Articles: critical-care.
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Critical care medicine · Jun 1995
Effect of computerized charting on nursing activity in intensive care.
To measure the impact on nursing activity of introducing computerized medical records into intensive care units (ICUs). ⋯ Computerized charting will not necessarily provide ICU nurses with a net excess of time for tasks unrelated to manipulating data.
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Crit Care Nurs Clin North Am · Jun 1995
ReviewThe costs and benefits of monitoring perfusion in the critically ill.
The care and management of the critically ill patient have seen major advances in the past 20 years. Conventional perfusion-monitoring technologies, as well as new technological advances and their potential impact, are discussed. The following monitoring technologies are reviewed: pulmonary artery pressure, cardiac output, arterial oxygen, mixed venous oxygen, and intramucosal gastric pH.
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Intensive care medicine · Jun 1995
Late outcome of percutaneous dilatational tracheostomy in intensive care patients.
Percutaneous dilatational tracheostomy is increasingly practiced in intensive care units and has a low incidence of early complications. The late effects of this procedure are still poorly known and were the focus of this study. ⋯ Late outcome of percutaneous dilatational tracheostomy in critically ill patients is mostly good. Pending further studies, the use of this technique in intensive care units appears justified.
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Critical care nursing by definition focuses on human responses to life-threatening problems. An increasing number of ethical dilemmas confronts the critical care nurse. ⋯ An ethic of care that acknowledges the special relationship and connection of one human being with another may provide the necessary guidance to assist the nurse in resolving these dilemmas. Critical care nursing practice based on an ethic of care acknowledges and legitimizes care for patients as well as oneself.
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Clinical Trial
[Preliminary experiences with superimpoposed high-frequence jet ventilation in intensive care].
The study aimed to evaluate whether superimposed high-frequency jet ventilation (SHFJV) is a useful tool in intensive care medicine to ventilate patients with pulmonary insufficiency. METHODS. SHFJV is the simultaneous application of low- and high-frequency jet ventilation performed using a specially designed ventilator. ⋯ CONCLUSIONS. Significant differences were observed primarily in Gr 3 patients, indicating that patients with severe pulmonary insufficiency may benefit from SHFJV. SHFJV may thus represent an alternative mode of ventilation in critically ill patients.