American journal of critical care : an official publication, American Association of Critical-Care Nurses
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This summary article discusses the status of the nursing shortage in the United States, with emphasis on successful strategies to address it. Liaisons between the American Association of Critical-Care Nurses (AACN) and the Society for Critical Care Medicine, as well as with the American College of Cardiology, are highlighted, with primary emphasis on the strategy of nurse-physician collaboration.
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Randomized Controlled Trial Comparative Study Clinical Trial
Clinical comparison of two- and three-wavelength systems for continuous measurement of venous oxygen saturation.
To evaluate clinically the accuracy of continuous SvO2 systems to reflect reference SvO2 values over a 24-hour period. ⋯ The results of this clinical study confirmed a previous study in dogs, showing that SvO2 is measured more accurately by the three-wavelength continuous monitoring system.
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Randomized Controlled Trial Clinical Trial
The effects of ocean sounds on sleep after coronary artery bypass graft surgery.
To investigate the influence of ocean sounds (white noise) on the night sleep pattern of postoperative coronary artery bypass graft (CABG) patients after transfer from an intensive care unit. ⋯ The use of ocean sounds is a viable intervention to foster optimal sleep patterns in postoperative CABG patients after transfer from the ICU.
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Comparative Study Clinical Trial
Evaluation of a system for intragastric pH monitoring of intensive care unit patients: preliminary report.
A new pH probe-tipped nasogastric sump tube is available to monitor gastric pH conveniently. This study assesses its ability to measure gastric acidity accurately. ⋯ The GrapHprobe ST measured gastric pH within reasonable accuracy in this small series.
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Critical care, as a specialty in both nursing and medicine, is well recognized and the number of people requiring hospitalization for critical illnesses continues to increase. The purpose of this paper is to examine the future and the changes that lie ahead in critical care. ⋯ A variety of changes in critical care are anticipated that reflect our increasing abilities in biotechnology, basic and clinical research, and data management. These changes are viewed for their obvious impact on cost, ethical controversies, and patient care and outcome.