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    742 results match your criteria Australian Critical Care [Journal]

    1 OF 15

    Outcomes for haematological cancer patients admitted to an intensive care unit in a university hospital.
    Aust Crit Care 2018 Feb 8. Epub 2018 Feb 8.
    CIBERES, Vall d'Hebron Institut of Research, Barcelona, Spain.
    Background: Haematological cancer (HC) patients are increasingly requiring intensive care (ICUs). The aim of this study was to investigate the outcome of HC patients in our ICU and evaluate 5 days-full support as a breakpoint for patients' re-assessment for support.

    Methods: Retrospective study enrolling 112 consecutive HC adults, requiring ICU in January-December 2015. Read More

    The impact on new-onset stress and PTSD in relatives of critically ill patients explored by diaries study (The "INSPIRED" study).
    Aust Crit Care 2017 Dec 15. Epub 2017 Dec 15.
    Intensive Care Unit, Royal Adelaide Hospital and the Discipline of Acute Care Medicine, University of Adelaide, Australia.
    Background: There is rising prevalence of post-traumatic-stress-disorder (PTSD) in patients and their relatives after ICU discharge. The impact of ICU diaries on PTSD in relatives of critically ill patients in Australia has not been fully evaluated.

    Objectives: To determine if relatives of an Australian critically ill population were interested in using ICU diaries. Read More

    Healthcare-associated respiratory infections in intensive care unit can be reduced by a hand hygiene program: A multicenter study.
    Aust Crit Care 2017 Dec 13. Epub 2017 Dec 13.
    Department of Medical Sciences and Public Health, University of Cagliari, Italy. Electronic address:
    Purpose: Healthcare-associated respiratory tract infections are common and markedly affecting the quality of life and mortality, as well as increasing costs for health systems due to prolonged hospitalisation. This study aimed to assess the change in both level and trend of respiratory tract infections after a specific hand hygiene program for intensive care unit (ICU) staff.

    Materials And Methods: The infection data collection was carried out from January 2013 to August 2014. Read More

    Stress prevalence and stressors among anaesthesiology and intensive care unit workers: A multicentre survey study.
    Aust Crit Care 2017 Dec 13. Epub 2017 Dec 13.
    1st Clinic of Anesthesiology and Intensive Therapy Medical University of Lublin, Ul. Jaczewskiego 8, 20-093, Lublin, Poland.
    Background: High stress levels have been commonly reported among ICU workers. Currently, anaesthesiology is safer for the patient but more stressful for the staff working in this branch of medicine. ICU and anaesthesiology personnel are prone to stress because of the specific character of their work. Read More

    ACCCN Workforce Standards for Intensive Care Nursing: Systematic and evidence review, development, and appraisal.
    Aust Crit Care 2017 Dec 12. Epub 2017 Dec 12.
    Australian Catholic University, Brisbane, Australia; Nursing Research & Practice Development Centre, The Prince Charles Hospital, Brisbane, Australia; Australian College of Critical Care Nurses.
    Background: The intensive care nursing workforce plays an essential role in the achievement of positive healthcare outcomes. A growing body of evidence indicates that inadequate nurse staffing and poor skill mix are associated with negative outcomes for patients, and potentially compromises nurses' ability to maintain the safety of those in their care. In Australia, the Australian College of Critical Care Nurses (ACCCN) has previously published a position statement on intensive care staffing. Read More

    Short National Early Warning Score - Developing a Modified Early Warning Score.
    Aust Crit Care 2017 Dec 11. Epub 2017 Dec 11.
    Centro de Investigação em Saúde Pública, Escola de Nacional de Saúde Pública - Universidade Nova de Lisboa, Avenida Padre Cruz, 1600 560 Lisboa, Portugal. Electronic address:
    Introduction: Early Warning Score (EWS) systems have been developed for detecting hospital patients clinical deterioration. Many studies show that a National Early Warning Score (NEWS) performs well in discriminating survival from death in acute medical and surgical hospital wards. NEWS is validated for Portugal and is available for use. Read More

    The concept of frailty in intensive care.
    Aust Crit Care 2017 Dec 9. Epub 2017 Dec 9.
    School of Nursing and Midwifery, University of Western Sydney, Building 7, Room 8, Campbelltown Campus, Locked Bag 1797, Penrith, NSW 2751, Australia. Electronic address:
    Our population is ageing and this is also reflected in the ageing of the hospital and intensive care population. Along with ageing, there is also an increase in age-related chronic health conditions or co-morbidities, which in turn affects the patient's functional state. There is an increasing need to describe a patient's clinical condition in terms of their functional capacity, such as frailty. Read More

    Predictive ability of the EVARUCI scale and COMHON index for pressure injury risk in critically ill patients: A diagnostic accuracy study.
    Aust Crit Care 2017 Dec 6. Epub 2017 Dec 6.
    Research Unit, Hospital Universitario de Canarias, Carretera de Ofra s/n, CP: 38320 La Laguna, Santa Cruz de Tenerife, Spain. Electronic address:
    Background: Hospital-acquired pressure injuries are a costly and largely preventable complication occurring in a variety of acute care settings. Patients admitted to the intensive care unit are at greater risk of developing pressure injuries.

    Objective: To determine whether the efficiency of scales to measure pressure injury risk increase when a continuously updated 3-day moving average method is used. Read More

    Welcoming expertise: Bereaved parents' perceptions of the parent-healthcare provider relationship when a critically ill child is admitted to the paediatric intensive care unit.
    Aust Crit Care 2017 Nov 15. Epub 2017 Nov 15.
    School of Nursing and Midwifery, Monash University, Victoria, Australia. Electronic address:
    Background: Entering the paediatric intensive care unit with a critically ill child is a stressful experience for parents. In addition to fearing for their child's well-being, parents must navigate both a challenging environment and numerous new relationships with healthcare staff. How parents form relationships with staff and how they perceive both their own and the healthcare providers' roles in this early stage of their paediatric intensive care journey is currently unknown. Read More

    Barriers and facilitators to the implementation of an evidence-based electronic minimum dataset for nursing team leader handover: A descriptive survey.
    Aust Crit Care 2017 Nov 15. Epub 2017 Nov 15.
    NHMRC Centre of Research Excellence in Nursing, Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia.
    Introduction: There is widespread use of clinical information systems in intensive care units however, the evidence to support electronic handover is limited.

    Objectives: The study aim was to assess the barriers and facilitators to use of an electronic minimum dataset for nursing team leader shift-to-shift handover in the intensive care unit prior to its implementation.

    Methods: The study was conducted in a 21-bed medical/surgical intensive care unit, specialising in cardiothoracic surgery at a tertiary referral hospital, in Queensland, Australia. Read More

    After-hours respiratory physiotherapy for intubated and mechanically ventilated patients with community-acquired pneumonia: An Australian perspective.
    Aust Crit Care 2017 Nov 15. Epub 2017 Nov 15.
    The University of Notre Dame Australia, School of Physiotherapy, 19 Mouat Street, P.O. Box 1225, Fremantle, WA 6959, Australia.
    Introduction: Community acquired pneumonia (CAP) is a common reason for admission to an intensive care unit for intubation and mechanical ventilation, and results in high morbidity and mortality. The primary aim of the study was to investigate availability and provision of respiratory physiotherapy, outside of normal business hours, for intubated and mechanically ventilated adults with CAP in Australian hospitals.

    Materials And Methods: A cross-sectional, mixed methods online survey was conducted. Read More

    Compassion satisfaction and fatigue: A cross-sectional survey of Australian intensive care nurses.
    Aust Crit Care 2017 Nov 16. Epub 2017 Nov 16.
    Faculty of Health, University of Technology Sydney, Australia.
    Background: Compassion satisfaction and compassion fatigue influence nurses' intention to stay or leave nursing. Identification of compassion satisfaction or fatigue in critical care nurses is important in this high turnover workforce.

    Objectives: The aim of this study was to examine factors predicting and contributing to compassion satisfaction and compassion fatigue experienced by critical care nurses in Australian intensive care units. Read More

    Performance evaluation of phase angle and handgrip strength in patients undergoing cardiac surgery: Prospective cohort study.
    Aust Crit Care 2017 Nov 16. Epub 2017 Nov 16.
    Surgical Cardiac Service, Hospital de Clínicas de Porto Alegre, Brazil; Intensive Medicine Department, Faculty of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
    Background And Aims: The phase angle (PA), derived from bioelectrical impedance analysis (BIA), has been interpreted as a cell membrane integrity indicator, while handgrip strength (HGS) has been used as a prognostic indicator in certain clinical situations, such as in cardiac, oncologic patients with renal disease, hemodialysis patients, HIV-positive patients, and liver disease patients. In addition to prognostic scores, body changes due to surgical procedures indicate the importance of measuring muscle function and cell integrity. This study aimed to evaluate the behaviour of PA and HGS in patients undergoing cardiac surgery and associate these factors with clinical outcomes and prognosis. Read More

    Clinician and manager perceptions of factors leading to ward patient clinical deterioration.
    Aust Crit Care 2017 Nov 16. Epub 2017 Nov 16.
    Deakin University, Geelong, Centre for Quality and Patient Safety Research, School of Nursing and Midwifery, Faculty of Health, Victoria 3125, Australia. Electronic address:
    Background: Improving the timely recognition and response to clinical deterioration is a critical challenge for clinicians, educators, administrators and researchers. Clinical deterioration leading to Rapid Response Team review is associated with poor patient outcomes. A range of factors associated with clinical deterioration and its outcomes have been identified, and may help with early identification of deteriorating patients. Read More

    Content validation of behaviours and autonomic responses for the assessment of pain in critically ill adults with a brain injury.
    Aust Crit Care 2017 Nov 13. Epub 2017 Nov 13.
    Department of Psychiatry and Behavioural Neurosciences, McMaster University, West 5th Campus, 100 West 5th Street, Hamilton, Ontario L8N 3K7, Canada.
    Background: The evidence shows that brain-injured patients express behaviours that are related to their level of consciousness (LOC), and different from other patients in the intensive care unit (ICU). Therefore, existing behavioural scales should be revised to enhance their content and validity for use in these patients.

    Objectives: The aim was to evaluate the content relevance of behaviours and autonomic responses for pain assessment of brain-injured ICU patients from the perspective of critical care clinicians. Read More

    An exploration of participants' experience of an intensive care nursing transition to specialty practice program.
    Aust Crit Care 2017 Sep 26. Epub 2017 Sep 26.
    School of Nursing and Midwifery, Monash University, McMahons Road, Frankston, Victoria, Australia; Monash Health, Dandenong Hospital, 135 David Street, Dandenong, Victoria, Australia.
    Background: Transition to specialty practice programs were developed to support, educate and facilitate recruitment and retention of nurses in specialised areas of practice. The intensive care nursing transition to specialty practice program in this study was implemented in 2000. To date, in Australia there are no published studies which focus on intensive care nursing transition to specialty practice programs. Read More

    The evolution of Australian intensive care and its related costs: A narrative review.
    Aust Crit Care 2017 Sep 26. Epub 2017 Sep 26.
    Critical Care & Trauma Division, The George Institute for Global Health, Sydney, Australia; Sydney Medical School, University of Sydney, Sydney, Australia; Malcolm Fisher Department of Intensive Care Medicine, Royal North Shore Hospital, Sydney, Australia; St. George Clinical School, University of New South Wales, Sydney, Australia.
    Objective: To conduct a narrative review on the evolution of intensive care and the cost of intensive care services in Australia.

    Review Method: A narrative review using a search of online medical databases and grey literature with keyword verification via Delphi-technique.

    Data Sources: Using Medical Subject Headings and keywords (intensive care, critical care, mechanical ventilation, renal replacement therapy, extracorporeal membrane oxygenation, monitoring, staffing, cost, cost analysis) we searched MEDLINE, PubMed, CINAHL, Embase, Google and Google Scholar. Read More

    Multidisciplinary evaluation of an emergency department nurse navigator role: A mixed methods study.
    Aust Crit Care 2017 Sep 20. Epub 2017 Sep 20.
    Department of Emergency Medicine, The Prince Charles Hospital, Brisbane, Australia.
    Aim: To utilise multidisciplinary staff feedback to assess their perceptions of a novel emergency department nurse navigator role and to understand the impact of the role on the department.

    Background: Prolonged emergency department stays impact patients, staff and quality of care, and are linked to increased morbidity and mortality. One innovative strategy to facilitate patient flow is the navigator: a nurse supporting staff in care delivery to enhance efficient, timely movement of patients through the department. Read More

    New-onset atrial fibrillation and clinical outcome in non-cardiac intensive care unit patients.
    Aust Crit Care 2017 Aug 26. Epub 2017 Aug 26.
    "Tzanio" Hospital of Piraeus, ICU, Piraeus, Greece.
    Background: Data regarding new onset atrial fibrillation (nAF) in general, non-cardiac, intensive care unit (ICU) patients are limited. However, it has been suggested that nAF is associated with worse clinical outcome in these patients.

    Objective: The purpose of the present work was to study the prognostic impact of nAF, in this setting. Read More

    Families on adult intensive care units: Are they really satisfied? A literature review.
    Aust Crit Care 2017 Aug 24. Epub 2017 Aug 24.
    School of Nursing, Pontificia Universidad Católica de Chile, Avda, Vicuña Mackenna 4860, Macul, 7820436 Santiago, Chile. Electronic address:
    Objectives: Family satisfaction in intensive care units (ICU) is of increasing relevance for family-centred cared. The objective of this review was to explore the characteristics of studies that have used questionnaires to measure the satisfaction of family members of ICU patients.

    Review Methods: A literature review was performed for studies evaluating family satisfaction in the ICU, independent of design. Read More

    Sophia Observation withdrawal Symptoms-Paediatric Delirium scale: A tool for early screening of delirium in the PICU.
    Aust Crit Care 2017 Aug 23. Epub 2017 Aug 23.
    Intensive Care Unit, Departments of Pediatrics and Pediatric Surgery, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands.
    Background: Delirium in critically ill children is a severe neuropsychiatric disorder which has gained increased attention from clinicians. Early identification of delirium is essential for successful management. The Sophia Observation withdrawal Symptoms-Paediatric Delirium (SOS-PD) scale was developed to detect Paediatric Delirium (PD) at an early stage. Read More

    Adherence to standard medication infusion concentrations and its impact on paediatric intensive care patient outcomes.
    Aust Crit Care 2017 Aug 21. Epub 2017 Aug 21.
    Lady Cilento Children's Hospital, Paediatric Intensive Care Unit, Australia.
    Aim: To review compliance with the DERS, and to evaluate the impact on daily fluid balances as a standard outcome in paediatric intensive care.

    Method: A prospective audit of patients admitted to our tertiary level PICU over a 10day period. The audit tool collated information on patient's weight, diagnosis, medication infusions, whether standard concentrations were selected, daily fluid balance, target fluid balance, and renal support including use of diuretics. Read More

    Are pressure injuries related to skin failure in critically ill patients?
    Aust Crit Care 2017 Aug 21. Epub 2017 Aug 21.
    Critical Care Research Group, The Prince Charles Hospital, Brisbane, Australia.
    Background: Pressure injuries contribute significantly to patient morbidity and healthcare costs. Critically ill patients are a high risk group for pressure injury development and may suffer from skin failure secondary to hypoperfusion. The aim of this study was to report hospital acquired pressure injury incidence in intensive care and non-intensive care patients; and assess the clinical characteristics and outcomes of ICU patients reported as having a hospital acquired pressure injury to better understand patient factors associated with their development in comparison to ward patients. Read More

    Evaluation of stress response using psychological, biological, and electrophysiological markers during immersive simulation of life threatening events in multidisciplinary teams.
    Aust Crit Care 2017 Jul 27. Epub 2017 Jul 27.
    ABS Lab - Simulation Laboratory, Faculty of Medicine, University of Poitiers, France; Clinical Investigation Center CIC-INSERM1402, University Hospital of Poitiers, France; Pediatric Emergency Department, University Hospital of Poitiers, France.
    Stress might impair clinical performance in real life and in simulation-based education (SBE). Subjective or objective measures can be used to assess stress during SBE. This monocentric study aimed to evaluate the effects of simulation of life-threatening events on measurements of various stress parameters (psychological, biological, and electrophysiological parameters) in multidisciplinary teams (MDTs) during SBE. Read More

    Long-term cognitive impairment and delirium in intensive care: A prospective cohort study.
    Aust Crit Care 2017 Jul 20. Epub 2017 Jul 20.
    NHMRC Centre for Research Excellence in Nursing, Griffith University, Nathan Campus, Brisbane, Queensland, Australia; Menzies Health Institute Queensland, Griffith University, Nathan Campus, Brisbane, Queensland, Australia; School of Nursing and Midwifery, Griffith University, Nathan Campus, Brisbane, Queensland, Australia; Princess Alexandra Hospital Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia; School of Health Sciences, City University London, London, UK.
    Background: Whilst there is a growing body of research exploring the effect of delirium in intensive care unit (ICU) patients, the relationship between patient delirium and long-term cognitive impairment has not been investigated in settings where low rates of delirium have been reported.

    Objectives: To assess the association between the incidence of delirium, duration of mechanical ventilation and long term cognitive impairment in general ICU patients.

    Methods: Prospective cohort study conducted in a tertiary level ICU in Queensland, Australia. Read More

    Avoiding adult in-hospital cardiac arrest: A retrospective cohort study to determine preventability.
    Aust Crit Care 2017 Jul 19. Epub 2017 Jul 19.
    Alfred Hospital, Melbourne, Victoria, Australia. Electronic address:
    Introduction: This study had three main aims. Develop a methodology for reviewing in-hospital cardiac arrests (IHCA). Assess appropriateness and potential preventability of IHCAs. Read More

    The use and uptake of pupillometers in the Intensive Care Unit.
    Aust Crit Care 2017 Jul 17. Epub 2017 Jul 17.
    Alfred Health, 55 Commercial Road, Melbourne, Australia; National Trauma Research Institute, 85-89 Commercial Road, Melbourne, Australia. Electronic address:
    Background: Traumatic brain injury (TBI) is a significant public health issue. Assessing pupil reactivity is a crucial aspect of its management and the pupillometer has been shown to be a more objective tool compared to the standard penlight. Its use, however, is not widespread. Read More

    Secretion clearance strategies in Australian and New Zealand Intensive Care Units.
    Aust Crit Care 2017 Jun 26. Epub 2017 Jun 26.
    Department of Physiotherapy, Royal Brisbane and Women's Hospital, Australia.
    Introduction/aims: To describe the processes of care for secretion clearance in adult, intubated and mechanically ventilated patients in Australian and New Zealand Intensive Care Units (ICUs).

    Methods/results: A prospective, cross-sectional study was conducted through the Australian and New Zealand Intensive Care Society Clinical Trials Group (ANZICS CTG) Point Prevalence Program. Forty-seven ICUs collected data from 230 patients intubated and ventilated on the study day. Read More

    Post-sepsis cognitive impairment and associated risk factors: A systematic review.
    Aust Crit Care 2017 Jun 20. Epub 2017 Jun 20.
    Postgraduate Program in Health Sciences: Infectology and Tropical Medicine, School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Translational Psychiatry Program, Department of Psychiatry and Behavioral Sciences, Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
    Introduction: Post-sepsis cognitive impairment is one of the major sequelae observed in survivors of sepsis. This cognitive impairment can be global or may affect specific domains. A better understanding of these deficits and associated risk factors could influence the care of patients with sepsis. Read More

    Clinical audits to improve critical care: Part 2: Analyse, benchmark and feedback.
    Aust Crit Care 2017 Jun 3. Epub 2017 Jun 3.
    National Centre of Research Excellence in Nursing, Alliance for Vascular Access Teaching and Research (AVATAR) Group, Menzies Health Institute Queensland, Griffith University, Nathan, QLD, Australia.
    Clinical audits are an essential part of the cycle designed to ensure that patients receive the best quality of care. By measuring the care delivered against established best practice standards, it becomes possible to identify shortcomings and to plan targeted strategies and processes for continuous improvement. The success of a clinical audit depends upon defined goals, motivation of stakeholders, appropriate tools and resources, and clear communication. Read More

    Clinical audits to improve critical care: Part 1 Prepare and collect data.
    Aust Crit Care 2017 May 24. Epub 2017 May 24.
    National Centre of Research Excellence in Nursing; Alliance for Vascular Access Teaching and Research (AVATAR) Group; Menzies Health Institute Queensland, Griffith University, Australia.
    Clinical audits are used to examine current practice, compare this with established best practice and implementing change, to ensure patients receive the most effective treatment. They are successful in improving the quality and safety of care provided, and thereby clinical outcomes. Clinical audits are ubiquitous throughout critical care practice, but without the necessary focus, engagement, preparation, method, evaluation and communication, they may be a waste of resources. Read More

    Counterbalancing work-related stress? Work engagement among intensive care professionals.
    Aust Crit Care 2017 May 20. Epub 2017 May 20.
    Department of Intensive Care Adults, Erasmus MC University Medical Center, Rotterdam, The Netherlands. Electronic address:
    Background And Objectives: Working in an Intensive Care Unit (ICU) is increasingly complex and is also physically, cognitively and emotionally demanding. Although the negative emotions of work-related stress have been well studied, the opposite perspective of work engagement might also provide valuable insight into how these emotional demands may be countered. This study focused on the work engagement of ICU professionals and explored the complex relationship between work engagement, job demands and advantageous personal resources. Read More

    Evaluation of a sound environment intervention in an ICU: A feasibility study.
    Aust Crit Care 2017 May 12. Epub 2017 May 12.
    Institute of Health and Caring Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Background: Currently, it is well known that the sound environment in intensive care units (ICU) is substandard. Therefore, there is a need of interventions investigating possible improvements. Unfortunately, there are many challenges to consider in the design and performance of clinical intervention studies including sound measurements and clinical outcomes. Read More

    Structures, processes and outcomes of the Aussie Heart Guide Program: A nurse mentor supported, home based cardiac rehabilitation program for rural patients with acute coronary syndrome.
    Aust Crit Care 2017 May 6. Epub 2017 May 6.
    NHMRC Centre of Research Excellence in Nursing, Menzies Health Institute Queensland, Griffith University, Queensland, Australia. Electronic address:
    Background: Cardiac rehabilitation has a number of benefits for patients, yet participation in it is sub-optimal, especially in regional Australia. Innovative models of cardiac rehabilitation are needed to improve participation. Providing nurse mentors to support patients transitioning from hospital to home represents a new model of service delivery in Australia. Read More

    Critical care clinician perceptions of factors leading to Medical Emergency Team review.
    Aust Crit Care 2017 May 5. Epub 2017 May 5.
    Intensive Care Unit, 145 Studley Road, Heidelberg, Victoria 3084, Australia; Public Health and Preventive Medicine, Monash University, Clayton campus, Melbourne, Victoria 3800, Australia; Department of Surgery, University of Melbourne, 1-100 Grattan Street, Melbourne, Victoria 3010, Australia. Electronic address:
    Background: The introduction of rapid response systems has reduced the incidence of in-hospital cardiac arrest; however, many instances of clinical deterioration are unrecognised. Afferent limb failure is common and may be associated with unplanned intensive care admissions, heightened mortality and prolonged length of stay. Patients reviewed by a Medical Emergency Team are inherently vulnerable with a high in-hospital mortality. Read More

    The effect of guided imagery on physiological and psychological outcomes of adult ICU patients: A systematic literature review and methodological implications.
    Aust Crit Care 2017 Mar 29. Epub 2017 Mar 29.
    Faculty of Nursing, University of Alberta, Edmonton, AB, Canada. Electronic address:
    Objectives: Guided imagery (GI) is a relaxation technique that is being increasingly explored in various patients' populations. We systematically reviewed evidence on the effects of GI on physiological and psychological outcomes of adult critically ill patients and extracted implications for future research.

    Review Method Used: Systematic literature review of published studies based on the Cochrane Guidelines. Read More

    Efficacy and safety of normal saline instillation and paediatric endotracheal suction: An integrative review.
    Aust Crit Care 2018 Jan 24;31(1):3-9. Epub 2017 Mar 24.
    Paediatric Intensive Care Unit, Lady Cilento Children's Hospital, Queensland, Australia; Paediatric Critical Care Research Group (PCCRG), Lady Cilento Children's Hospital and School of Medicine, University of Queensland, Queensland, Australia. Electronic address:
    Objective: To synthesise research findings regarding the efficacy and safety of normal saline instillation (NSI) during endotracheal suction in the paediatric intensive care unit.

    Data Sources: The Cochrane Library, PROSPERO, the National Health Service Centre for Reviews and Dissemination, PubMed and Cumulative Index to Nursing and Allied Health (CINAHL) databases were systematically searched. Subject headings included "suctioning, endotracheal", "suction", "sodium chloride", "normal saline" and "paediatrics". Read More

    The challenges in caring for morbidly obese patients in Intensive Care: A focused ethnographic study.
    Aust Crit Care 2018 Jan 18;31(1):37-41. Epub 2017 Mar 18.
    Health Sciences, University of Brighton, United Kingdom.
    Background: Critically ill morbidly obese patients pose considerable healthcare delivery and resource utilisation challenges. However little is known about the care of these patients in intensive care.

    Objective: To explore medical and nursing practices and attitudes in intensive care when caring for critically ill morbidly obese patients. Read More

    Nurse titrated analgesia and sedation in intensive care increases the frequency of comfort assessment and reduces midazolam use in paediatric patients following cardiac surgery.
    Aust Crit Care 2018 Jan 9;31(1):31-36. Epub 2017 Mar 9.
    Department of Children's Nursing, London South Bank University, United Kingdom; Nursing Research Department, The Royal Children's Hospital, Melbourne, Australia; Department of Nursing, The University of Melbourne, Melbourne, Australia.
    Background: Pain and sedation protocols are suggested to improve the outcomes of patients within paediatric intensive care. However, it is not clear how protocols will influence practice within individual units.

    Objectives: Evaluate a nurse led pain and sedation protocols impact on pain scoring and analgesic and sedative administration for post-operative cardiac patients within a paediatric intensive care unit. Read More

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