American Journal of Critical Care最新文献_第6页

Diagnostic Utility of an Intra-Atrial Electrocardiography Lead After Cardiac Surgery. 心脏手术后心房心电图导联的诊断价值。

IF 2.2 3区医学

American Journal of Critical Care Pub Date : 2026-03-01 DOI: 10.4037/ajcc2026302

Dillon J Dzikowicz, Salah Al-Zaiti, Sukardi Suba

引用次数: 0

Discussion Guide for the Bardia Article. Bardia文章的讨论指南。

IF 2.2 3区医学

American Journal of Critical Care Pub Date : 2026-03-01 DOI: 10.4037/ajcc2026630

Grant A Pignatiello

引用次数: 0

Intermittent Pneumatic Compression to Prevent Venous Thromboembolism in Critically Ill Adult Patients. 间歇气动压缩预防危重成人患者静脉血栓栓塞。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-03-01 DOI: 10.4037/ajcc2026119

Ran Zeng, Huijuan Chang, Guofeng Feng, Qifen Guo

{"title":"Intermittent Pneumatic Compression to Prevent Venous Thromboembolism in Critically Ill Adult Patients.","authors":"Ran Zeng, Huijuan Chang, Guofeng Feng, Qifen Guo","doi":"10.4037/ajcc2026119","DOIUrl":"10.4037/ajcc2026119","url":null,"abstract":"Background: Patients in the intensive care unit who are more susceptible to the risks of anticoagulant therapy may be safer if mechanical interventions are used to prevent venous thromboembolism (VTE).Objectives: To assess the effectiveness of an intermittent pneumatic compression pump for preventing VTE in critically ill adult patients at elevated risk of hemorrhage.Methods: This prospective, randomized controlled study included patients treated in the intensive care unit between July 2017 and June 2023. Patients were assigned to receive intermittent pneumatic compression or standard care (control group) to prevent VTE. Incidences of VTE events, deep vein thrombosis, isolated calf muscle vein thrombosis, proximal deep vein thrombosis, pulmonary embolism, fatal pulmonary embolism, leg skin lesions, and major hemorrhage events; femoral vein blood flow velocity; and mortality were compared between groups.Results: A total of 150 patients were included. Sex, age, primary diagnosis, underlying diseases, and other epidemiological data did not differ between the 2 groups. The incidences of VTE and deep vein thrombosis were lower in the compression group than in the control group. The incidences of proximal deep vein thrombosis, pulmonary embolism, fatal pulmonary embolism, leg skin lesions, and severe hemorrhage did not differ between the 2 groups. The mean and peak femoral vein blood flow velocities were significantly higher in the compression group than in the control group. The number of deaths during treatment did not differ between the 2 groups.Conclusions: Intermittent pneumatic compression can prevent VTE in intensive care unit patients who are at high risk of hemorrhage.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"35 2","pages":"100-107"},"PeriodicalIF":2.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147321239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Durable Powers of Attorney and Death in the Critical Care Unit. 长期授权书与重症监护病房的死亡。

IF 2.2 3区医学

American Journal of Critical Care Pub Date : 2026-01-01 DOI: 10.4037/ajcc2026979

Catherine Green

引用次数: 0

Complex Electrocardiographic Interpretation in an Acutely Ill Patient With Hemodynamic Compromise. 血流动力学受损的急性病人的复杂心电图解释。

IF 2.2 3区医学

American Journal of Critical Care Pub Date : 2026-01-01 DOI: 10.4037/ajcc2026233

Sukardi Suba, Mary G Carey, Michele M Pelter

引用次数: 0

Intensive Care Unit Sedation, Patient Memories, and Post-Intensive Care Psychological Distress. 重症监护病房镇静、患者记忆和重症监护后心理困扰。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-01-01 DOI: 10.4037/ajcc2026449

Dimpi A Patel, Jolin B Yamin, Anne V Grossestreuer, Amberly Ticotsky, Robert Lombardo, Katherine M Berg

{"title":"Intensive Care Unit Sedation, Patient Memories, and Post-Intensive Care Psychological Distress.","authors":"Dimpi A Patel, Jolin B Yamin, Anne V Grossestreuer, Amberly Ticotsky, Robert Lombardo, Katherine M Berg","doi":"10.4037/ajcc2026449","DOIUrl":"10.4037/ajcc2026449","url":null,"abstract":"Background: Post-intensive care syndrome affects 1.5 million US patients yearly, and understanding the modifiable risk factors for this syndrome can reduce its incidence.Objectives: To investigate whether delusional memories after critical illness are associated with psychological distress and whether sedation practices affect the presence and character of intensive care unit (ICU) memories.Methods: This was a retrospective study of patients in the Critical Illness Survivorship Clinic from October 2021 through August 2023. Clinic documentation included ICU memory descriptions and screening tests for post-traumatic stress disorder (PTSD), depression, and anxiety. Memories were coded as none, concrete, delusional, or concrete and delusional. Data from the ICU stay were collected from the electronic medical record. Logistic regression was used to evaluate whether delusional memories were associated with PTSD, depression, or anxiety and whether duration, depth, or type of sedation was associated with delusional memories.Results: Sixty-six of 94 patients had sufficient data for inclusion. Their mean age was 54 years (SD, 13.6 years), and 48% were female. Development of PTSD, depression, and anxiety did not differ significantly between those with and without delusional memories (P > .05). Point estimates for PTSD, depression, and anxiety were lower for those with delusional or no memories than for those with concrete memories. Sedation variables were not associated with delusional memories (P > .05).Conclusions: No association was found between memory type and post-ICU psychological distress or between memory type and sedation use. Patients' experience of sedation and its impact on outcomes need further study.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"35 1","pages":"10-19"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145877541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceived Unexpectedness of Death and PTSD Among Family Members of Intensive Care Patients With COVID-19 or Not. COVID-19重症监护患者家属对死亡和创伤后应激障碍的感知意外

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-01-01 DOI: 10.4037/ajcc2026749

Katherine R White, Olivia R Ramsey, Fatima S Osman, Ethan S Wong, Gina M Piscitello, James Gerhart, Jared A Greenberg

{"title":"Perceived Unexpectedness of Death and PTSD Among Family Members of Intensive Care Patients With COVID-19 or Not.","authors":"Katherine R White, Olivia R Ramsey, Fatima S Osman, Ethan S Wong, Gina M Piscitello, James Gerhart, Jared A Greenberg","doi":"10.4037/ajcc2026749","DOIUrl":"10.4037/ajcc2026749","url":null,"abstract":"Background: Patient death caused by COVID-19 in an intensive care unit (ICU) may be a risk factor for posttraumatic stress disorder (PTSD) in family members.Objective: To determine if bereaved family members of ICU patients with COVID-19 were more likely than those of patients without COVID-19 to experience PTSD and prolonged grief disorder and find the death unexpected.Methods: In this cross-sectional survey study with embedded qualitative analysis conducted during the Omicron wave of the COVID-19 pandemic, family members of ICU patients at an academic medical center were enrolled at least 6 months after a patient's death. Participants completed Impact of Event Scale-Revised (IES-R) and Prolonged Grief Disorder-13-Revised (PG-13-R) and rated how unexpected the death was on a 5-point Likert scale. A subset participated in individual interviews.Results: Of 162 total participants, 37 respective patients (23%) died of COVID-19. Family members of COVID-19 patients had significantly higher IES-R scores than did those of non-COVID-19 patients (32.4 vs 24.9, P = .03) but similar PG-13-R scores (26.1 vs 24.7, P = .43). Score on IES-R was associated with greater perception that death was unexpected (P < .001). Mediation analysis revealed a significant indirect effect between patient's COVID-19 status and family member's IES-R score via greater perceived unexpectedness of death (B = 2.27 [95% CI, 0.22-4.97]).Conclusions: Among bereaved family members of ICU patients, perceiving the patient's death as unexpected was greater when death was due to COVID-19 versus other causes and was associated with PTSD symptoms.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"35 1","pages":"45-53"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145877352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility and Acceptability of Virtual Reality for Rehabilitation After Acute Stroke in Patients of Various Ages. 虚拟现实技术在不同年龄急性脑卒中患者康复中的可行性和可接受性。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-01-01 DOI: 10.4037/ajcc2026529

Emma Sloan-Garza, Jennifer Wilson, Asmiet Techan, Sonia Joseph, Himahansika Weerasinghe, Yohan Kim, DaiWai M Olson

{"title":"Feasibility and Acceptability of Virtual Reality for Rehabilitation After Acute Stroke in Patients of Various Ages.","authors":"Emma Sloan-Garza, Jennifer Wilson, Asmiet Techan, Sonia Joseph, Himahansika Weerasinghe, Yohan Kim, DaiWai M Olson","doi":"10.4037/ajcc2026529","DOIUrl":"10.4037/ajcc2026529","url":null,"abstract":"Background: Stroke is a devastating disease associated with long-term disability. Poststroke rehabilitation is tailored to improve the physical and cognitive functions of patients who have had a stroke. Virtual reality immerses users in experiences. There are no data supporting or refuting if a patient's age affects their willingness to use virtual reality as an adjunct to acute stroke rehabilitation.Objective: To explore generational differences regarding the acceptability and feasibility of using virtual reality as an adjunct to existing poststroke rehabilitation modalities.Methods: This was a prospective, nonrandomized, observational study of patients admitted to a critical care area with an acute stroke diagnosis. Patients wore a virtual reality headset and played a standardized virtual reality game for 5 minutes while in a hospital bed. They then completed the Acceptability of Intervention Measure and the Feasibility of Intervention Measure surveys.Results: Of 30 consented patients, 5 opted out before the 5-minute mark and 25 completed the study. Nine patients (30%) were from Generation X, and 21 (70%) were baby boomers. The mean (SD) score on the Acceptability of Intervention Measure was similar for both Generation X and baby boomers (17.3 [6.0] vs 16.9 [4.2]; P = .25), as was the mean (SD) score on the Feasibility of Intervention Measure (16.7 [5.9] vs 16.5 [3.4]; P = .29).Conclusions: Virtual reality is feasible and acceptable for use in a critical care setting across generational cohorts.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"35 1","pages":"62-67"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145877543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pitfalls of Privatization in Research. 私有化在研究中的陷阱。

IF 2.2 3区医学

American Journal of Critical Care Pub Date : 2026-01-01 DOI: 10.4037/ajcc2026695

Cindy L Munro, Lakshman Swamy

引用次数: 0

Identifying the Alarm Fatigue Status of Nurses Working In Cardiac Intensive Care Units: A Mixed-Design Study. 识别心脏重症监护病房护士的报警疲劳状态：一项混合设计研究。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-01-01 DOI: 10.4037/ajcc2026265

Yasemin Güner, Melek Üçüncüoğlu

{"title":"Identifying the Alarm Fatigue Status of Nurses Working In Cardiac Intensive Care Units: A Mixed-Design Study.","authors":"Yasemin Güner, Melek Üçüncüoğlu","doi":"10.4037/ajcc2026265","DOIUrl":"10.4037/ajcc2026265","url":null,"abstract":"Background: Recognition of alarm fatigue in cardiac intensive care units is critical to prevent possible patient harm.Objectives: To assess the level of alarm fatigue among nurses in cardiac intensive care units, identify contributing factors, and explore nurses' suggestions for reducing alarm fatigue.Methods: The study used a mixed-methods approach, combining quantitative and qualitative designs. A total of 78 nurses from 2 hospitals were included in the study, 41 of whom worked in the coronary intensive care unit and 37 of whom worked in the cardiovascular surgery intensive care unit. Sixty nurses participated in the collection of quantitative data, and qualitative data were collected until data saturation was reached. Quantitative data were collected using an occupational information form and an alarm fatigue questionnaire form, and qualitative data were collected using a semistructured interview guide. Quantitative data were collected via email, and qualitative data were collected through individual in-depth interviews.Results: The study revealed that nurses experienced moderate levels of alarm fatigue, which correlated with greater discomfort with alarms. Through qualitative analysis, 5 themes emerged: the organizational dimension of alarms, nurses' awareness of alarms, causes of alarms, effects of alarms on nurses, and effects of alarms on conscious patients.Conclusions: The study findings indicate that alarm fatigue among nurses in cardiac intensive care units is multidimensional, involving nurses, patients, institutions, and other stakeholders. Future studies should incorporate considerations of organizational culture and dynamics, including comprehensive training for nurses on alarm management.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"35 1","pages":"32-43"},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145877576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0