American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Today's critically ill patients require heightened vigilance and extraordinarily intricate care. As skilled and responsible health professionals, the 403,000 critical care nurses in the United States must acquire the specialized knowledge and skills needed to provide this care and demonstrate their competence to the public, their employers, and their profession. Recognizing that nurses can validate specialty competence through certification, this white paper from the American Association of Critical-Care Nurses and the AACN Certification Corporation puts forth a call to action for all who can influence and will benefit from certified nurses' contribution to patient care.
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Randomized Controlled Trial Clinical Trial
Effect of tracheal gas insufflation during weaning from prolonged mechanical ventilation: a preliminary study.
Tracheal gas insufflation reduces inspired tidal volume and minute ventilation in spontaneously breathing patients and may facilitate weaning from mechanical ventilation. ⋯ Tracheal gas insufflation can reduce ventilatory demand during weaning trials in some patients who require mechanical ventilation.
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Older persons are the group most likely to respond to cardiac arrests in private residences. ⋯ Adults 56 to 80 years old perceive themselves as able to perform cardiopulmonary resuscitation and are interested in receiving training.
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Randomized Controlled Trial Clinical Trial
Effectiveness of 0.12% chlorhexidine gluconate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing heart surgery.
Decreasing the levels of bacteria in the oropharynx should reduce the prevalence of nosocomial pneumonia. ⋯ Although rates of nosocomial pneumonia were lower in patients treated with Peridex than in patients treated with Listerine, the difference was significant only in those patients intubated more than 24 hours who had the highest degree of bacterial colonization.