My Favorite Nurses

I really like nurses. I think a nursing job done well is one of society’s true resources. This is a sometimes thankless, often backbreaking, frequently dangerous job done nights, weekends, and holidays for non-heroic wages. The nursing profession in my mind has muscled up in the last generation in terms of political and hospital clout and it is a good thing. My grandmother was a nurse in the 1920’s and I have an aunt and two sisters-in-law that are nurses. I am sure they all collected stories of being undervalued, ignored, or belittled because of the RN and not MD after their names. Fortunately, doctors have changed in the recent years. I have usually welcomed suggestions and comments from the nurses I have worked with and I think most doctors today also do. I have found that when I am taking care of a sick patient in the ICU an experienced ICU nurse can be an enormous help; really worth their proverbial weight in gold. I have always gravitated toward the ICU when I have had a few moments to rest and hang out in the hospital between tasks and so the nurses that I know the best have been ICU nurses. There are too many to name all the ones that I like but Mandy and Rhonda and Angela and Ang and Carol and Eric and John in the Weinberg, Brian and Jerry and Clint and Sam and Deb and Mary Beth and Dani and Mary and Dot in the SICU, Mrs. G at Ireland Army Hospital, Terry and Eileen and Chuck and Chuck at Jefferson, Barb and Sean and Ellie in the ISICU, and Laurie and B...
Source: Inside Surgery - Category: Surgery Authors: Tags: Musings Source Type: blogs

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Authors: Derycke L, Mallios A Abstract OBJECTIVE: To report our technique for percutaneous ultrasound-guided retrieval of accidentally transected arterial lines. CASES DESCRIPTION: Two patients are reported herein; in both of these patients, a part of the 20-gauge catheter inserted for invasive monitoring of their blood pressure in the intensive care unit was accidentally transected with part of the catheter remaining in the radial artery. Both patients were initially asymptomatic; therefore, a minimally invasive technique was sought to remove the catheters without inducing significant risk. Under local anesthe...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
ConclusionThere is no statistical difference in changes in hemodynamic parameters between injecting epinephrine 1:100,000 compared with 1:200,000 during endoscopic sinonasal surgery. In a subset of patients, placement of topical 1:1000 epinephrine pledgets had significant hemodynamic elevation requiring intervention and thus should be used judiciously depending on patient comorbidities.
Source: International Forum of Allergy and Rhinology - Category: Allergy & Immunology Authors: Tags: ORIGINAL ARTICLE Source Type: research
CONCLUSIONS: This is the first well powered study comparing the effect of low tidal volume ventilation versus high tidal volume ventilation during surgery on the incidence of postoperative respiratory complications in adult patients receiving moderate levels of PEEP. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ACTRN12614000790640). PMID: 31778630 [PubMed - in process]
Source: Critical Care and Resuscitation - Category: Intensive Care Tags: Crit Care Resusc Source Type: research
We describe a simple modification of the cardiopulmonary bypass (CPB) circuit that allows selective intraoperative circulatory support of the right ventricle during left ventricular assist device (LVAD) implantation. The addition of a side branch to the arterial line and an intermediate line connector allows selective venting and perfusion through a cannula inserted in the main pulmonary artery. This modification of the CPB circuit allows for selective evaluation of right ventricular function, titration of inotropic support, and early identification of patients that require right ventricular assist device (RVAD) support.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: SURGICAL TECHNIQUE Source Type: research
This was a retrospective chart review of procedural pain assessments and interventions during arterial catheter insertion in an adult neurological intensive care unit where patients with impaired consciousness are common. Overall, pain assessment was well documented (100%) by Registered Nurses, but not specific to arterial line insertion. Nurse practitioners commonly placed arterial lines and used local analgesia in over 75% of the documented procedures.
Source: Pain Management Nursing - Category: Nursing Authors: Tags: Original Article Source Type: research
Publication date: Available online 25 October 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Lori-Ann Oliver, Jodi-Ann Oliver, Sargis Ohanyan, William Park, Aharon Benelyahoo, Nalini VadiveluPeripheral venous access is perhaps the most commonly performed procedure in hospitals, urgent care, or surgical centers across the country. The ability to obtain peripheral intravenous (IV) access, and in a timely manner, is arguably one of the most important skill sets to be mastered by health care professionals. While skill and experience play a role in successful and timely vascular access, numerous pati...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
AbstractObjectivesMorbidity associated with coronary artery bypass grafts and embolization during aortic cannulation is strongly related to patient characteristics/comorbidities, arterial cannulation site used and the shape of arterial cannulae tips. The desired features of an arterial cannula should be to mitigate the morbid effects of these cannulas and to focus on achieving higher blood flows with lower cannula pressures (CPs).Materials and MethodsTo evaluate the in vivo performance of two aortic dispersion flow cannulas: the Optiflow (Sorin Group, Italy) and EZ Glide (Edwards Lifesciences). They were evaluated for CPs,...
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ORIGINAL ARTICLE Source Type: research
AbstractPurpose of ReviewTo explore recent advancements in the use of point-of-care ultrasound in the pediatric intensive care unit or during the perioperative period.Recent FindingsUltrasound is useful for selecting an appropriate endotracheal tube size, predicting postextubation stridor, assessing vocal cord paralysis, performing ultrasound-guided lung recruitment, assessing circulatory volume status, performing transcranial Doppler for assessment of cerebral perfusion, assessing intracranial hypertension, assessing central venous catheter tip position, and performing arterial line cannulation.SummaryThere has been rapid...
Source: Current Pediatrics Reports - Category: Pediatrics Source Type: research
Publication date: Available online 25 October 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Jodi-Ann Oliver, Sargis Ohanyan, William Park, Aharon Benelyahoo, Nalini VadiveluAbstractPeripheral venous access is perhaps the most commonly performed procedure in hospitals, urgent care, or surgical centers across the country. Thus, arguably the ability to obtain peripheral intravenous access in a timely manner is one of the most important skill sets to be mastered by health care professionals. While the skill and experience of a health care professional is an important factor in determining successfu...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
Condition:   Blood Pressure Measurement Interventions:   Device: Arterial catheterization kit;   Device: GE Datex-Ohmeda Finger Clip Pulse Oximeter Sensor;   Device: NIBP Cuff (GE Healthcare) Sponsor:   Sensifree Ltd. Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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