Goals of the Morbidity and Mortality meeting in acute care: A scoping review
The objective of this study was to describe what is known about understandings of the goals of the Morbidity and Mortality meeting. (Source: Australian Critical Care)
Source: Australian Critical Care - November 27, 2023 Category: Nursing Authors: Emma Louise Jeffs, Clare Delany, Fiona Newall, Sharon Kinney Tags: Review paper Source Type: research
Nurse management of noradrenaline infusions in intensive care units: An observational study
Intensive care nurse management of noradrenaline (norepinephrine) infusions is a common and essential clinical competency for patient haemodynamic support. Nurses titrate and wean noradrenaline infusions to a target blood pressure in a dynamic, high-risk, and unpredictable environment. Titration and weaning are complex interventions, and blood pressure goals are often variable. (Source: Australian Critical Care)
Source: Australian Critical Care - November 6, 2023 Category: Nursing Authors: Stephanie Hunter, Elizabeth Manias, Julie Considine Tags: Research paper Source Type: research
Editorial Board
(Source: Australian Critical Care)
Source: Australian Critical Care - November 1, 2023 Category: Nursing Source Type: research
Agitation during anaesthetic emergence: An observational study of adult cardiac surgery patients in two Australian intensive care units
Anaesthetic emergence agitation among adult patients being recovered after open cardiac and/or thoracic aorta surgery has not been described. (Source: Australian Critical Care)
Source: Australian Critical Care - October 31, 2023 Category: Nursing Authors: Meredith Heily, Marie Gerdtz, Rebecca J. Jarden, Celene YL. Yap, Jai Darvall, Andrew EJ. Coventry, Amy Rogers, Julie Vernon, Rinaldo Bellomo Tags: Research paper Source Type: research
Use of nominal group technique methods in the virtual setting: A reflective account and recommendations for practice
Nominal group technique methods involve the use of structured activities within groups comprised of purposefully selected stakeholders (nominal groups), with the broad aim of achieving a level of consensus and prioritising information. In this paper, we will report how we facilitated nominal groups, using Microsoft Teams , to prioritise content for a theory-based behaviour change intervention to improve responses to clinically deteriorating patients. Our methods incorporated development and piloting of research materials, facilitation of online nominal groups with different stakeholders, and a structured approach to rank...
Source: Australian Critical Care - October 23, 2023 Category: Nursing Authors: Duncan Smith, Martin Cartwright, Judith Dyson, Leanne M. Aitken Tags: Methodological series Source Type: research
Development, feasibility testing, and preliminary evaluation of the Communication with an Artificial airway Tool (CAT): Results of the Crit-CAT pilot study
A purpose-built outcome measure for assessing communication effectiveness in patients with an artificial airway is needed. (Source: Australian Critical Care)
Source: Australian Critical Care - October 23, 2023 Category: Nursing Authors: Charissa J. Zaga, Catherine S. Papasavva, Graham Hepworth, Amy Freeman-Sanderson, Mary Beth Happ, Jeannette D. Hoit, Brendan A. McGrath, Vinciya Pandian, Louise Rose, Anna-Liisa Sutt, Pieter R. Tuinman, Sarah Wallace, Rinaldo Bellomo, Adam P. Vogel, Sue B Tags: Research paper Source Type: research
The effects of open and closed system endotracheal suctioning methods on suctioning frequency, amount of secretion, and haemodynamics: A single-blind, randomised, 2 × 2 crossover trial
Several studies have revealed that clinicians cannot suction all available secretion in the trachea and perform more frequent suctioning with a closed suctioning system (CSS) than with an open suctioning system (OSS). There are also studies claiming that the CSS is as effective as the OSS, based on either the amount of secretion, the frequency of suctioning, or haemodynamic parameters alone. However, there is no study examining all at once. (Source: Australian Critical Care)
Source: Australian Critical Care - October 11, 2023 Category: Nursing Authors: İlkin Yılmaz, Dilek Özden Tags: Research paper Source Type: research
The efficacy of earplugs and eye masks for delirium severity and sleep quality in patients undergoing coronary artery bypass grafting in cardiac intensive care units: A single-blind, randomised controlled trial
This study is intended to examine the efficacy of eye masks and earplugs for delirium severity and sleep quality in patients with coronary artery bypass grafting in a cardiac intensive care unit. (Source: Australian Critical Care)
Source: Australian Critical Care - October 4, 2023 Category: Nursing Authors: Seyed Afshin Shorofi, Pooneh Dadashian, Paul Arbon, Mahmood Moosazadeh Tags: Research paper Source Type: research
Accuracy of intra-arterial line transducer levelling practice in a general intensive care unit
The intra-arterial line is a common device intervention used in the intensive care environment to provide continuous blood pressure measurement. The transducer line is levelled to the patient's phlebostatic axis to provide accurate measurements. (Source: Australian Critical Care)
Source: Australian Critical Care - October 3, 2023 Category: Nursing Authors: Kylie Jacobs, Paul Jarrett, Emma Ballard, Amanda Fox Tags: Research paper Source Type: research
Is the CALCULATE scale useful for prediction of pressure injury in critically ill patients? We need more evidence
We read with great interest the article by de Souza et al.1 The authors verify the accuracy of the CALCULATE scale for predicting pressure injury (PI) in critically ill patients who are at high risk. The Braden Scale a common PI risk assessment tool, which is widely used in clinical practice; however, the current evidence suggests that the Braden Scal e is not the best risk assessment tool in critically ill patients.2 In contrast, the CALCULATE scale was specifically developed for critically ill patients,3,4 and previous reports have evaluated its accuracy. (Source: Australian Critical Care)
Source: Australian Critical Care - October 1, 2023 Category: Nursing Authors: Qifang Shi, Hao Sun Tags: Letter to the editor Source Type: research
Outcomes of medically retrieved infants with bronchiolitis in high-income countries: A scoping review
Bronchiolitis is the most common respiratory infection and reason for hospitalisation in infancy; however, outcomes of infants with bronchiolitis who require interhospital transfer by specialist medical retrieval services are poorly understood. (Source: Australian Critical Care)
Source: Australian Critical Care - September 24, 2023 Category: Nursing Authors: Tina Kendrick, Natasha Nassar, Christine Stirling Tags: Review paper Source Type: research
Timing of renal replacement therapy in patients with sepsis-associated acute kidney injury: A systematic review and meta-analysis
The objective of this study was to evaluate the clinical efficacy of early and delayed renal replacement therapy (RRT) in patients with sepsis-associated acute kidney injury (AKI). (Source: Australian Critical Care)
Source: Australian Critical Care - September 19, 2023 Category: Nursing Authors: Qifa Wang, Fen Liu, Wenqiang Tao, Kejian Qian Tags: Review paper Source Type: research
Frequency of and associations with alterations of medical emergency team calling criteria in a teaching hospital emergency department
Medical emergency team (METs), activated by vital sign –based calling criteria respond to deteriorating patients in the hospital setting. Calling criteria may be altered where clinicians feel this is appropriate. Altered calling criteria (ACC) has not previously been evaluated in the emergency department (ED) setting. (Source: Australian Critical Care)
Source: Australian Critical Care - September 14, 2023 Category: Nursing Authors: Simon R. Baylis, Luke R. Fletcher, Alastair J.W. Brown, Tamishta Hensman, Ary Serpa Neto, Daryl A. Jones Tags: Research paper Source Type: research
Rethinking the problem of clinically deteriorating patients: Time for theory-informed solutions
It is over 20 years since McQuillan et al.1 reported deficiencies in clinical care that in-patients in hospital wards received before being transferred to an intensive care unit (ICU). In more than half of cases, there was poor recognition of changes to vital signs and delays in contacting a more senior clinician resulting in increased patient mortality, morbidity, and resource consumption in the ICU.1 These results have been echoed in multiple studies across the world since that time. Common across this work is the vulnerability of hospitalised patients who clinically deteriorate without appropriate recognition and inte...
Source: Australian Critical Care - September 14, 2023 Category: Nursing Authors: Duncan Smith, Leanne M. Aitken Tags: Editorial Source Type: research
Nutrition practices in critically ill adults receiving noninvasive ventilation: A quantitative survey of Australian and New Zealand intensive care clinicians
Noninvasive ventilation (NIV) is frequently used in the intensive care unit (ICU), yet there is a paucity of evidence to guide nutrition management during this therapy. Understanding clinicians' views on nutrition practices during NIV will inform research to address this knowledge gap. (Source: Australian Critical Care)
Source: Australian Critical Care - September 13, 2023 Category: Nursing Authors: Kaitlyn Page, Elizabeth Viner Smith, Mark P. Plummer, Emma J. Ridley, Kristy Burfield, Lee-anne S. Chapple Tags: Research paper Source Type: research
