Nursing in critical care
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Nursing in critical care · May 2013
ReviewA review of oral preventative strategies to reduce ventilator-associated pneumonia.
This article evaluates the evidence for and efficacy of the use of mechanical hygiene and chlorhexidine in the prevention of ventilator-associated pneumonia (VAP). ⋯ While there have been a number of studies conducted evaluating the efficacy of both approaches, there is limited evidence to support their use. The frequency of oral decontamination and mechanical hygiene interventions have not been established and chlorhexidine 2% seems to be more effective compared to weaker concentrations, but data is mainly confined to patients following cardiothoracic surgery.
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Nursing in critical care · May 2013
ReviewUnplanned extubation in critically ill adults: clinical review.
To investigate and synthesize the evidence on the incidence and consequences of unplanned extubation (UE) in intensive care unit (ICU) patients, and on risk factors for UE. ⋯ Identifying risk factors for UE and minimizing UE incidence through appropriate preventive strategies are prerequisites for improving nursing care quality and patient safety in the ICU.
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Nursing in critical care · May 2013
Crucial information needs of ICU charge nurses in Finland and Greece.
To describe crucial information needs of ICU charge nurses, and to compare these needs in two countries in Europe. ⋯ The results of this study indicated that a major portion of immediate information needs of ICU charge nurses are internationally common in similar settings.