799 results match your criteria AACN Advanced Critical Care[Journal]


ECMO During a Pandemic: A COVID-19 Quality Improvement Process.

AACN Adv Crit Care 2021 Sep;32(3):247-263

Catherine A. Halliday is Director of Cardiac Services, Director Adult ECMO Services, Department of Nursing Administration, New York-Presbyterian/Columbia University Irving Medical Center; and Clinical Instructor, Columbia University School of Nursing, New York, New York.

Extracorporeal membrane oxygenation is a modified form of cardiopulmonary bypass and a complex adult critical care therapy. No evidence appears to exist on sustaining relevant quality nursing standards during a pandemic. The aim for this quality improvement process was to address nursing provision in real time related to extracorporeal membrane oxygenation in a pandemic, providing fundamentals for future readiness. Read More

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September 2021

Acute Care Nurse Practitioner Students' Perceptions of a Debriefing Experience After a Cardiac Emergency High-Fidelity Simulation: A Qualitative Study.

AACN Adv Crit Care 2021 Sep;32(3):264-274

Kathleen Ballman is Associate Professor of Clinical Nursing, University of Cincinnati College of Nursing, Cincinnati, Ohio.

Acute care nurse practitioners need specialized training to prepare for their advanced role. Limited research investigates acute care nurse practitioners' leadership skills related to team dynamics and evidence-based practices. This study explored students' perceptions of a simulation and debriefing experience and the effects of debriefing on their ability to transfer their leadership-related learning. Read More

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September 2021

Oncologic Emergencies.

AACN Adv Crit Care 2021 Sep;32(3):306-314

Garry J. Brydges is Director, Anesthesia Safety and Quality, Department of Anesthesiology, Division of Anesthesia, Critical Care and Pain Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.

A new cancer diagnosis is expected to affect approximately 1.9 million people in the United States in 2021. A small percentage of these patients will experience an emergent cancer-related complication. Read More

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September 2021

Complex Oncologic Surgeries and Implications for the Intensive Care Unit Nurse.

AACN Adv Crit Care 2021 Sep;32(3):297-305

Roberta Kaplow is Clinical Nurse Specialist, Emory University Hospital, Atlanta, Georgia.

There are many challenges in caring for the postsurgical patient in the intensive care unit. When the postsurgical patient has an active malignancy, this can make the intensive care unit care more challenging. Nutrition, infection, and the need for postoperative mechanical ventilatory support for the patient with cancer present challenges that may increase the patient's length of stay in the intensive care unit. Read More

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September 2021

Oncologic Surgical Care Using an Enhanced Recovery Approach.

AACN Adv Crit Care 2021 Sep;32(3):286-296

Valerie Pervo is Clinical Outcomes Manager, The Ohio State University Comprehensive Cancer Center-Arthur G. James Cancer Hospital and Richard M. Solve Research Institute, Columbus, Ohio.

Enhanced recovery programs are multimodal, evidence-based perioperative programs designed to improve a patient's functional recovery after surgery. Enhanced recovery programs promote standardized, multidisciplinary care throughout the perioperative course to improve patient outcomes, rather than focusing on surgical technique. It is important for nurses working in acute and critical care to be aware of the paradigm shift created by the trend toward the enhanced recovery approach. Read More

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September 2021

Novel Therapies in Oncology: An Individualized Approach.

AACN Adv Crit Care 2021 Sep;32(3):315-323

Tanya Lalani is Nurse Practitioner, Gayle & Tom Benson Cancer Center, New Orleans, Louisiana.

For decades, oncology treatments revolved around chemotherapeutic regimens that have been relatively nonspecific in their approach to cancer cell death. With advancements in genomics and personalized medicine, however, knowledge of the immune system has dramatically increased and methods for treating cancers have become much more individualized. With this increase in knowledge, vast arrays of novel therapies have entered the oncology realm. Read More

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September 2021

Neurogenic Stunned Myocardium: A Review.

AACN Adv Crit Care 2021 Sep;32(3):275-282

Donna Lynch-Smith is Associate Professor, University of Tennessee Health Science Center, Memphis, Tennessee.

Neurogenic stunned myocardium is a form of stress cardiomyopathy. The disorder is sometimes referred to as atypical Takotsubo cardiomyopathy. The pathophysiology of neurogenic stunned myocardium is hypothesized to involve significant overdrive of the sympathetic nervous system after a brain injury. Read More

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September 2021

Working While Ill During COVID-19: Ethics, Guilt, and Moral Community.

AACN Adv Crit Care 2021 09;32(3):356-361

Cynda Hylton Rushton is Anne and George L. Bunting Professor of Clinical Ethics, School of Nursing and Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland.

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September 2021

Patients With Advanced Cancer Requiring Intensive Care: Reasons for ICU Admission, Mortality Outcomes, and the Role of Palliative Care.

AACN Adv Crit Care 2021 Sep;32(3):324-331

Stephanie D. Stone is Lead Nurse Practitioner, Palliative Care, Northside Hospital, Atlanta, Georgia.

Medical advancements in oncology and critical care during the past 2 decades have led to more patients with cancer being admitted to intensive care units. This article discusses the most common reasons for intensive care unit admission and factors associated with mortality among patients with cancer. It also reviews the multiple benefits of palliative care services in caring for critically ill patients with cancer and opportunities for critical care nurses working with these patients. Read More

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September 2021

Doing the Right Thing: Aligning Plans With Goals and Values for Pediatric Patients.

AACN Adv Crit Care 2021 Sep;32(3):351-355

Pageen Manolis Small is Clinical Ethicist, Unity Point Health-Meriter, 202 S Park St, Madison, WI 53715

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September 2021

New and Off-Label Uses of Tranexamic Acid.

AACN Adv Crit Care 2021 Sep;32(3):237-242

Christopher Allen is Trauma/Surgical Intensive Care Unit Clinical Pharmacist, Department of Pharmacy Services, Tampa General Hospital, Tampa, Florida.

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September 2021

Extracorporeal Membrane Oxygenation: Opportunities for Expanding Nurses' Roles.

AACN Adv Crit Care 2021 Sep;32(3):341-345

Patricia M. Davidson is Vice-Chancellor, University of Wollongong, Wollongong NSW, Australia.

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September 2021

Precision Nursing.

Authors:
Linda Harrington

AACN Adv Crit Care 2021 Sep;32(3):243-246

Linda Harrington is an Independent Consultant, Health Informatics and Digital Strategy, and Adjunct Faculty at Texas Christian University, 2800 South University Drive, Fort Worth, TX 76109

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September 2021

Geriatric Implications of Surgical Oncology.

Authors:
Dalton Skipper

AACN Adv Crit Care 2021 Sep;32(3):332-340

Dalton Skipper is Manager of Education, Emory Healthcare, 1459 Montreal Rd MOB, Suite 210, Tucker, GA 30084

Surgical oncology is cancer care that focuses on using surgery to diagnose, stage, and treat cancer and is one of the main treatments for malignancy. Patients older than 65 years are generally considered geriatric. The incidence of cancer in geriatric patients is increasing annually. Read More

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September 2021

Authentic Leadership to Support Nurses: Educate, Empower, Elevate, and Enjoy.

AACN Adv Crit Care 2021 Sep;32(3):346-350

Rochaun Smith is Nurse Educator, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509

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September 2021

Solid Tumors and Surgical Oncology.

AACN Adv Crit Care 2021 Sep;32(3):284-285

Roberta Kaplow is Clinical Nurse Specialist, Emory University Hospital, Atlanta, Georgia.

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September 2021

Vasoplegic Syndrome in Patients Undergoing Cardiac Surgery: A Literature Review.

Authors:
Colleen M Nash

AACN Adv Crit Care 2021 Jun;32(2):137-145

Colleen M. Nash is an Adult-Gerontology Acute Care Nurse Practitioner, Northwestern Memorial Hospital, 251 E Huron St, Chicago, IL 60611

Vasoplegic syndrome is a rising problem affecting morbidity and mortality in patients undergoing cardiac surgery. Vasoplegia is a vasodilatory, shocklike syndrome characterized by decreased systemic vascular resistance, normal to high cardiac index, and hypotension refractory to fluid resuscitation and vasopressors. This review describes the presentation, physiology, risk factors, treatments, and implications of vasoplegia after cardiac surgery. Read More

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Impact of a Nurse-Driven Heparin Monitoring Protocol for Ventricular Assist Devices.

AACN Adv Crit Care 2021 Jun;32(2):146-151

Pamela B. Simone is Cardiology Clinical Pharmacist Specialist, Department of Pharmacy, UChicago Medicine, 5841 S Maryland Ave, Chicago, IL 60637

Background: Ventricular assist devices require anticoagulation to reduce thrombosis risk. Nurse-driven unfractionated heparin monitoring protocols have been validated for various indications, although data in patients with ventricular assist devices are lacking.

Objective: To evaluate a nurse-driven protocol for managing unfractionated heparin therapy in stable patients with ventricular assist devices. Read More

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Ethical Issues in the Care of Emerging Adults in Pediatric Intensive Care Units.

AACN Adv Crit Care 2021 Jun;32(2):219-226

Melissa Kurtz Uveges is Assistant Professor, Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.

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COVID-19 Technology-Enabled Living Systematic Reviews to Enhance Knowledge Translation.

Authors:
Linda Harrington

AACN Adv Crit Care 2021 06;32(2):133-136

Linda Harrington is an Independent Consultant, Health Informatics and Digital Strategy, and Adjunct Faculty at Texas Christian University, 2800 South University Drive, Fort Worth, TX 76109

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Data Management for Quality Improvement: How to Collect and Manage Data.

AACN Adv Crit Care 2021 Jun;32(2):213-218

Evan Murray is a medical student, Duke University School of Medicine, 8 Searle Center Dr, Durham, NC 27710

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Creating Solutions for Meeting the Challenges of Maintaining a Healthy Work Practice: Our Experience at a County Hospital.

AACN Adv Crit Care 2021 Jun;32(2):209-212

Dawna Willsey is Clinical Director, Perioperative Services, Harbor-UCLA Medical Center, 1000 W Carson Street, Box 39, Torrance, CA 90509

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Electrocardiogram Findings Associated With Malignant Pericardial Effusion and Cardiac Tamponade.

Authors:
Cynthia Webner

AACN Adv Crit Care 2021 06;32(2):227-232

Cynthia Webner is Adjunct Faculty, Acute Care Nurse Practitioner Program, Malone University, Canton, Ohio; and Partner, Key Choice/Cardiovascular Nursing Education Associates, 4998 Searls Dr NW, North Canton, OH 44720

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Understanding the Impact of COVID-19: Now and for the Future.

Authors:
Mary Fran Tracy

AACN Adv Crit Care 2021 06;32(2):157-158

Mary Fran Tracy is Associate Professor, University of Minnesota School of Nursing, 5-140 Weaver-Densford Hall, 308 Harvard St SE, Minneapolis, MN 55455

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Critical Care Clinical Nurse Specialist Role in Developmental Care for Infants With Heart Disease.

AACN Adv Crit Care 2021 06;32(2):204-208

Jesus Casida is Associate Professor, Johns Hopkins University School of Nursing, Baltimore, Maryland.

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Post-COVID-19 Syndrome: Theoretical Basis, Identification, and Management.

AACN Adv Crit Care 2021 Jun;32(2):188-194

Nancy Munro is Acute Care Nurse Practitioner, Critical Care Medicine Department, National Institutes of Health, Bethesda, Maryland.

As COVID-19 continues to spread, with the United States surpassing 29 million cases, health care workers are beginning to see patients who have been infected with SARS-CoV-2 return seeking treatment for its longer-term physical and mental effects. The term long-haulers is used to identify patients who have not fully recovered from the illness after weeks or months. Although the acute symptoms of COVID-19 have been widely described, the longer-term effects are less well known because of the relatively short history of the pandemic. Read More

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Battling Burnout at the Frontlines of Health Care Amid COVID-19.

AACN Adv Crit Care 2021 Jun;32(2):195-203

Beverly Ann M. Howell is a Lieutenant, Nurse Corps, US Navy, Naval Medical Leader and Professional Development Command, PSC 482, Box 170, FPO, AP 96362

Nursing is a physically and emotionally demanding profession. Grueling job roles and challenging work environments, specifically in acute or critical care settings, place health care professionals at risk of burnout. Burnout in health care professionals results from a chronic negative work experience, leading to job dissatisfaction and, ultimately, poor patient outcomes. Read More

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Development of a Prone Team and Exploration of Staff Perceptions During COVID-19.

AACN Adv Crit Care 2021 Jun;32(2):159-168

Xianghong Sean Wang is Senior Data Analyst, Patient Care Services Quality, Safety & Practice, Massachusetts General Hospital, Boston, Massachusetts.

Objective: As intensive care unit bed capacity doubled because of COVID-19 cases, nursing leaders created a prone team to support labor-intensive prone positioning of patients with COVID-related acute respiratory distress syndrome. The goal of the prone team was to reduce workload on intensive care teams, standardize the proning process, mitigate pressure injuries and turning-related adverse events, and ensure prone team safety.

Methods: Staff were trained using a hybrid learning model focused on prone-positioning techniques, pressure injury prevention, and turning-related adverse events. Read More

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Comprehensive Review of Cardiovascular Involvement in COVID-19.

AACN Adv Crit Care 2021 Jun;32(2):169-187

Ruff Joseph Macale Cajanding is Charge Nurse, Adult Critical Care Unit, 6th Floor, King George V Building, St Bartholomew's Hospital, Barts Health NHS Trust, 2 King Edward Street, London EC1A 1HQ, United Kingdom

COVID-19 has emerged as one of the most devastating and clinically significant infectious diseases of the last decade. It has reached global pandemic status at an unprecedented pace and has placed significant demands on health care systems worldwide. Although COVID-19 primarily affects the lungs, epidemiologic reports have shown that the disease affects other vital organs of the body, including the heart, vasculature, kidneys, brain, and the hematopoietic system. Read More

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Authors' Response.

AACN Adv Crit Care 2021 06;32(2):153-155

Institute for Applied Life Sciences and College of Nursing, University of Massachusetts Amherst, Amherst, MA.

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