Heart & lung : the journal of critical care
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To determine factors that contributed to readmissions to the intensive care unit (ICU) from the general wards. ⋯ Preliminary results indicate that the appointment of the follow-up nurse has not only reduced the rate of readmissions to the ICU but also decreased the acuity levels of those readmitted.
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To describe patients' and family members' perceptions of transfer from an intensive care unit (ICU). ⋯ Patients and family members perceived the transfer from the ICU as a significant and sometimes negative event.
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Group A streptococci are common colonizers of the skin and upper respiratory tract. Serious infections of the respiratory tract as well as the skin and soft tissue are common. ⋯ Necrotizing fasciitis of the psoas from Group A streptococci has been reported as a complication in patients with colon cancer perforation or peritonitis. We report the first case of Group A streptococcal necrotizing fasciitis of the psoas muscle not associated with peritonitis or colon perforation.
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Randomized Controlled Trial Comparative Study Clinical Trial
Intradermal normal saline solution, self-selected music, and insertion difficulty effects on intravenous insertion pain.
To examine the effect of listening to self-selected music versus an intradermal injection of normal saline solution on the intensity and distress of intravenous (IV) catheter insertion pain. ⋯ Intradermal unpreserved saline solution contributes to greater pain intensity and distress, greater insertion difficulty, and a higher failure rate than the use of music or routine IV insertion. Listening to preferred music attenuates the effect of insertion difficulty on IV insertion pain. Intravenous insertion attempts were unsuccessful in more than one third of the subjects, resulting in higher pain distress scores. Further research is needed on interventions to reduce IV insertion pain and on factors contributing to IV insertion failure.