Dimensions of critical care nursing : DCCN
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Dimens Crit Care Nurs · Mar 2003
The use of propofol in the mechanically ventilated medical/surgical intensive care patient: is it the right choice?
This article provides a review of the use of propofol in the mechanically ventilated patient. The indications for the administration of propofol are presented as well as the contraindications, adverse effects, and nursing care.
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Dimens Crit Care Nurs · Mar 2003
An algorithm for train-of-four monitoring in patients receiving continuous neuromuscular blocking agents.
Neuromuscular blocking agents (NMBA) are increasingly being used in the management of critically ill patients. These medications are used to facilitate mechanical ventilation. ⋯ Although unwilling to go so far as to establish this as a standard of care, the American College of Critical Care Medicine of the Society of Critical Care Medicine released an executive summary recommending train-of-four monitoring for patients receiving continuous or sustained NMBAs. This protocol and algorithm was developed to facilitate the objective monitoring of patients receiving continuous NMBAs.