Nursing in critical care
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Nursing in critical care · Nov 2014
Complications related to early mobilization of mechanically ventilated patients on Intensive Care Units.
To compare international literature on the detection of complications associated with early mobilization of mechanically ventilated patients in intensive care units (ICUs). ⋯ Despite a low complication rate, a frame for safety during early mobilization including team training and adapted criteria is recommended.
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Nursing in critical care · Nov 2014
Paediatric intensive care nurses' and doctors' perceptions on nurse-led protocol-directed ventilation weaning and extubation.
Nurse-led (protocol-directed) ventilation weaning (NLVW) is utilized in adult intensive care and has shown to be safe and reduce ventilation times. Our paediatric intensive care unit (PICU) implemented a NLVW (and extubation) protocol in 2004, yet it was observed that some NLVW-trained nurses were not undertaking the role in practice. ⋯ This paper highlights the complexities involved in instituting and establishing a nurse-led, protocol-driven ventilation weaning process within a PICU. Further, in depth research is required to examine both PICU nurses and doctors attitudes to NLVW both in the UK and across Europe.
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Nursing in critical care · Nov 2014
Automatic delirium prediction system in a Korean surgical intensive care unit.
In Korea, regular screening for delirium is not considered essential. In addition, delirium is often associated with vague concepts, making it harder to identify high-risk patients and impeding decision-making. ⋯ The use of a prediction and alerting system for ICU patients at high risk of delirium showed a potential increase in the quality of delirium care, including early detection and proper intervention.
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Nursing in critical care · Nov 2014
Nurses' evaluations of the CPOT use at 12-month post-implementation in the intensive care unit.
Performing routine pain assessments with all intensive care unit (ICU) patients is strongly recommended in clinical practice guidelines. As many ICU patients are unable to self-report, the Critical-Care Pain Observation Tool (CPOT) is one of the two behavioural pain scales suggested for clinical use. Still, no study has described the evaluations of its use in ICU daily practice. ⋯ Training should be offered to all members of the ICU care team, and other implementation strategies should be explored as well to ensure optimal uptake of a pain assessment approach which impacts on their decision-making process for pain management.