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


Silence: A Never Event.

AACN Adv Crit Care Winter 2018;29(4):449-451

Michael H. Ackerman is Director, Master in Healthcare Innovation Program, Professor, Clinical Nursing, College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201883
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http://dx.doi.org/10.4037/aacnacc2018830DOI Listing
December 2018
6 Reads

Application of Hotspotting in Acute Care Settings.

AACN Adv Crit Care Winter 2018;29(4):444-448

Andrea N. Matsumoto is a Doctor of Nursing Practice student, Adult-Gerontology Acute Care, University of Michigan, Ann Arbor, Michigan. Michelle Pardee is Clinical Assistant Professor, University of Michigan, 426 North Ingalls Building, Ann Arbor, MI 48109-2003 Jesus Casida is Faculty Associate, Johns Hopkins University School of Nursing, Baltimore, Maryland.

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201833
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http://dx.doi.org/10.4037/aacnacc2018337DOI Listing
December 2018
13 Reads

Tunneled Pleural Catheter: Treatment for Recurrent Pleural Effusion.

AACN Adv Crit Care 2018 ;29(4):432-441

Chelsea Miller is Advanced Practice Provider Clinical Resident, Emory Healthcare, 1364 Clifton Road, Atlanta, GA 30322 Elizabeth Bridges is Professor, University of Washington School of Nursing, Seattle, Washington. Balaji Laxmanan is Director, Interventional Pulmonology, Confluence Health, Wenatchee, Washington. Paula Cox-North is Lecturer, University of Washington School of Nursing, Department of Biobehavioral Nursing and Health Informatics, Seattle, Washington. Hilaire Thompson is Joanne Montgomery Endowed Professor and Lead, Adult/Gerontology Acute Care Nurse Practitioner Program, University of Washington School of Nursing, Seattle, Washington.

Recurrent pleural effusion is a symptom of several end-stage diseases and is associated with limited life expectancy. Patients with this condition have disabling symptoms resulting in reduced quality of life and often receive inconsistent treatment due to delayed recognition of pleural effusion, repeat procedures, and lengthy hospitalizations. Placement of a tunneled pleural catheter allows the patient to manage his or her symptoms at home, yet this treatment remains underused because of provider misconceptions and unfamiliarity with the intervention. Read More

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201880
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http://dx.doi.org/10.4037/aacnacc2018806DOI Listing
January 2018
15 Reads

Reducing Tracheostomy-Related Pressure Injuries.

AACN Adv Crit Care 2018 ;29(4):426-431

Lois M. Dixon is Wound Ostomy Continence Clinical Leader, Christiana Care Health System, 4755 Ogletown-Stanton Road, Newark, DE 19718 Susan Mascioli is Director, Nursing Quality and Safety, Christiana Care Health System, Newark, Delaware. Jefferson H. Mixel is Clinical Manager, Department of Respiratory Care, Christiana Care Health System, Newark, Delaware. Tom Gillin is Critical Care Coordinator, Department of Respiratory Care, Christiana Care Health System, Newark, Delaware. Camille N. Upchurch is Physician, Christiana Care Hospitalist Partners, Christiana Care Health System, Newark, Delaware. Kevin M. Bradley is Medical Director of the Trauma Program, Christiana Care Health System, Newark, Delaware.

An interprofessional team was established to prevent tracheostomy-related acquired pressure injuries. The team performed an in-depth analysis of practice from tracheostomy insertion through postinsertion care. A literature evaluation identified best practices, and a root cause analysis for all tracheostomy-related pressure injury cases identified common causes. Read More

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http://dx.doi.org/10.4037/aacnacc2018426DOI Listing
January 2018
2 Reads

Acute Respiratory Distress Syndrome and Prone Positioning.

AACN Adv Crit Care 2018 ;29(4):415-425

Dannette A. Mitchell is Critical Care Clinical Nurse Specialist, Christiana Care Health Service, Wilmington Hospital, 501 W 14th Street, Intensive Care and Transitional Care Unit - 6S45, Wilmington, DE 19801 Maureen A. Seckel is Lead Critical Care Clinical Nurse Specialist and Sepsis Leader, Christiana Care Health Service, Christiana Hospital, Newark, Delaware.

Acute respiratory distress syndrome continues to have high morbidity and mortality despite more than 50 years of research. The Berlin definition in 2012 established risk stratification based on degree of hypoxemia and the use of positive end-expiratory pressure. The use of prone positioning as a treatment modality has been studied for more than 40 years, with recent studies showing an improvement in oxygenation and decreased mortality. Read More

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http://dx.doi.org/10.4037/aacnacc2018161DOI Listing
January 2018
8 Reads

Capnography Monitoring During Procedural Sedation and Analgesia.

Authors:
John J Gallagher

AACN Adv Crit Care 2018 ;29(4):405-414

John J. Gallagher is Trauma Program Manager/Clinical Nurse Specialist at Penn Presbyterian Medical Center, 51 N 39th Street, Medical Office Building, Suite 120, Philadelphia, PA 19104

Procedural sedation is used to alleviate pain and anxiety associated with diagnostic procedures in the acute care setting. Although commonly used, procedural sedation is not without risk. Key to reducing this risk is early identification of risk factors through presedation screening and monitoring during the procedure. Read More

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http://dx.doi.org/10.4037/aacnacc2018684DOI Listing
January 2018
2 Reads

Alternative Modes of Mechanical Ventilation.

Authors:
John J Gallagher

AACN Adv Crit Care 2018 ;29(4):396-404

John J. Gallagher is Trauma Program Manager/Clinical Nurse Specialist at Penn Presbyterian Medical Center, 51 N 39th Street, Medical Office Building, Suite 120, Philadelphia, PA 19104

Modern mechanical ventilators are more complex than those first developed in the 1950s. Newer ventilation modes can be difficult to understand and implement clinically, although they provide more treatment options than traditional modes. These newer modes, which can be considered alternative or nontraditional, generally are classified as either volume controlled or pressure controlled. Read More

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http://dx.doi.org/10.4037/aacnacc2018372DOI Listing
January 2018
2 Reads

Advances in Evidence-Based Pulmonary Care.

Authors:
Maureen A Seckel

AACN Adv Crit Care Winter 2018;29(4):394-395

Maureen A. Seckel is Lead Critical Care Clinical Nurse Specialist and Sepsis Leader, Christiana Care Health Service, Christiana Hospital, 4755 Ogletown-Stanton Road, Medical Intensive Care Unit - 3E29, Newark, DE 19718

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http://dx.doi.org/10.4037/aacnacc2018422DOI Listing
December 2018
1 Read

Boot Camp for Caregivers of Children With Medically Complex Conditions.

AACN Adv Crit Care 2018 ;29(4):382-392

Julie Van Orne is Clinical Nurse Leader, Cook Children's Medical Center, 801 Seventh Ave, Fort Worth, TX 76104 Kaylan Branson is Clinical Nurse Leader, Cook Children's Medical Center, Fort Worth, Texas. Mary Cazzell is Director of Nursing Research and Evidence Based Practice, Cook Children's Medical Center, Fort Worth, Texas.

Background: The safe transition of children with complex medical conditions who are dependent on technology from hospital to home requires that caregivers receive specialized training from qualified health care professionals. Inadequate caregiver training can lead to discharge delays and hospital readmissions, often resulting in caregiver distress.

Objective: To determine the effectiveness of a structured boot camp-style predischarge training program for caregivers of pediatric patients with complex medical conditions. Read More

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http://dx.doi.org/10.4037/aacnacc2018873DOI Listing
January 2018
1 Read

Interoperability of Infusion Pumps With Electronic Health Records.

Authors:
Linda Harrington

AACN Adv Crit Care Winter 2018;29(4):377-381

Linda Harrington is an Independent Consultant, Health Informatics and Digital Strategy, and Professor, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030

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http://dx.doi.org/10.4037/aacnacc2018874DOI Listing
December 2018
1 Read

Acute Management of Upper Gastrointestinal Bleeding.

AACN Adv Crit Care Winter 2018;29(4):369-376

Whitney Gibson is Critical Care Pharmacist, Department of Pharmacy Services, Tampa General Hospital, 1 Tampa General Circle, Tampa, FL 33606 Nicholas Scaturo is Emergency Medicine Clinical Pharmacist, Sarasota Memorial Hospital, Sarasota, Florida. Christopher Allen is Critical Care Clinical Pharmacist, Trauma Surgical Critical Care, Department of Pharmacy Services, Tampa General Hospital, Tampa, Florida.

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http://dx.doi.org/10.4037/aacnacc2018644DOI Listing
December 2018
2 Reads

Wellens Syndrome.

Authors:
Karen M Marzlin

AACN Adv Crit Care 2018 ;29(3):360-364

Karen M. Marzlin is an APRN, Aultman Hospital; Adjunct Faculty, Malone University; and Owner/Author/Educator/Consultant, Key Choice/Cardiovascular Nursing Education Associates, 4565 Venus Rd, Union-town, OH 44685

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201828
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http://dx.doi.org/10.4037/aacnacc2018289DOI Listing
January 2019
16 Reads

Applications of Grief and Bereavement Theory for Critical Care Nurses.

AACN Adv Crit Care Fall 2018;29(3):354-359

Elizabeth G. Broden is a Registered Nurse, Pediatric Intensive Care Unit, Children's Hospital of Philadelphia, and a doctoral student, University of Pennsylvania School of Nursing, 418 Curie Blvd #425, Philadelphia, PA 19104 Melissa Kurtz Uveges is a Post-Doctoral Fellow, Center for Bioethics, Harvard Medical School, Boston, Massachusetts.

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201859
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http://dx.doi.org/10.4037/aacnacc2018595DOI Listing
January 2019
16 Reads

Using Health System Data for Improvement Science: Getting Started.

AACN Adv Crit Care Fall 2018;29(3):348-353

Yanfang Zhao is Statistician, SAS Institute Inc, Cary, North Carolina. Bradi B. Granger is Professor, Duke University School of Nursing and Director, Duke Heart Center Nursing Research Program, 307 Trent Drive, Durham, NC 27710

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http://dx.doi.org/10.4037/aacnacc2018653DOI Listing
January 2019
1 Read

Identifying Risk for Falls in Pediatric Patients.

Authors:
Lori Williams

AACN Adv Crit Care Fall 2018;29(3):343-347

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

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http://dx.doi.org/10.4037/aacnacc2018936DOI Listing
January 2019
4 Reads

Clinical Presentation and Treatment of Amniotic Fluid Embolism.

AACN Adv Crit Care 2018 ;29(3):336-342

Anne-Marie McBride is Clinical Nurse, Intensive Care, Calvary North Adelaide Hospital, 23 Strangways Terrace, North Adelaide, 5006 Australia

Obstetric emergencies often require intensive care intervention. Amniotic fluid embolism is a rare, unpredictable, and often catastrophic complication of pregnancy that is suspected in a woman who experiences cardiac arrest after a cesarean section. The condition occurs in approximately 1 in 40 000 births and has an average case-fatality rate of 16%. Read More

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201841
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http://dx.doi.org/10.4037/aacnacc2018419DOI Listing
January 2019
15 Reads

Pulmonary Edema in Obstetrics: Essential Facts for Critical Care Nurses.

Authors:
Rebecca L Cypher

AACN Adv Crit Care 2018 ;29(3):327-335

Rebecca L. Cypher is a Perinatal Nurse Practitioner and Consultant, 7814 108th St NW, Gig Harbor, WA 98332

Pulmonary edema is an acute pregnancy complication that, if uncorrected, can result in increased maternal and fetal morbidity and mortality. Although pulmonary edema is relatively rare in the general obstetrics population, pregnant patients are at increased risk for pulmonary edema because of the physiologic changes of pregnancy. The risk may be exacerbated by certain pregnancy-related diseases, such as preeclampsia. Read More

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http://dx.doi.org/10.4037/aacnacc2018958DOI Listing
January 2019
1 Read

Preeclampsia: Acute Complications and Management Priorities.

AACN Adv Crit Care 2018 ;29(3):316-326

Patricia M. Witcher is Clinical Outcomes Manager, Women's Services, Northside Hospital, 1000 Johnson Ferry Road, Atlanta, GA 30342

Acute complications of preeclampsia contribute substantially to maternal and fetal morbidity and mortality. The considerable variation in onset, clinical presentation, and severity of this hypertensive disease that is unique to pregnancy creates challenges in identifying risk factors for clinical deterioration. Delivery of the fetus remains the only definitive treatment for preeclampsia. Read More

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http://dx.doi.org/10.4037/aacnacc2018710DOI Listing
January 2019
16 Reads

Recognition and Management of Sepsis in the Obstetric Patient.

AACN Adv Crit Care 2018 ;29(3):303-315

Sheryl E. Parfitt is Clinical Educator, HonorHealth Scottsdale Shea Medical Center, 9003 E. Shea Boulevard, Scottsdale, AZ 85260 Sandra L. Hering is Informatics Support Specialist, Honor-Health Scottsdale Shea Medical Center, Scottsdale, Arizona.

Sepsis is one of the principal causes of maternal mortality in obstetrics. Physiologic changes that occur during pregnancy create a vulnerable environment, predisposing pregnant patients to the development of sepsis. Furthermore, these changes can mask sepsis indicators normally seen in the nonobstetric population, making it difficult to recognize and treat sepsis in a timely manner. Read More

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http://dx.doi.org/10.4037/aacnacc2018171DOI Listing
January 2019
16 Reads

Cardiac Disease in Pregnancy.

AACN Adv Crit Care 2018 ;29(3):295-302

Stephanie Martin is Medical Director and Co-owner, Clinical Concepts in Obstetrics, LLC, 4422 N 75th St, Unit 4012, Scottsdale, AZ 85251 Julie Arafeh is Simulation Director and Co-owner, Clinical Concepts in Obstetrics, LLC, Hollister, California.

In the United States, cardiac disease is a leading contributor to maternal mortality and morbidity. This review addresses the impact of cardiac disease on management of pregnancy and how the physiological changes of pregnancy complicate patient treatment. Approaches to assessing risk in pregnant women with cardiac disease are reviewed. Read More

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201861
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http://dx.doi.org/10.4037/aacnacc2018615DOI Listing
January 2019
5 Reads

Evidence-Based Strategies for Maternal Stabilization and Rescue in Obstetric Hemorrhage.

Authors:
Carol J Harvey

AACN Adv Crit Care 2018 ;29(3):284-294

Carol J. Harvey is Clinical Specialist, Women's Services and Patient Care Administration, Northside Hospital, 1000 Johnson Ferry Rd, Atlanta, GA 30342

Obstetric hemorrhage is one of the most frequent causes of maternal death in the United States. More than 70% of maternal deaths from hemorrhage are preventable. State and professional quality care organizations have reduced severe maternal morbidity by more than 20% by implementing evidence-based guidelines. Read More

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http://dx.doi.org/10.4037/aacnacc2018966DOI Listing
January 2019
4 Reads

Physiologic and Hemodynamic Changes During Pregnancy.

Authors:
Nan H Troiano

AACN Adv Crit Care 2018 ;29(3):273-283

Nan H. Troiano is a Consultant, Perinatal Nursing, High Risk and Critical Care Obstetrics, PO Box 465, Arley, AL 35541

Substantial physiologic changes accompany pregnancy, the most profound of which involve the cardiovascular system. These changes affect maternal hemodynamic and oxygen transport status. This article describes cardiovascular changes that occur during pregnancy including blood volume, heart rate, stroke volume, cardiac output, vascular resistance, and colloid osmotic pressure. Read More

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201891
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http://dx.doi.org/10.4037/aacnacc2018911DOI Listing
January 2019
18 Reads

Critical Care Obstetrics.

AACN Adv Crit Care Fall 2018;29(3):269-272

Margaret (Betsy) Babb Kennedy is Professor of Nursing, Assistant Dean for Nontenure Track Faculty Affairs and Advancement, Vanderbilt University School of Nursing, 462 21st Ave South, Nashville, TN 37240 Suzanne McMurtry Baird is Nursing Director, Clinical Concepts in Obstetrics LLC, 101 Creekside Crossing, Suite 1700-136, Brentwood, TN 37027

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http://dx.doi.org/10.4037/aacnacc2018908DOI Listing
January 2019
2 Reads

Impact of Coaching on the Nurse-Physician Dynamic.

AACN Adv Crit Care 2018 ;29(3):259-267

Fayyadh R. Yusuf is Director of Physician Development, Department of Neurosurgery; Chief Culture Officer, Neuro-Science Institute; and Faculty, Clinical Affairs, University of South Florida, 1 Tampa General Circle, G441, Tampa, FL 33606 Ambuj Kumar is Professor, Internal Medicine, University of South Florida, Tampa, Florida. Wendi Goodson-Celerin is Director of Acute Surgical Inpatient, Tampa General Hospital, Tampa, Florida. Tracey Lund is Nurse Manager, Neuroscience Intensive Care Unit 2, Tampa General Hospital, Tampa, Florida. Janet Davis is Senior Vice President and Chief Nursing Officer, Tampa General Hospital, Tampa, Florida. Mary Kutash is a Nurse Specialist, Nurse Research, Tampa General Hospital, Tampa, Florida. Charles N. Paidas is Chief, General Surgery, Nemours, Alfred I. duPont Hospital for Children, Wilmington, Delaware.

Background: Limited resources and increased patient care demands have strained nurse-physician relationships in our hospital's neurosurgical intensive care unit, leading to low morale and adversarial dynamics. Studies exploring benefits of coaching interprofessional teamwork demonstrate performance improvements. Therefore, a coaching program designed to improve nurse-physician teamwork was initiated by the neurosurgery department of the hospital's affiliated university. Read More

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201862
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http://dx.doi.org/10.4037/aacnacc2018624DOI Listing
January 2019
24 Reads

Pharmacokinetics and Extracorporeal Membrane Oxygenation in Adults: A Literature Review.

Authors:
Monika Tukacs

AACN Adv Crit Care 2018 ;29(3):246-258

Monika Tukacs is Clinical Nurse III, Cardiothoracic Intensive Care Unit, Columbia University Irving Medical Center and New York-Presbyterian Hospital; and Academic Research Fellow at the Columbia University School of Nursing, 177 Fort Washington Ave, New York, NY 10032

Extracorporeal membrane oxygenation is a rapidly emerging treatment for respiratory or cardiac failure and is used as a bridge to recovery, transplant, or destination therapy. Adult patients receiving extracorporeal membrane oxygenation also receive significant amounts of pharmacotherapy. Although the body of literature on extra-corporeal membrane oxygenation in general is extensive, only a few publications focus on pharmacokinetic changes related to extracorporeal membrane oxygenation in adults. Read More

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http://dx.doi.org/10.4037/aacnacc2018439DOI Listing
January 2019
10 Reads

Building Healthier Workplaces by Giving Space for Work-Related Grief.

Authors:
Hui-Wen Sato

AACN Adv Crit Care Fall 2018;29(3):244-245

Hui-wen Sato is Staff Nurse, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA 90027

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http://dx.doi.org/10.4037/aacnacc2018111DOI Listing
January 2019
1 Read

From Apps to mHealth: Informing, Interacting, and Changing Behavior.

Authors:
Linda Harrington

AACN Adv Crit Care Fall 2018;29(3):240-243

Linda Harrington is an Independent Consultant, Health Informatics and Digital Strategy, and Professor, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030

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http://dx.doi.org/10.4037/aacnacc2018240DOI Listing
January 2019
1 Read

Acute Decompensated Heart Failure: A Pharmacotherapy Approach.

AACN Adv Crit Care Fall 2018;29(3):233-239

Mark Priddy is a first-year pharmacy practice resident, Tampa General Hospital, PO Box 1289, Tampa, FL 33601-1289 Czarina Bock is Clinical Pharmacist, Coronary Care Unit, Tampa General Hospital, Tampa, Florida.

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http://dx.doi.org/10.4037/aacnacc2018293DOI Listing
January 2019
1 Read

Takotsubo Syndrome: A Myocardial Mimic.

Authors:
Cynthia Webner

AACN Adv Crit Care Summer 2018;29(2):221-226

Cynthia Webner is Owner/Author/Educator/Consultant, Key Choice/Cardiovascular Nursing Education Associates, 4998 Searls Dr NW, North Canton, OH 44720

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http://dx.doi.org/10.4037/aacnacc2018746DOI Listing
January 2019
15 Reads

Distress Debriefings After Critical Incidents: A Pilot Project.

AACN Adv Crit Care Summer 2018;29(2):213-220

Kerry P. Appleton is Clinical Education Specialist, Children's Minnesota, 2525 Chicago Avenue South, Minneapolis, MN 55404 Suzanne Nelson is Simulation Specialist, Children's Minnesota, Minneapolis, Minnesota. Shawn Wedlund is Pediatric Nurse Practitioner, Neurosurgery Department, Gillette Children's Specialty Healthcare, Saint Paul, Minnesota.

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201879
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http://dx.doi.org/10.4037/aacnacc2018799DOI Listing
January 2019
40 Reads

Science of Improvement Versus Science of Implementation: Integrating Both Into Clinical Inquiry.

Authors:
Bradi B Granger

AACN Adv Crit Care Summer 2018;29(2):208-212

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

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http://dx.doi.org/10.4037/aacnacc2018757DOI Listing
January 2019
6 Reads

Minimizing Alarm Fatigue: Pediatric Perspective.

Authors:
Lori Williams

AACN Adv Crit Care Summer 2018;29(2):204-207

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

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http://dx.doi.org/10.4037/aacnacc2018946DOI Listing
January 2019
9 Reads

Evidence-Based Review of Clinical Trials in Neurocritical Care.

AACN Adv Crit Care 2018 ;29(2):195-203

Molly McNett is Director, Nursing Research and Evidence-Based Practice, The MetroHealth System, Nursing Business Office, 2500 MetroHealth Dr, Cleveland, OH 44109 Cristina Moran is Clinical Nurse, Trauma Surgical Intensive Care Unit, MetroHealth Medical Center, Cleveland, Ohio. Halee Johnson is Advanced Practice Registered Nurse, Department of Neurosurgery, The MetroHealth System, Cleveland, Ohio.

Neurocritical care is a rapidly growing specialty of complex care for the critically ill patient with neurological injury. This rapid growth has led to an increase in the number of important clinical trials to guide clinical practice and evidence-based care of the critically ill patient with neurological injury. Specialty-trained critical care nurses and advanced practice providers are integral members of neurocritical care teams and must remain informed about pivotal trials shaping practice recommendations. Read More

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http://dx.doi.org/10.4037/aacnacc2018200DOI Listing
January 2019
4 Reads

Multimodal Neuromonitoring in Neurocritical Care.

AACN Adv Crit Care 2018 ;29(2):183-194

Sarah H. Peacock is Acute Care Nurse Practitioner, Department of Critical Care Medicine, Instructor of Medicine, College of Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32224 Amanda D. Tomlinson is Acute Nurse Practitioner, Department of Critical Care Medicine, Instructor of Neurology, College of Medicine, Mayo Clinic, Jacksonville, Florida.

Neuromonitoring is important for patients with acute brain injury. The bedside neurologic examination is standard for neurologic monitoring; however, a clinical examination may not reliably detect subtle changes in intracranial physiology. Changes found during neurologic examinations are often late signs. Read More

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http://dx.doi.org/10.4037/aacnacc2018632DOI Listing
January 2019
8 Reads

Critical Care Transport of Patients With Brain Injuries.

Authors:
Rachel Zayas

AACN Adv Crit Care 2018 ;29(2):175-182

Rachel Zayas is a Critical Care Transport Registered Nurse, Cleveland Clinic Critical Care Transport, 9500 Euclid Avenue, Cleveland, OH 44195

Critical care transport began in the 1970s as a response to the growing need to be able to transport critically ill and injured patients to tertiary care centers for higher levels of care or specialized treatments. Patients in critical condition now are transported great distances to receive potentially lifesaving treatment and interventions. Modes of critical care transport include ambulances, helicopters, and airplanes. Read More

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201843
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http://dx.doi.org/10.4037/aacnacc2018432DOI Listing
January 2019
6 Reads

Aneurysmal Subarachnoid Hemorrhage and Vasospasm.

AACN Adv Crit Care 2018 ;29(2):163-174

Shannon K. Burns is Neurocritical Care Nurse Practitioner, Neurocritical Care, University of Florida Health Jacksonville, Jacksonville, FL, 32209 Kacie J. Brewer is Neurosurgical Physician Assistant, University of Florida Health Jacksonville. Courtney Jenkins is Neurosurgical Nurse Practitioner, University of Florida Health Jacksonville. Sally Miller is Neurocritical Care Nurse Practitioner, University of Florida Health Jacksonville.

Aneurysmal subarachnoid hemorrhage is potentially fatal and is associated with poor outcomes in many patients. Advances in neurosurgical and medical management of ruptured aneurysms have improved mortality rates in patients with aneurysmal subarachnoid hemorrhage. Surgical and endovascular interventions, such as external ventricular drain placement, aneurysm clipping, and endovascular coiling, have been developed over the past few decades. Read More

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201849
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http://dx.doi.org/10.4037/aacnacc2018491DOI Listing
January 2019
9 Reads

Acute Ischemic Stroke.

AACN Adv Crit Care 2018 ;29(2):152-162

Bryan Boling is Advanced Practice Provider, Department of Anesthesiology, Division of Critical Care, University of Kentucky, 800 Rose St, Suite N204, Lexington, KY 40536 Katie Keinath is Advanced Practice Provider, Department of Anesthesiology, Division of Critical Care, University of Kentucky, Lexington, Kentucky.

Acute ischemic stroke is a major cause of mortality and morbidity in the United States and worldwide. Despite the development of specialized stroke centers, mortality and morbidity as a result of acute ischemic strokes can and do happen anywhere. These strokes are emergency situations requiring immediate intervention. Read More

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http://dx.doi.org/10.4037/aacnacc2018483DOI Listing
January 2019
8 Reads

Neurocritical Care: The Continued Evolution.

AACN Adv Crit Care Summer 2018;29(2):150-151

Diane C. McLaughlin is Acute Care Nurse Practitioner, Department of Critical Care Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32226

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http://dx.doi.org/10.4037/aacnacc2018750DOI Listing
January 2019
4 Reads

Nurse Practitioners and Interdisciplinary Teams in Pediatric Critical Care.

AACN Adv Crit Care 2018 ;29(2):138-148

Kristin H. Gigli is a doctoral student, Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240 Mary S. Dietrich is Professor, Vanderbilt University School of Nursing, Nashville, Tennessee. Peter I. Buerhaus is Professor, Montana State University College of Nursing, Bozeman, Montana. Ann F Minnick is Senior Associate Dean for Research, Julia Eleanor Chenault Professor of Nursing, Vanderbilt University School of Nursing, Nashville, Tennessee.

Objective: To describe the members of pediatric intensive care unit interdisciplinary provider teams and labor inputs, working conditions, and clinical practice of pediatric intensive care unit nurse practitioners.

Methods: A national, quantitative, crosssectional, descriptive postal survey of pediatric intensive care unit medical directors and nurse practitioners was administered to gather information about provider-team members, pediatric intensive care unit nurse practitioner labor inputs, working conditions, and clinical practice. Descriptive statistics, cross-tabulations, and χ tests were used. Read More

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http://dx.doi.org/10.4037/aacnacc2018588DOI Listing
January 2019
5 Reads

Hemodynamics and Perfusion in Premature Infants During Transfusion.

AACN Adv Crit Care 2018 ;29(2):126-137

Barbara Weaver is Adjunct Faculty, Georgia College and State University, Campus Box 063, Milledgeville, GA 31061-0490 Kelsey Guerreso is Medical Student IV, Mercer University School of Medicine, Macon, Georgia. E. Alexander Conner is Medical Student IV, Mercer University School of Medicine, Macon, Georgia. Kendra Russell is Professor and Director, Program Innovation & Evaluation-Nursing, Middle Georgia State University, Macon, Georgia. Robert Vogel is Professor, Department of Biostatistics and Epidemiology, Jian-Ping Hsu College of Public Health, Georgia Southern University, Macon, Georgia. Mitch Rodriguez is Medical Director, Neonatal Intensive Care Unit, Navicent Health/Mercer University Pediatrics Residency Program, Macon, Georgia.

Background: Premature infants may require packed red blood cell transfusions, but current guidelines lack empirical evidence and vary among institutions and prescribers.

Objective: To compare the physiological changes in cardiovascular hemodynamics and oxygen delivery between premature infants with anemia who receive packed red blood cell transfusions and premature infants without anemia.

Methods: The study was a prospective observational cohort investigation of 75 premature infants. Read More

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201840
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http://dx.doi.org/10.4037/aacnacc2018402DOI Listing
January 2019
9 Reads

Pulse Pressure and Mortality Risk in Critically Ill Patients.

AACN Adv Crit Care 2018 ;29(2):118-125

Dúnia Abou Jokh Chaaya is a resident, highly complex cardiopneumology, School of Nursing and Heart Institute, University of São Paulo, Brazil. Lilia de Souza Nogueira is Professor, Department of Medical-Surgical Nursing, School of Nursing, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 419, 05403-000, São Paulo, SP, Brazil Rita de Cassia Gengo e Silva Butcher is Professor, Department of Medical-Surgical Nursing, School of Nursing, University of São Paulo, Brazil. Jéssica Zamora Reboreda is a resident, highly complex cardiopneumology, School of Nursing and Heart Institute, University of São Paulo, Brazil. Ane Karoline Silva Bonfim is a PhD student, adult health nursing, School of Nursing, University of São Paulo, Brazil. Katia Grillo Padilha is Professor, Department of Medical-Surgical Nursing, School of Nursing, University of São Paulo, Brazil.

Background: Pulse pressure is a hemodynamic variable easily measured in the intensive care unit.

Objective: To investigate whether pulse pressure is an independent risk factor for mortality in intensive care unit patients.

Methods: A retrospective cohort study was carried out in Brazil. Read More

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http://dx.doi.org/10.4037/aacnacc2018335DOI Listing
January 2019
4 Reads

Resilience During Difficult Times in Health Care.

Authors:
Nancy Blake

AACN Adv Crit Care Summer 2018;29(2):115-117

Nancy Blake is Assistant Adjunct Professor, University of California Los Angeles School of Nursing, 700 Tiverton Ave, Los Angeles, CA 90024

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http://dx.doi.org/10.4037/aacnacc2018737DOI Listing
January 2019
5 Reads

Preventing Central Line-Associated Bloodstream Infection in Pediatric Oncology Care.

AACN Adv Crit Care Summer 2018;29(2):111-114

Elizabeth A. Duffy is Clinical Assistant Professor at the University of Michigan School of Nursing, 426 North Ingalls, Room 4134, Ann Arbor, MI 48109 Margaret Rabatin is Nurse Practitioner, Department of Pediatric Hematology and Oncology, Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee.

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http://dx.doi.org/10.4037/aacnacc2018390DOI Listing
January 2019
4 Reads

Nurse Robots.

Authors:
Linda Harrington

AACN Adv Crit Care 2018 ;29(2):107-110

Linda Harrington is an Independent Consultant, Health Informatics and Digital Strategy, and Professor, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201824
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http://dx.doi.org/10.4037/aacnacc2018248DOI Listing
January 2019
7 Reads

Ketamine Use in the Intensive Care Unit.

AACN Adv Crit Care 2018 ;29(2):101-106

Patrick M. Wieruszewski is PGY-2 Critical Care Pharmacy Resident, Department of Pharmacy, Mayo Clinic, Rochester, Minnesota. Jonathan G. Leung is Clinical Pharmacist, Psychiatric Specialist, Department of Pharmacy, Mayo Clinic, Rochester, Minnesota. Sarah Nelson is Clinical Pharmacist, Critical Care Specialist, Department of Pharmacy, Mayo Clinic, 200 First Street SW, Rochester, MN 55905

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http://dx.doi.org/10.4037/aacnacc2018448DOI Listing
January 2019
5 Reads

Ketogenic Therapy: First-Line Management of Intractable Seizures in Children.

Authors:
Lori Williams

AACN Adv Crit Care 2018 ;29(1):91-94

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

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http://dx.doi.org/10.4037/aacnacc2018593DOI Listing
October 2018
14 Reads

Clinical Nurse Specialists Fostering Palliative Care Skills.

AACN Adv Crit Care 2018 ;29(1):84-90

Deborah M. Price is Clinical Assistant Professor, University of Michigan School of Nursing, 426 N Ingalls Street #4122, Ann Arbor, MI 48109 Mary Jo Kocan is Clinical Nurse Specialist, Neuroscience ICU/Stroke Unit, University of Michigan Health System, Ann Arbor, Michigan.

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http://acc.aacnjournals.org/lookup/doi/10.4037/aacnacc201828
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http://dx.doi.org/10.4037/aacnacc2018286DOI Listing
October 2018
11 Reads

Lung Disease and Genomics.

Authors:
Kenneth Wysocki

AACN Adv Crit Care 2018 ;29(1):74-83

Kenneth Wysocki is a Family Nurse Practitioner, Phoenix, AZ

Research and application of genomic medicine in lung disease during the past century has clarified our understanding and focus on specific phenotypes, helping clinicians tailor treatment for individual patients. Cystic fibrosis and lung cancer have been researched extensively; specific genotypes have been instrumental in precision medicine to treat these lung diseases. Asthma and chronic obstructive pulmonary disease are more complex and heterogeneous in their pathogenesis, genotypic profile, and phenotypic expression, making treatment more difficult with increasing disease severity. Read More

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http://dx.doi.org/10.4037/aacnacc2018378DOI Listing
October 2018
5 Reads

Genetics and Genomics of Acute Neurologic Disorders.

AACN Adv Crit Care 2018 ;29(1):57-75

Megan Maserati is a PhD student at University of Pittsburgh, Pittsburgh, Pennsylvania. Sheila A. Alexander is Associate Professor, University of Pittsburgh, 336 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261

Neurologic diseases and injuries are complex and multifactorial, making risk prediction, targeted treatment modalities, and outcome prognostication difficult and elusive. Genetics and genomics have affected clinical practice in many aspects in medicine, particularly cancer treatment. Advancements in knowledge of genetic and genomic variability in neurologic disease and injury are growing rapidly. Read More

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http://dx.doi.org/10.4037/aacnacc2018566DOI Listing
October 2018
7 Reads

Cardiac Channelopathies: Recognition, Treatment, Management.

AACN Adv Crit Care 2018 ;29(1):43-57

Kathleen T. Hickey is Professor of Nursing, Columbia University Medical Center, 622 W 168th St, New York, NY 10032 Amir Elzomor is a premedical student at the Albert Dorman Honors College at the New Jersey Institute of Technology, Newark, New Jersey.

The discovery of the human genome has ushered in a new era of molecular testing, advancing our knowledge and ability to identify cardiac channelopathies. Genetic variations can affect the opening and closing of the potassium, sodium, and calcium channels, resulting in arrhythmias and sudden death. Cardiac arrhythmias caused by disorders of ion channels are known as cardiac channelopathies. Read More

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http://dx.doi.org/10.4037/aacnacc2018664DOI Listing
October 2018
6 Reads