotypes; induce endothelial damage and elicit a vascular distress response; invade cells of the central nervous system and disrupt normal interoception and response; and modulate transcription factors involved in hypoxic responses. Because hypoxemia in COVID-19 is associated with increased mortality risk and poorer survival, early detection and prompt treatment is essential to prevent potential complications. Interventions to prevent hypoxemia and improve oxygen delivery to the blood and the tissues include home pulse-oximetry monitoring, optimization of patient positioning, judicious use of supplemental oxygen, breathing control exercises, and timely and appropriate use of ventilatory modalities and adjuncts.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2","pages":"143-153"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39746485","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: 9
Advancing Nursing Science Through Site-Based Clinical Inquiry: Designing Problem Pyramids. 通过现场临床调查推进护理科学：设计问题金字塔。
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022750
B. Granger, Anna Mall, Staci S. Reynolds
{"title":"Advancing Nursing Science Through Site-Based Clinical Inquiry: Designing Problem Pyramids.","authors":"B. Granger, Anna Mall, Staci S. Reynolds","doi":"10.4037/aacnacc2022750","DOIUrl":"https://doi.org/10.4037/aacnacc2022750","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"212-219"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44020034","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
Cutaneous Manifestations of COVID-19 in Critical Care. COVID-19在重症监护中的皮肤表现
IF 2.2
AACN Advanced Critical Care Pub Date : 2022-06-15 DOI: 10.4037/aacnacc2022483
Laura Swoboda
{"title":"Cutaneous Manifestations of COVID-19 in Critical Care.","authors":"Laura Swoboda","doi":"10.4037/aacnacc2022483","DOIUrl":"https://doi.org/10.4037/aacnacc2022483","url":null,"abstract":"SARS-CoV-2 infection can cause virus-mediated endothelial dysfunction, which in turn may lead to coagulopathy and ischemic microangiopathy. In the critical care population, cutaneous skin manifestations related to vascular compromise due to COVID-19 include livedo and purpura. These lesions can be difficult to differentiate from other dermatologic conditions seen in this population, including skin failure and deep-tissue pressure injuries. In addition, similarities in underlying pathophysiological mechanisms of these skin conditions can cause diagnostic overlap. Skin failure is known to occur in critical care patients owing to disease severity and shunting of blood to vital organs. COVID-19-related ischemic lesions can mimic the clinical course of deep-tissue pressure injury. The viral endothelial dysfunction present in patients with COVID-19 decreases tissue tolerance, which can result in an increased risk of hospital-acquired pressure injury. Extrinsic factors can also complicate diagnosis of cutaneous lesions in patients with COVID-19.","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"33 2 1","pages":"186-195"},"PeriodicalIF":2.2,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48888781","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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