Nursing in critical care
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Nursing in critical care · Nov 2020
Randomized Controlled Trial Multicenter StudyPROtocol-based MObilizaTION on intensive care units: stepped-wedge, cluster-randomized pilot study (Pro-Motion).
Early mobilization of patients in intensive care units (ICUs) improves patient recovery, but implementation remains challenging. Protocols may enhance the rate of out-of-bed mobilizations. ⋯ Implementing inter-professional protocols for mobilization is feasible and safe and may contribute to an increase of ICU patients mobilized out of bed.
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Nursing in critical care · Sep 2017
Randomized Controlled Trial Comparative StudyRandomized crossover trial of endotracheal tube suctioning systems use in newborns.
Maintaining endotracheal tube patency is critical for neonates receiving mechanical ventilation. Endotracheal tube suctioning removes accumulated secretions preventing potential adverse events, however is also potentially hazardous to the patient. ⋯ This research can provide support for clinical practice regarding endotracheal tube suctioning of newborns describing that the use of closed systems was similar to the open system regarding pain presence and intensity, as well as, in the clinical effects analysed, in accordance with other studies produced in this field.
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Nursing in critical care · Mar 2017
Randomized Controlled TrialEffects of aromatherapy on sleep quality and anxiety of patients.
In intensive care units (ICUs), patients cannot sleep well. Aromatherapy is used for depression, anxiety, relaxation and disorders related with sleep and stress. ⋯ As a non-invasive, cheap, easily applicable, cost-effective, independent nursing intervention and appropriate for cardiac patients, lavender essential oil could be applied in ICUs.
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Nursing in critical care · Jan 2016
Randomized Controlled TrialNo-sedation during mechanical ventilation: impact on patient's consciousness, nursing workload and costs.
Evidence is growing that less or no-sedation is possible and beneficial for patients during mechanical ventilation. ⋯ Patients receiving no-sedation are more awake during their stay in ICU. There might be a potential economical saving with the use of a 1:1 nurse-patient ratio and no-sedation compared with sedation and a 1:2 nurse-patient ratio.
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Nursing in critical care · Jan 2016
Randomized Controlled TrialThe effects of music therapy in endotracheal suctioning of mechanically ventilated patients.
Endotracheal suctioning has been identified as a painful procedure for critically ill patients. ⋯ It is recommended that music therapy should be added to the routine nursing care for mechanically ventilated patients.