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


Electrocardiograms in Pulmonary Embolus.

Authors:
Karen M Marzlin

AACN Adv Crit Care 2020 Mar;31(1):106-110

Karen M. Marzlin is Advanced Practice Registered Nurse, Aultman Hospital; Adjunct Faculty, Malone University; and Owner/Author/Educator/Consultant, Key Choice/Cardiovascular Nursing Education Associates, 4565 Venus Rd, Uniontown, OH 44685

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020607DOI Listing

Life After PICOT: Taking the Next Step in a Clinical Inquiry Project.

Authors:
Bradi B Granger

AACN Adv Crit Care 2020 Mar;31(1):92-97

Bradi B. Granger is Professor, Duke University School of Nursing, and Director, Duke Heart Center Nursing Research Program, 307 Trent Drive, Durham, NC 27710

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020986DOI Listing

Suspending Our Agenda: Considering What Will Serve When Confronting Ethical Challenges.

AACN Adv Crit Care 2020 Mar;31(1):98-105

Kathleen Turner is Clinical Nurse III, Medical-Surgical Intensive Care Unit, University of California San Francisco Medical Center, San Francisco, California.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020569DOI Listing

Primary and Acute Care Nurse Practitioner Networking: The Case for a Cup of Coffee.

AACN Adv Crit Care 2020 Mar;31(1):75-79

Jesus Casida is Associate Professor and MSN in Health Systems Management Track Coordinator, Johns Hopkins University School of Nursing, Baltimore, Maryland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020611DOI Listing

Spinal Muscular Atrophy in the Age of Gene Therapy.

Authors:
Lori Williams

AACN Adv Crit Care 2020 Mar;31(1):86-91

Lori Williams is Clinical Nurse Specialist, Pediatric Universal Care Unit and Float Team, American Family Children's Hospital, University of Wisconsin Hospitals and Clinics, 1675 Highland Avenue, Room 7404, Madison, WI 53792

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020436DOI Listing

Role of the Clinical Nurse Specialist in Supporting a Healthy Work Environment.

AACN Adv Crit Care 2020 Mar;31(1):80-85

Jacqueline A. Miller is Clinical Nurse Specialist, Neonatal/Pediatric Services, Harbor-UCLA Medical Center, Torrance, California.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020968DOI Listing

Mixed Shock States: A Case for the Pulmonary Artery Catheter.

Authors:
Paul Thurman

AACN Adv Crit Care 2020 Mar;31(1):67-74

Paul Thurman is Nurse Scientist, Trauma and Critical Care, R Adams Cowley Shock Trauma Center, University of Mary-land Medical Center, and Assistant Professor, Doctor of Nursing Practice Program, University of Maryland School of Nursing, 22 S Greene St, Baltimore, MD 21201

The pulmonary artery catheter is a valuable tool available to the clinician for use in deciphering complex hemodynamic scenarios. Patients in shock, particularly those who are elderly or have premorbid conditions such as heart failure, may have atypical presentations. Additional hemodynamic data may help identify interventions that might seem counterintuitive, such as the use of vasoconstrictors in patients with low cardiac output. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020157DOI Listing

Pulmonary Hypertension: Overview and Case Study.

AACN Adv Crit Care 2020 Mar;31(1):57-66

Barbara Leeper is Clinical Nurse Specialist, Cardiovascular Services, Baylor University Medical Center, Dallas, Texas.

This article provides a broad overview of pulmonary hypertension, including classifications, risk factors, signs and symptoms, diagnosis, and treatment options. Nursing considerations and optimization of hemodynamic values in patients with pulmonary hypertension in a critical care unit are reviewed through the lens of a case study. Preventing decompensation is essential in the successful care of these patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020553DOI Listing

Right Ventricular Failure.

Authors:
Barbara Leeper

AACN Adv Crit Care 2020 Mar;31(1):49-56

Barbara Leeper is Clinical Nurse Specialist, Cardiovascular Services, Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75252

Interest in the right ventricle has increased because of advances in pulmonary hypertension treatment, improved diagnostic technology, and increased implantation of left ventricular assist devices and other mechanical circulatory assist devices. Right ventricular dysfunction is an independent predictor of mortality in patients with chronic heart failure. The purpose of this article is to describe the normal structure and function of the right ventricle, causes of right ventricular dysfunction leading to right ventricular failure, diagnostic hemodynamic assessments, and management of right ventricular failure in the critical care unit. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020172DOI Listing

Bridging the Gap Between Clinical Practice and the AACN Practice Alert on Pulmonary Artery/Central Venous Pressure Monitoring in Adults.

AACN Adv Crit Care 2020 Mar;31(1):34-40

Kathryn T. Von Rueden is a Critical Care Consultant, 913 Ravenshead Hill, Sherwood Forest, MD 21405

Measuring and documenting accurate data from pulmonary artery and central venous pressure catheters is an important responsibility of critical care nurses. The American Association of Critical-Care Nurses Practice Alert titled Pulmonary Artery/Central Venous Pressure Monitoring in Adults provides evidence-based standards against which nurses can compare their practice related to obtaining valid hemodynamic data. Identifying and acting on improvement opportunities is also a nursing responsibility and helps to ensure that patients with pulmonary artery or central venous pressure catheters receive high-quality care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020888DOI Listing

AACN Practice Alert: Pulmonary Artery/Central Venous Pressure Monitoring in Adults.

Authors:

AACN Adv Crit Care 2020 Mar;31(1):41-48

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020328DOI Listing

Narrative History of the Swan-Ganz Catheter: Development, Education, Controversies, and Clinician Acumen.

AACN Adv Crit Care 2020 Mar;31(1):25-33

Thomas Ahrens is Chief Learning Officer, NovEx, St Louis, Missouri.

The year 2020 marks the 50th anniversary of the landmark publication on the bedside clinical use of a flow-directed catheter. The catheter, now known as the Swan-Ganz catheter, truly revolutionized practice and care of the critically ill. Use of the catheter proliferated nearly without rigorous validation or evidence base until a moratorium was called in regard to its use. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020992DOI Listing

Implementing the ABCDE Bundle, Critical-Care Pain Observation Tool, and Richmond Agitation-Sedation Scale to Reduce Ventilation Time.

AACN Adv Crit Care 2020 Mar;31(1):16-21

Wesley Davis is Assistant Professor and Emergency Nurse Practitioner Specialty Coordinator, University of South Alabama College of Nursing, Mobile, Alabama, and Emergency Nurse Practitioner, Crook County Hospital; University of South Alabama College of Nursing, HAHN 4056, 5721 USA Drive North, Mobile, Alabama 36688-0002

Prolonged mechanical ventilation of patients in intensive care units across the United States consumes billions of health care dollars every year. Using the awakening and breathing coordination, delirium monitoring/management, and early mobility (ABCDE) bundle along with the Critical-Care Pain Observation Tool and the Richmond Agitation-Sedation Scale combines the best available evidence to optimize outcomes for critically ill patients. This study is the first to examine the effects of implementing the ABCDE bundle, the Critical-Care Pain Observation Tool, and the Richmond Agitation-Sedation Scale together in a coordinated effort across multiple disciplines. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020451DOI Listing

Fiftieth Anniversary of the Swan-Ganz Catheter: From Then Until Now.

Authors:
Jan M Headley

AACN Adv Crit Care 2020 Mar;31(1):23-24

Jan M. Headley is Principal, Consultants in Acute and Critical Care, PTY 880853, PO Box 025724, Miami, FL 33102-5724

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020329DOI Listing

Role of Desmopressin in the Critical Care Setting.

AACN Adv Crit Care 2020 Mar;31(1):5-11

Melissa Levesque is Critical Care Clinical Pharmacist, Neurosciences, Department of Pharmacy Services, Tampa General Hospital, Tampa, Florida.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020815DOI Listing

Behavior Change Techniques in Apps: Moving Beyond Patient Education to Improve Health Outcomes.

Authors:
Linda Harrington

AACN Adv Crit Care 2020 Mar;31(1):12-15

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 (linda

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2020244DOI Listing

A Psychometric Analysis Update of Behavioral Pain Assessment Tools for Noncommunicative, Critically Ill Adults.

AACN Adv Crit Care 2019 Dec;30(4):365-387

Kathleen A. Puntillo is Professor of Nursing Emeritus, University of California San Francisco School of Nursing, San Francisco, California.

This is an updated, comprehensive review of the psychometric properties of behavioral pain assessment tools for use with noncommunicative, critically ill adults. Articles were searched in 5 health databases. A total of 106 articles were analyzed, including 54 recently published papers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019952DOI Listing
December 2019

Characteristics of Nonpharmacological Interventions for Pain Management in the ICU: A Scoping Review.

AACN Adv Crit Care 2019 Dec;30(4):388-397

Geraldine Martorella is Assistant Professor, College of Nursing, Florida State University, Office 104F - Vivian M. Duxbury Hall, TMH Center for Research and Evidence-Based Practice, 98 Varsity Way, Tallahassee, FL 32306

Pain relief in the intensive care unit (ICU) is of particular concern since patients are exposed to multiple painful stimuli associated with care procedures. Considering the adverse effects of pharmacological approaches, particularly in vulnerable populations such as the elderly, the use of non-pharmacological interventions has recently been recommended in the context of critical care. The main goal of this scoping review was to systematically map the research done on non-pharmacological interventions for pain management in ICU adults and describe the characteristics of these interventions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019281DOI Listing
December 2019

ECG Identification of Right Ventricular Myocardial Infarction.

Authors:
Cynthia Webner

AACN Adv Crit Care 2019 Dec;30(4):425-431

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019619DOI Listing
December 2019

Succession Planning for the Neonatal Advanced Practice Nurse.

Authors:
Lori Williams

AACN Adv Crit Care 2019 Dec;30(4):421-424

Lori Williams is Clinical Nurse Specialist, Pediatric Universal Care Unit and Float Team, American Family Children's Hospital, University of Wisconsin Hospitals and Clinics, Room 7404, 1675 Highland Ave, Madison, WI 53792

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019287DOI Listing
December 2019

Transition to Practice: Onboarding Components for Establishing and Sustaining Healthy Work Environments.

AACN Adv Crit Care 2019 Dec;30(4):416-420

Sandy Hall is Manager, Nursing Excellence, Children's Hospital Los Angeles, 4650 Sunset Blvd, MS #74, Los Angeles, CA 90027 Suzanne Taylor is Director, Clinical Education and Professional Development, Children's Hospital Los Angeles, Los Angeles, California. Charissa Altobar is Manager, Versant RN Residency in Pediatrics, Children's Hospital Los Angeles, Los Angeles, California.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019329DOI Listing
December 2019

Advocacy: An Essential Competency of the Clinical Nurse Specialist.

AACN Adv Crit Care 2019 Dec;30(4):411-415

Victoria Hughes is Assistant Professor, Johns Hopkins School of Nursing, 525 N Wolfe Street, Baltimore, MD 21205-2110 Phoebe Pollitt is Associate Professor (retired), Appalachian State University, School of Nursing, Boone, North Carolina. Lola A. Coke is Faculty Associate, Clinical Nurse Specialist, and CNS-DNP Track Coordinator, Johns Hopkins School of Nursing, Baltimore, Maryland. Rita F. D'Aoust is Associate Dean for Teaching and Learning, Johns Hopkins School of Nursing, Baltimore, Maryland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019569DOI Listing
December 2019

Role of Family Members in Pain Management in Adult Critical Care.

AACN Adv Crit Care 2019 Dec;30(4):398-410

Émilie Gosselin is a Postdoctoral Research Fellow, Ingram School of Nursing, McGill University, and Center for Nursing Research, Jewish General Hospital of Montreal, 680 Sherbrooke St West, Room 1838, Montreal, QC H3A 2M7, Canada Mélissa Richard-Lalonde is a Doctoral Student, Ingram School of Nursing, McGill University.

This review describes family member involvement in intensive care unit pain assessment and management and generates implications for clinical practice, education, and future research. A literature review was performed in MEDLINE, PubMed, EMBASE, Cochrane, and CINAHL databases from their inception until April 30, 2019. Only 11 studies addressing the topic were identified, and the current quality of evidence is low. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019275DOI Listing
December 2019

Evidence-Based Strategies for the Prevention of Chronic Post-Intensive Care and Acute Care-Related Pain.

Authors:
Melanie Bérubé

AACN Adv Crit Care 2019 Dec;30(4):320-334

Mélanie Bérubé is a Researcher in the Population Health and Optimal Practices research unit (Trauma, Emergency, and Critical Care Medicine) at the CHU de Québec Université Laval Research Center, Quebec City, QC, Canada, and Assistant Professor in the Faculty of Nursing, Laval University, 1050 Avenue de la Médecine, Quebec City, QC, Canada, G1V 0A6

Chronic pain is prevalent in intensive care survivors and in patients who require acute care treatments. Many adverse consequences have been associated with chronic post-intensive care and acute care-related pain. Hence, interest in interventions to prevent these pain disorders has grown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019285DOI Listing
December 2019

Opioid and Benzodiazepine Iatrogenic Withdrawal Syndrome in Patients in the Intensive Care Unit.

AACN Adv Crit Care 2019 Dec;30(4):353-364

Carmen Mabel Arroyo-Novoa is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, Medical Sciences Campus, PO Box 365067, San Juan, PR 00936-5067 Milagros I. Figueroa-Ramos is Associate Professor, Graduate Department, University of Puerto Rico School of Nursing, San Juan, Puerto Rico. Kathleen A. Puntillo is Professor Emeritus, Physiological Nursing Department, University of California, San Francisco, School of Nursing, San Francisco, California.

Iatrogenic withdrawal syndrome is an increasingly recognized issue among adult patients in the intensive care unit. The prolonged use of opioids and benzodiazepines during the intensive care unit stay and preexisting disorders associated with their use put patients at risk of developing iatrogenic withdrawal syndrome. Although research to date is scant regarding iatrogenic withdrawal syndrome in adult patients in the intensive care unit, it is important to recognize and adequately manage iatrogenic withdrawal syndrome in order to prevent possible negative outcomes during and after a patient's intensive care unit stay. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019267DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017678PMC
December 2019

Assessing Patients' Risk for Opioid Use Disorder.

Authors:
Barbara St Marie

AACN Adv Crit Care 2019 Dec;30(4):343-352

Barbara St. Marie is Assistant Professor, College of Nursing, University of Iowa, 50 Newton Road, Iowa City, IA

Opioid use disorder and opioid misuse continue to increase rapidly in prevalence in North America. Nurses play a critical role in managing pain in patients who are at risk for opioid use disorder. The interplay of pain and opioid use disorder provides nurses with an opportunity to address urgent needs while treating patients across the continuum of care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019931DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029809PMC
December 2019

Acute Pain Management for Patients Receiving Medication-Assisted Therapy.

Authors:
Peggy Compton

AACN Adv Crit Care 2019 Dec;30(4):335-342

Peggy Compton is Associate Professor, School of Nursing, University of Pennsylvania, 418 Curie Blvd, Room 402, Philadelphia, PA 19104

Evidence-based approaches for the treatment of opioid use disorder include the use of opioid medications (methadone, buprenorphine, or naltrexone), collectively referred to as medication-assisted therapy. Patients receiving medication-assisted therapy may present in the acute care setting with pain, often related to planned surgical procedures to treat health issues that were not addressed before entering treatment. Because these medications act on the same receptors as do analgesic opioids-and, in the cases of methadone and buprenorphine, have analgesic properties - managing acute pain in these patients can be challenging. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019328DOI Listing
December 2019

Monitoring Unfractionated Heparin: A Review of Activated Partial Thromboplastin Time Versus Antifactor Xa.

AACN Adv Crit Care 2019 Dec;30(4):305-312

Christine R. Parker is Clinical Pharmacy Specialist, Cardiothoracic Intensive Care Unit, Baylor University Medical Center, 3500 Gaston Ave, Dallas, TX 75246, Vivek Kataria is Clinical Pharmacy Specialist, Medical Intensive Care Unit, Baylor University Medical Center, Dallas, Texas.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019771DOI Listing
December 2019

Data Science: What Would Nightingale Do?

Authors:
Linda Harrington

AACN Adv Crit Care 2019 Dec;30(4):313-316

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,

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019579DOI Listing
December 2019

Pain Management Challenges in Acute and Critically Ill Patients.

Authors:
Céline Gélinas

AACN Adv Crit Care 2019 Dec;30(4):318-319

Céline Gélinas is Associate Professor, Ingram School of Nursing, McGill University, 680 Sherbrooke West, Room 1838, Montréal, Québec, Canada, H3A 2M7; and Researcher, Centre for Nursing Research and Lady Davis Institute, Jewish General Hospital, Montréal, Québec, Canada,

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019132DOI Listing
December 2019

Chronotropic Incompetence.

AACN Adv Crit Care Fall 2019;30(3):294-300

Karen M. Marzlin is Advanced Practice Registered Nurse, Aultman Hospital; Adjunct Faculty, Malone University; and Owner/Author/Educator/Consultant, Key Choice/Cardiovascular Nursing Education Associates, 4565 Venus Rd, Uniontown, OH 44685 Cynthia Webner is Adjunct Faculty, Acute Care Nurse Practitioner Program, Malone University, Canton, Ohio; and Partner, Key Choice/Cardiovascular Nursing Education Associates, Uniontown, Ohio.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019182DOI Listing
February 2020
2 Reads

Role of the Critical Care Nurse in Disclosing Difficult News.

AACN Adv Crit Care Fall 2019;30(3):287-293

Melissa Kurtz Uveges is Postdoctoral Research Fellow, Center for Bioethics at Harvard Medical School, 641 Huntington Avenue, Boston, MA 02115 Aimee Milliken is Wiese Postdoctoral Fellow in Clinical Ethics, Brigham and Women's Hospital, Brighton, Massachusetts. Afi Alfred is Clinical Operations Manager, Bowdoin Street Health Center, Boston, Massachusetts.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019436DOI Listing
February 2020
1 Read

Deimplementation in Clinical Practice: What Are We Waiting For?

AACN Adv Crit Care Fall 2019;30(3):282-286

Mary Beth F. Makic is Professor and Clinical Nurse Specialist Program Director, College of Nursing, University of Colorado Anschutz Medical Campus, 13120 East 19th Ave, ED 2 North, Room 4213, C288-19, Aurora, CO 80045 Bradi B. Granger is Professor, Duke University School of Nursing, and Director, Duke Heart Center Nursing Research Program, Durham, North Carolina.

View Article

Download full-text PDF

Source
http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201960
Publisher Site
http://dx.doi.org/10.4037/aacnacc2019607DOI Listing
February 2020
2 Reads

Role of the Pediatric Nurse Practitioner in Enhancing Vaccination Rates.

Authors:
Lori Williams

AACN Adv Crit Care Fall 2019;30(3):278-281

Lori Williams is Clinical Nurse Specialist, Pediatric Universal Care Unit and Float Team, American Family Children's Hospital, University of Wisconsin Hospitals and Clinics, Room 7404, 1675 Highland Ave, Madison, WI 53792

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019992DOI Listing
February 2020
1 Read

Nurse Practitioner Job Satisfaction and the Healthy Work Environment.

AACN Adv Crit Care Fall 2019;30(3):274-277

Catherine J. Goodhue is Pediatric Nurse Practitioner, Division of Pediatric Surgery/Trauma Program, Children's Hospital Los Angeles, 4650 Sunset Blvd, MS #100, Los Angeles, CA 90027 Deborah G. Harris is Pediatric Nurse Practitioner, Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, California.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019451DOI Listing
February 2020
2 Reads

Simulation and Advanced Practice Registered Nurses: Opportunities to Enhance Interprofessional Collaboration.

AACN Adv Crit Care Fall 2019;30(3):269-273

Mary E. Holtschneider is Simulation Education Coordinator and Co-Director, Interprofessional Advanced Fellowship in Clinical Simulation, Durham Veterans Affairs Health Care System, Durham, North Carolina; Nursing Program Manager, Duke University Area Health Education Center (AHEC), Durham, North Carolina; and Adjunct Faculty, University of North Carolina at Chapel Hill School of Nursing, 508 Fulton Street, Durham, NC 27705 Chan W. Park is Director, Simulation Education, and Co-Director, Interprofessional Advanced Fellowship in Clinical Simulation, Durham Veterans Affairs Health Care System, Durham, North Carolina; and Adjunct Assistant Professor, Division of Emergency Medicine, Duke University Medical Center, Durham, North Carolina.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019157DOI Listing
February 2020
3 Reads

Dexmedetomidine in Adult Patients in Cardiac Surgery Critical Care: An Evidence-Based Review.

Authors:
Lyndsay Brock

AACN Adv Crit Care 2019 ;30(3):259-268

Lyndsay Brock is Acute Care Nurse Practitioner, Surgical Intensive Care Unit, University Hospitals of Cleveland Ahuja Medical Center, 3999 Richmond Rd, Beachwood, OH 44122

Although several options are available for postoperative sedation in the intensive care unit, the selective α2-adrenoceptor agonist dexmedetomidine may offer advantages for patients after cardiac surgery. The author conducted a review of the literature on the use of dexmedetomidine in the cardiac surgery population to determine possible advantages and disadvantages in this patient population. Although the use of dexmedetomidine has not been conclusively shown to change overall morbidity and mortality and may be associated with higher drug cost, its other demonstrated effects offer advantages for postoperative cardiac surgery patients that other forms of sedation cannot match. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019888DOI Listing
February 2020
2 Reads

Reducing New-Onset Atrial Fibrillation After Coronary Artery Bypass Graft Surgery.

AACN Adv Crit Care 2019 ;30(3):249-258

Melanie J. Coletta is Cardiothoracic Nurse Practitioner, Beaumont Hospital, 18101 Oakwood Blvd, Dearborn, MI 48124 Gail Lis is Director, Nurse Practitioner Program, and Professor, College of Nursing and Health, Madonna University, Livonia, Michigan. Patricia Clark is Associate Professor, Nurse Practitioner Program, College of Nursing and Health, Madonna University, Livonia, Michigan. Reza Dabir is Chief of Cardiovascular and Thoracic Surgery, Beaumont Hospital, Dearborn, Michigan. Farzad Daneshvar is Cardiology Clinical Pharmacist Specialist, Beaumont Hospital, Dearborn, Michigan.

Postoperative atrial fibrillation is the most common dysrhythmia to occur after coronary artery bypass graft surgery. It develops in 10% to 40% of patients and can lead to complications such as hemodynamic instability, heart failure, and stroke. Risk factors include hypertension, diabetes, chronic kidney disease, and obesity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019470DOI Listing
February 2020
2 Reads

MDMA-Associated Liver Toxicity: Pathophysiology, Management, and Current State of Knowledge.

AACN Adv Crit Care 2019 ;30(3):232-248

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

3,4-Methylenedioxymethamphetamine (MDMA, ecstasy) has become a popular recreational drug of abuse among young adults, partly because of the belief that it is relatively safe compared with other drugs with the same stimulant and hallucinogenic effects. However, MDMA use has been associated with a wide spectrum of organ toxicities, with the liver being severely affected by its deleterious effects. This article discusses the essential pharmacology of MDMA and describes the effects MDMA has on various organ systems of the body, with particular focus on the liver. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019852DOI Listing
February 2020
3 Reads

Drugs: Friends and Foes.

Authors:
Mary Fran Tracy

AACN Adv Crit Care Fall 2019;30(3):231

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019986DOI Listing
February 2020
1 Read

Development and Testing of an Electronic Multidisciplinary Rounding Tool.

AACN Adv Crit Care 2019 ;30(3):222-229

Elizabeth P. Gunter is Clinical Nurse Educator, Neuroscience, University of Texas Southwestern Medical Center, Dallas, Texas. Meera Viswanathan is Physician Assistant, Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas. Sonja E. Stutzman is Clinical Research Manager, Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas. DaiWai M. Olson is Professor, Neurological Surgery & Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas. Venkatesh Aiyagari is Professor, Neurological Surgery & Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, 5151 Harry Hines Blvd, Dallas, TX 75390

Patients hospitalized with neurologic and medical issues in the neuroscience critical care unit have widely varying and complex disease states that can change rapidly. The large amount of data that must be reviewed regularly by medical staff members presents a challenge to the provision of high-quality care to these patients. In an effort to lessen the burden, the authors' team implemented an electronic multidisciplinary rounding tool, which facilitates team communication by allowing accurate and concise review of patient information. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019815DOI Listing
February 2020
3 Reads

Electronic Person-Generated Health Data.

Authors:
Linda Harrington

AACN Adv Crit Care Fall 2019;30(3):217-221

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019553DOI Listing
February 2020
1 Read

Guidance for Transitioning Among Anticoagulants.

AACN Adv Crit Care Fall 2019;30(3):209-216

Joseph Trang is Clinical Pharmacy Manager, AdventHealth East Orlando, 7727 Lake Underhill Rd, Orlando, FL 32822 Nam H. Nguyen is Clinical Pharmacy Manager and Sandrine Huynh is Clinical Staff Pharmacist, AdventHealth Celebration, Celebration, Florida.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019172DOI Listing
February 2020
1 Read

"Why We Doing This?" Creating New Narratives to Meet Futility With Integrity.

AACN Adv Crit Care Summer 2019;30(2):198-203

Kathleen Turner is Clinical Nurse III, Medical-Surgical Intensive Care Unit, University of California San Francisco Medical Center, 505 Parnassus Avenue, Box 0210, San Francisco, CA 94117 Cynda Hylton Rushton is Anne and George L. Bunting Professor of Clinical Ethics, Johns Hopkins University School of Nursing and Berman Institute of Bioethics, Baltimore, Maryland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019597DOI Listing
December 2019
16 Reads

Determining Sample Size in Improvement Science Study Designs.

AACN Adv Crit Care Summer 2019;30(2):193-197

Leland Pung is Medical Student, Duke University School of Medicine, 307 Trent Drive, DUMC Box 3951, Durham, NC 27710 Colleen Maher is MBA Candidate, Duke University Fuqua School of Business, Durham, North Carolina. Bradi B. Granger is Professor, Duke University School of Nursing, and Director, Duke Heart Center Nursing Research Program, Durham, North Carolina.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019298DOI Listing
December 2019
3 Reads

Improving Collaborative Decision-making in the Pediatric Setting.

AACN Adv Crit Care Summer 2019;30(2):189-192

Pageen Manolis Small is Nurse Clinician, UW Health, 600 Highland Ave, Madison, WI 53792

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019934DOI Listing
December 2019
2 Reads

Joy in Work and Reducing Nurse Burnout: From Triple Aim to Quadruple Aim.

AACN Adv Crit Care Summer 2019;30(2):185-188

Beth Fitzpatrick is Adjunct Lecturer, University of Southern California Suzanne Dworak-Peck School of Social Work, 19735 Camino Arroyo, Walnut, CA 91789 Kelsey Bloore is RN V, Extracorporeal Membrane Oxygenation Specialist, Banner University Medical Center, Phoenix, Arizona. Nancy Blake is Assistant Adjunct Professor, University of California at Los Angeles School of Nursing, Los Angeles, California.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019833DOI Listing
December 2019
51 Reads

Missing Link: Clarity and Impact of Nurse Practitioners' Roles on Outcomes of Ventricular Assist Device Programs in the United States.

AACN Adv Crit Care Summer 2019;30(2):181-184

Jesus M. Casida is Faculty Associate, Johns Hopkins University School of Nursing, 525 N Wolfe St, Room 449, Baltimore, MD 21205 Caty Johnson is VAD Program Supervisor, Michigan Medicine Frankel Cardiovascular Center, Ann Arbor, Michigan. Sarah E. Schroeder is Mechanical Circulatory Support Nurse Practitioner and Program Coordinator, Bryan Heart Mechanical Circulatory Support Program, Lincoln, Nebraska.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019145DOI Listing
December 2019
24 Reads

Management of Select Thrombocytopenias.

AACN Adv Crit Care 2019 ;30(2):165-180

Thomas A. VanDruff is Critical Care Nurse Practitioner, PMA Health at the Virginia Hospital Center, 1625 North George Mason Drive, Arlington, VA 22205

Evaluating, diagnosing, and managing patients with consumptive thrombocytopenia is challenging because of the overlapping nature of many of the diseases that reduce platelet counts. Immune thrombocytopenia (and its variations), drug-induced immune thrombocytopenia, and heparin-induced thrombocytopenia result from autoimmune antibody-mediated destruction of platelets. Thrombotic thrombocytopenia (both congenital and acquired) and the hemolytic uremic syndromes (both typical and atypical) are thrombotic microangiopathies associated with platelet aggregation and consumption along with anemia and renal dysfunction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019186DOI Listing
December 2019
12 Reads

Hemophagocytic Lymphohistiocytosis.

AACN Adv Crit Care 2019 ;30(2):151-164

Janice Skinner is Adult Nurse Practitioner, School of Medicine, Department of Medicine Division of Hematology, Johns Hopkins Bayview Medical Center, Sydney Kimmel Cancer Center, 300 Mason Lord Dr, Baltimore MD 21224 Benedicta Yankey is Nurse Clinician, Sydney Kimmel Cancer Center, Johns Hopkins University, Baltimore, Maryland. Brenda K. Shelton is Clinical Nurse Specialist, Sydney Kimmel Cancer Center, Johns Hopkins University, Baltimore, Maryland.

Hemophagocytic lymphohistiocytosis is a life-threatening condition associated with hyperinflammation and multiple organ dysfunction. It has many causes, symptoms, and outcomes. Early recognition is critical for treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4037/aacnacc2019463DOI Listing
December 2019
8 Reads