American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Randomized Controlled Trial
Silver-Impregnated Dressings for Sternotomy Incisions to Prevent Surgical Site Infections in Children.
The consequences of surgical site infections can be severe and range from short-term delays in discharge from the hospital to life-threatening infections such as mediastinitis. ⋯ The evidence did not support the superiority of silver-impregnated dressings for prevention of surgical site infections in children after cardiac surgery. Adherence to a bundle for prevention of surgical site infections may have decreased the incidence of such infections in the study population during the study period.
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Family-centered rounds involve purposeful interactions between patients' families and care providers to refocus the delivery of care on patients' needs. ⋯ Understanding the barriers to and facilitators of family participation in ICU rounds is key to encouraging adoption of family-centered rounds. For families that live far away or have competing demands, telemedical options may facilitate participation.