Enfermería intensiva
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Delirium has been documented as a common and serious problem in hospital settings, but its recognition in critically ill patients is made difficult by the inability to interview intubated patients and by the presence of drugs. The objectives of this study were to describe the incidence of delirium in the Intensive Care Unit (ICU) and to determine some of the risk factors. It is an analytical, observational and prospective study in an 8-bed general ICU. ⋯ APACHE II > or = 15, sedative drugs and mechanical ventilation were risk factors for delirium in ICU. The conclusions of this study have determined that delirium is a frequent complication in ICU and that severity of illness, sedative drugs and being intubated are risk factors. Moreover, screening for delirium in the ICU with a validated scale can be made by the staff nurses.
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Enfermería intensiva · Jul 2007
[What is important for the family of patients in the intensive care unit?].
The abundant bibliography shows us that the family plays a fundamental paper in the recovery of the hospitalized patients, and the patients in the intensive care units (ICU) are no exception. Several authors have demonstrated that a stress-free and calm setting helps in the care process. Thus, the family needs must be considered to improve their well-being. ⋯ In the results, some differences were observed depending according to age and studies of those surveyed and according to the diagnosis and the origin of the hospitalization. The collected data did not differ with the reviewed bibliography. All the study was very valuable for the health care professionals of the unit and was taken into account to improve the deficiencies of the ICU of the hospital of Girona.
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Enfermería intensiva · Jan 2007
Randomized Controlled Trial Comparative Study[Comparative study of maintenance of patency of triple lumen central venous catheter].
Establish an action protocol for the maintenance of patency of the three lumen central venous catheters (CVC) when any of them are not used. The main variable of interest was evaluate it 24 hours. ⋯ SS is as effective as 100 or 500 IU of heparin for maintenance of patency of CVC.
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Enfermería intensiva · Jan 2007
Comparative Study[Reliability of the measurement of glucose at the bedside of critical patients].
The objective of this study is to measure the reliability of three measurement methods at the bedside of the patient, of glucose in the critical patient compared with the measurement of glucose in the central laboratory. ⋯ The measurement of glucose at bedside in critical patients is more reliable in arterial samples than in capillary ones.
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Enfermería intensiva · Jan 2007
Comparative Study[Care to the end-stage patient: help and obstacles perceived by Intensive Care nurses].
The Intensive Care Unit (UCI) environment is not the most appropriate for the development of the end-of-life process, due to the fact that ICU is a hi-tech setting and its focus is on curing and giving life support, rather than delivering palliative care to patients. ⋯ Intensive care nurses perceive adequate patients' pain management, agreement between health professionals on decision-making, and facilitating a comfortable environment for patients and families, during the whole end-of-life process as a priority.