Annette Zevallos-Villegas, Jesus Gonzalez-Rubio, Alberto Najera, Juan D Navarro-Lopez, Pedro Landete
{"title":"Factors influencing high-flow nasal cannula success in acute hypoxemic respiratory failure - Response to Fang et al.","authors":"Annette Zevallos-Villegas, Jesus Gonzalez-Rubio, Alberto Najera, Juan D Navarro-Lopez, Pedro Landete","doi":"10.1016/j.iccn.2025.104100","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104100","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":" ","pages":"104100"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217945","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}
{"title":"The utilization of a prone position model based on big data is deemed essential - Response to Liang et al.","authors":"Yuhang Yan, Hongbin Hu, Zhongqing Chen","doi":"10.1016/j.iccn.2024.103912","DOIUrl":"10.1016/j.iccn.2024.103912","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103912"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752720","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}
{"title":"Potential issues related to subsyndromal delirium in the intensive care unit - Letter on Ma et al.","authors":"Ziyi Wang, Zihan Wang","doi":"10.1016/j.iccn.2024.103911","DOIUrl":"10.1016/j.iccn.2024.103911","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103911"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752719","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}
{"title":"Comparative risks and clinical outcomes of midazolam versus other intravenous sedatives in critically ill mechanically ventilated patients: A systematic review and meta-analysis of randomized trials.","authors":"Yu-Xin Chen, Mu-Hsing Ho","doi":"10.1016/j.iccn.2025.103945","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.103945","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review synthesized literature evidence and compared midazolam's risks and clinical outcomes with other sedatives in critically ill mechanically ventilated patients.</p><p><strong>Methods: </strong>We included randomized controlled trials (RCTs) from databases of PubMed, Embase, Cochrane Library, Web of Science, and CINAHL without language restrictions. We used relative risk (RR) for binary outcomes and standardized mean difference (SMD) for continuous outcomes, with corresponding 95% confidence interval (CI).</p><p><strong>Results: </strong>17 RCTs involving 1509 patients were included. Compared to other sedatives, midazolam significantly increased the incidence of delirium (RR 2.39, 95 % CI, 1.75 to 3.26), the time up to extubation (SMD 1.99, 95 % CI, 0.81 to 3.16) and ICU length of stay (SMD 0.63, 95 % CI, 0.20 to 1.08), but significantly reduced the incidence of bradycardia (RR 0.52, 95 % CI, 0.36 to 0.76). No differences were identified in hypotension incidence (RR 0.69, 95 % CI, 0.37 to 1.31) or duration of mechanical ventilation (SMD 0.28, 95 % CI, -0.22 to 0.78).</p><p><strong>Conclusions: </strong>Midazolam caused a higher risk of delirium, a longer time up to extubation, and ICU length of stay, but a lower incidence of bradycardia. No significant evidence indicated midazolam was associated with a higher risk of hypotension or increased duration of mechanical ventilation.</p><p><strong>Implications for clinical practice: </strong>Clinicians should balance midazolam's potential risks with its benefits. While other sedatives may be catering to patients at a higher delirium risk, midazolam remains indispensable for hemodynamically compromised patients, such as those with bradycardia. Precise sedation management is crucial for patient safety and outcomes.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":" ","pages":"103945"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018893","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}
{"title":"Intensive care nurses' experiences of caring. Part 1: Consideration of the concept of caring.","authors":"J. Beeby","doi":"10.1054/ICCN.2000.1489","DOIUrl":"https://doi.org/10.1054/ICCN.2000.1489","url":null,"abstract":"Curiosity as to what other intensive care nurses experienced as caring practice in a high-tech environment such as intensive care was prompted by a dilemma that arose in the author's own clinical practice. One consequence was this study which took place in a 12-bedded intensive and coronary care unit (ICU). Although there is a vast body of literature discussing caring in nursing, little is related to the intensive care environment. The first part of this paper contains discussion of the concept of caring related to this aspect of nursing, thus addressing the initial stages of the research process. This was guided by the research question 'What is caring?' Part two of this paper will present the phenomenological research study designed to answer this question.","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"25 1","pages":"76-83"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79411530","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}