Surgical Treatment of Lung Cancer
Lung cancer is the leading cause of cancer-related death and the second most diagnosed cancer in the United States. Surgical intervention is most applicable to early-stage lung cancer diagnoses and considered the best curative option. Multiple surgical techniques are now available, including wedge resection, segmentectomy, lobectomy, and pneumonectomy. Robotics and video-assistance are commonly used in wedge resection and sometimes used for segmentectomy. Regardless of the technique, focused clinical management of the patient following lung cancer surgery by nurses and nurse practitioners remains a priority. Future innovat...
Source: Critical Care Nursing Clinics of North America - July 5, 2019 Category: Nursing Authors: Haley Hoy, Thuy Lynch, Monica Beck Source Type: research

A Review of Tetralogy of Fallot and Postoperative Management
This article discusses the anatomy and physiology of tetralogy of Fallot (TOF) and TOF variants. Indications for surgical repair, morbidity/mortalities, and surgical repair techniques are also reviewed. The article concludes with review of common postoperative complications and management strategies for arrhythmias, right ventricular dysfunction, low cardiac output, and residual defects. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - July 5, 2019 Category: Nursing Authors: Johnna Forman, Rachel Beech, Lucy Slugantz, Amy Donnellan Source Type: research

Stroke Volume Optimization
The hemodynamic monitoring landscape is rapidly evolving from pressure-based and static parameters to more blood flow –based and dynamic parameters. Consensus guidelines for cardiac surgery state that the pulmonary artery catheter is neither required nor helpful in most patients. In the meantime, critical care has been searching for the alternatives to the pulmonary artery catheter and protocols for use. Best ava ilable evidence for any protocol developed suggests the inclusion of stroke volume optimization to determine fluid responsiveness. Additional strategies to using stroke volume to optimize hemodynamics, inclu...
Source: Critical Care Nursing Clinics of North America - July 5, 2019 Category: Nursing Authors: Alexander Johnson, Jillian Stevenson, Hong Gu, Jeffrey Huml Source Type: research

Common Post Cardiothoracic Surgery Arrhythmias
Cardiac arrhythmias are common after cardiac surgery and have profound sequelae. Bradycardias are typically transient and have reversible causes; however, persistent atrioventricular block is an indicator for permanent pacemaker implantation after valvular surgery. Transcatheter aortic valve surgery is associated with even higher rates of permanent pacemaker implantation. Atrial fibrillation, the most common postoperative arrhythmia, is associated with ischemic stroke, myocardial infarction, congestive heart failure, and short-term mortality. Ventricular arrhythmias have extremely high in-hospital mortality, as well as lon...
Source: Critical Care Nursing Clinics of North America - July 5, 2019 Category: Nursing Authors: Kirstan Clay-Weinfeld, Melissa Callans Source Type: research

Cardiothoracic Surgical Critical Care
Heart and lung diseases are two of the leading causes of death in the United States and worldwide. Despite advances in medical care, for many patients, surgery still represents their best hope for improved quality of life and even survival. Owing to the very nature of cardiothoracic surgery, the majority of these patients will spend time in the intensive care unit (ICU), either before or after their operations. Critical care nurses and a growing number of advanced practice nurses are directly involved in the care of these patients. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - July 5, 2019 Category: Nursing Authors: Bryan Boling Tags: Preface Source Type: research

Pain Control in the Cardiothoracic Surgery Patient
Opioid analgesics are the historical mainstay for postoperative cardiothoracic surgery pain relief. Although opioids are efficacious, they are linked with adverse effects, including sedation and respiratory depression. Emerging research is helping clinicians move toward evidence-based, opioid-sparing management strategies, including peripheral nerve blocks and multimodal analgesia. Good communication is essential to understanding patients ’ perceptions of pain and attitudes toward different pain-relief methods. Preoperatively educating patients and families on expected nociception and treatment options decreases post...
Source: Critical Care Nursing Clinics of North America - June 28, 2019 Category: Nursing Authors: Kelly A. Thompson-Brazill Source Type: research

Surgical Approaches in Heart Failure
Heart failure is a progressive condition that continues to increase in both incidence and prevalence despite pharmacologic treatment. The high rate of morbidity and mortality associated with advanced heart failure has led to exploration of additional treatments, which include surgical interventions to improve outcomes. Heart transplant remains the gold standard but, because of the persistent donor shortage and increasing number of patients with advanced heart failure, mechanical circulatory support is gaining acceptance and can be used as a bridge to heart transplant for those eligible or as destination therapy. (Source: C...
Source: Critical Care Nursing Clinics of North America - June 27, 2019 Category: Nursing Authors: Candice Falls, Andrew R. Kolodziej Source Type: research

Lung Transplant for the Critical Care Nurse
This article reviews routine postsurgical intensive care unit management, along with management of complications such as acute kidney injury, atrial arrhythmias, deep vein thrombosis, primary graft dysfunction, hyperammonemia syndrome, and thrombocytopenia. Finally, management of long-term issues, including diabetes mellitus, hypertension, and bronchial stenosis, is discussed. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - June 24, 2019 Category: Nursing Authors: Kevin C. Carney, Tanya Bronzell-Wynder, Karen Gronek Source Type: research

The Role of Venoarterial Extracorporeal Membrane Oxygenation in Postcardiotomy Cardiogenic Shock
This article discusses patient assessment and management with anticoagulation, sedation, ventilation, and nutrition. Complications may occur, including bleeding, hemolysis, infection, acute kidney injury, stroke, left ventricular distention, limb ischemia, and upper body hypoxia. Patients may recover enough myocardial function to be weaned from ECMO or may be transitioned to a ventricular assist device or transplant. Quality of life may be affected by VA ECMO but may be no different than patients with other chronic health issues. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - June 18, 2019 Category: Nursing Authors: P. Lynn McGugan Source Type: research

End-of-Life Care in Cardiothoracic Surgery
This article examines current literature on end-of-life care in cardiothoracic surgery and in critical care. Recommendations for management at the end of life are made based on the available evidence. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - June 18, 2019 Category: Nursing Authors: Barbara Birriel, Katrina D ’Angelo Source Type: research

Acute Kidney Injury Following Cardiothoracic Surgery
This article reviews acute kidney injury following cardiothoracic surgery, addressing the full spectrum of the perioperative environment including preoperative, intraoperative, and postoperative factors for acute kidney injury. Topics discussed include pathophysiology, risk prediction scoring, diagnosis, prevention, treatment, and new directions for research. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - June 11, 2019 Category: Nursing Authors: Daniel L. Arellano Source Type: research

Minimally Invasive Surgical Options with Valvular Heart Disease
The incidence and prevalence of structural heart disease has risen due to the longevity of the population, placing an economic burden on society. Over the past 20  years, treatment options for structural heart disease has significantly evolved. Advances in technology and interventional techniques have now shifted therapeutic options to include minimally invasive approaches to correct valvular heart disease. Patients with congenital heart defects are candidat es for minimally invasive approaches to correct valvular heart disease. An interdisciplinary team approach using a fusion of multimodal imaging is the best approa...
Source: Critical Care Nursing Clinics of North America - June 6, 2019 Category: Nursing Authors: Tonja M. Hartjes, Donna Lester Source Type: research

Health Care Information Technology
Technology in health care has spanned several decades. Over the last 60  years, technology has grown to include all parts of health care, with latest advancements around EMR platforms, analytics, and interoperability. EMR platforms are costly, and adoption was slow until the Federal Government developed incentives for adopting technology; this created a boom of health care IT platform adoption. This increased the amount of health care data available. EMR, IT platform, and analytics are used to measure disease processes against best practice, drawing parallels between practice and outcomes. Health care technology is no...
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Authors: Bennett Cheramie Source Type: research

Pediatric Quality Metrics Related to Quality and Cost
The institution of pediatric quality in health care has grown in the past decade but continues to evolve. Children ’s health care emphasizes the importance of maintenance of health and prevention of illness, which can be measured based on immunization rates, routine or scheduled well care, and early intervention. Pediatric quality measures and indicators have become the basis for payment of services and a true goal to value. Designing processes such as pay-for-performance models, volume-based care, and coordination of care assist in assuring that children receive high-quality health care. (Source: Critical Care Nursi...
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Authors: Catherine Haut, Aaron Carpenter, Jane Mericle Source Type: research

Electronic Health Records and Use of Clinical Decision Support
In 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act was signed into law. Along with this initiative came the push for meaningful use of the electronic health record. Clinicians, information technology professionals, and informaticists must partner to create evidence-based clinical decision support models to guide patient care using tools such as structured computerized physician order entry, order sets, templates, alerts, and reminders. Clinical decision support should be used to improve the quality of patient care and compliance with regulatory standards, while inherently following a p...
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Authors: Sherri Mills Source Type: research

Geriatric Trends Facing Nursing with the Growing Aging
This article expands on the Gerontological Society of America leaders ’ work to explore challenges facing healthcare providers in preparing for an aging population. Traditional medicine and models of care may no longer meet complex patient needs. Older patients present with multifaceted issues while living longer with chronic health conditions. The changing environm ent requires a cross-disciplinary perspective. Changes in reimbursement are in the early stages of implementation and will be used to evaluate measurable outcomes. Preparing to care for this population can only occur with enough health professionals and e...
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Authors: Jolie Harris Source Type: research

Maternal Quality Outcomes and Cost
The quality of maternal care in the United States is receiving increased attention due to rising rates of severe maternal morbidity and maternal mortality when compared with other developed countries. Many of these events are considered preventable. The lack of adoption of evidence-based maternal patient safety bundles and tool kits requires immediate attention. Maternal levels of care described by the American Congress of Obstetricians and Gynecologists requires increased focus so that women are in the appropriate facility to receive care. Perinatal care management, integrated behavioral health, and preconception care sho...
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Authors: Cathy Maher-Griffiths Source Type: research

Nurse Practitioners Improving Emergency Department Quality and Patient Outcomes
Emergency departments across the United States struggle to balance the overutilization of emergency services. Nurse practitioners (NPs) practicing in emergency departments improve quality indicators leading to the increased efficiency, timeliness, and effectiveness of care. NPs providing emergency services improve multiple national metrics, such as door-to-provider time, patient satisfaction, diagnostic test ordering, and left without being seen rates. NPs should be aware of the positive impact they make on the quality of care. NPs should monitor and trend patient outcomes they directly effect. More research is needed to i...
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Authors: Leanne H. Fowler, Jessica Landry, Melissa F. Nunn Source Type: research

Improvement of Quality Outcomes and Cost of Health Care
Nurses are using data hand in hand with evidence-based practice, bundles, clinical practice guidelines, and various delivery care models to provide patient-centered care and yield improved outcomes. The addition of data analytics holds promise for identification and early intervention to improve outcomes. Data and health care informatics are part of the health care fabric today and essential to guide and document improved patient outcomes and decreased costs. All specialties and settings are held accountable for patient outcomes, and with Medicare Access and CHIP (Children's Health Insurance Program) Reauthorization Act (M...
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Authors: Deborah Delaney Garbee, Denise M. Danna Tags: Preface Source Type: research

Quality Outcomes and Costs
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Authors: Deborah Delaney Garbee, Denise M. Danna Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Source Type: research

Contributors
JAN FOSTER, PhD, APRN, CNS (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Source Type: research

Contents
Deborah Delaney Garbee and Denise M. Danna (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Source Type: research

Forthcoming Issues
Cardiothoracic Surgical Critical Care (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - April 30, 2019 Category: Nursing Source Type: research

Leadership's Impact on Quality, Outcomes, and Costs
This article provides useful tools, strategies, and tips for mindful leaders and facilitates greater impact on improved patient and employee outcomes. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - April 8, 2019 Category: Nursing Authors: Linda Roussel Source Type: research

Treatment and Outcomes in Adult Designated Psychiatric Emergency Service Units
The United States is experiencing a mental health crisis. Access to psychiatric care is drastically declining. Designated psychiatric emergency services (PES) units can provide specialized psychiatric care to patients in crisis. Patients receive immediate, focused psychiatric assessments in a safe environment along with treatment and stabilization with appropriate disposition. Designated PES units foster improved patient clinical outcomes and higher satisfaction rates for psychiatric patients in crisis than traditional emergency departments. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - April 8, 2019 Category: Nursing Authors: Linda Ledet, Benita N. Chatmon Source Type: research

Hospitals Providing Temporary Emergency Department Services in Alternative Care Settings After Hurricane Sandy
This article reports findings of a qualitative study describing how the US Department of Veterans Affairs cared for vulnerable veterans after Hurricane Sandy while medical center was closed for an extended period. This experience highlights how vulnerable patients continued to need care. Hospital preparedness planning efforts focus primarily on sheltering in place and evacuation. Research is needed to identify how hospitals provided temporary emergency services in alternative settings to inform practical guidance. Hospital planners should anticipate that their most vulnerable patients will continue to need emergency care. ...
Source: Critical Care Nursing Clinics of North America - April 5, 2019 Category: Nursing Authors: Anne Reid Griffin, Alicia R. Gable, Claudia Der-Martirosian, Aram Dobalian Source Type: research

Telehealth Use to Promote Quality Outcomes and Reduce Costs in Stroke Care
Stroke can cause severe disability and death in the adult population. Many stroke patients do not have access to resources required to provide a timely diagnosis and treatment. Telestroke can provide these patients the accurate diagnosis and appropriate treatment they require. Telestroke has been linked to improved functional outcomes in the treatment of acute ischemic strokes. There are several barriers to providing a telestroke service, such as licensure and liability, reimbursement, technology, and financial issues. It is important to recognize these barriers and begin to implement strategies to overcome them. Telestrok...
Source: Critical Care Nursing Clinics of North America - April 3, 2019 Category: Nursing Authors: Kelsey Halbert, Cynthia Bautista Source Type: research

Impact of a Mobility Team on Intensive Care Unit Patient Outcomes
Mobility for critically ill patients has been found to be safe, beneficial, and feasible, although a culture of immobility prevails in many adult intensive care units (ICU) because of staffing challenges and lack of physical therapy and occupational therapy involvement. Clinical practice guidelines recommended early mobility for ICU patients to improve long- and short-term outcomes. Addition of a mobility team to the licensed physical therapy and occupational therapy staff and interprofessional ICU team improved patient outcomes and staff satisfaction, and reduced facility cost related to employee injuries. (Source: Critic...
Source: Critical Care Nursing Clinics of North America - April 3, 2019 Category: Nursing Authors: Jennifer Ratcliffe, Brandy Williams Source Type: research

Cardiovascular Disease Management in Minority Women
There is a need to educate minority women on prevention and management of risk factors that lead to cardiovascular disease (CVD0. Black women have the highest prevalence of CVD. Hypertension, diabetes, overweight/obesity, smoking, and hyperlipidemia have shown some correlation to the prevalence of CVD among minorities. Therefore, implementing strategies to increase awareness, and to prevent and manage CVD risk factors is vital. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Authors: Latanja Lawrence Divens, Benita N. Chatmon Source Type: research

Atrial Fibrillation
The purpose of this article is to educate staff nurses and advanced practice nurses the importance of identifying, diagnosing, and making appropriate clinical decisions when treating patients with atrial fibrillation. Atrial fibrillation is a supraventricular arrhythmia characterized by uncoordinated, chaotic electrical activity and deterioration of proper atrial mechanical function, with an irregular ventricular response. Poorly controlled or undiagnosed atrial fibrillation increases the risk of mortality and may decrease quality of life. Identifying and staying abreast of cardiovascular care and current updates in treatm...
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Authors: Monique Young Source Type: research

Evidence-based Strategies for Advanced Heart Failure
This article outlines treatments for advanced heart failure and provides a review of guideline-directed medical therapies leadin g into the late stages of heart failure. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Authors: Sabrina M. White Source Type: research

Acute and Chronic Hypertension
Hypertension is the most common primary diagnosis in the United States. Multiple sequelae of disease states are attributable to hypertension. Minimal to modest improvements in blood pressure can result in improved cardiovascular-related health outcomes. Despite the wealth of information available regarding the management and treatment of hypertension, the widespread control of hypertension continues to be an elusive challenge. A collaborative effort between patient and clinician using a balance of pharmacologic and nonpharmacologic interventions is essential to effectively manage and treat hypertension to avoid target orga...
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Authors: Sherry L. Rivera, Jennifer Martin, Jessica Landry Source Type: research

Improving Cardiovascular Health
Cardiovascular disease (CVD) is the leading cause of death in the United States across all races and ethnicities. The prevalence of CVD also increases with age despite gender. One in every four deaths is secondary to CVD, and coronary artery disease is the leading type of CVD, killing more than 366,000 yearly. Heart failure is the leading cause of poor quality of life, one of the leading causes of disability, and one of the most costly illnesses affecting Americans. Billions of dollars are spent annually for patients hospitalized with cardiovascular-related illness. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Authors: Leanne H. Fowler, Jessica Landry Tags: Preface Source Type: research

Interventions for Cardiovascular Disease
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Authors: leanne H. Fowler, Jessica Landry Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Source Type: research

Contributors
JAN FOSTER, PhD, APRN, CNS (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Source Type: research

Contents
Leanne H. Fowler and Jessica Landry (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Source Type: research

Forthcoming Issues
Quality Outcomes and Costs (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 6, 2019 Category: Nursing Source Type: research

Culinary Medicine
There is a well-established body of evidence that connects particular dietary lifestyle choices to good health. Despite this knowledge, rates of obesity, cardiovascular disease, and metabolic disease continue to rise. Culinary medicine uses what is known about the pharmacologic properties of food to treat, manage, and prevent disease. It fuses medicinal nutrition with culinary knowledge to help individuals adopt a diet that supports good health. Culinary techniques used to change behaviors and improve eating habits is an innovative modality to preserve and promote the health of a nation in need of effective medical interve...
Source: Critical Care Nursing Clinics of North America - December 24, 2018 Category: Nursing Authors: Nanette LeBlanc-Morales Source Type: research

Comprehensive Nursing Management for Valvular Disease
Valvular heart dysfunction (VHD) affects up to 7% of adults up to age 44  year, whereas up to 13% of individuals older than 75 years are affected. The broad term of valvular heart disease includes dysfunction of one or more of the 4 heart valves, including the pulmonary valve, tricuspid valve, mitral valve, or aortic valve. Specifically the more frequent anomalies, imp lication, assessment, and treatment that will be described more extensively include aortic regurgitation, aortic stenosis, mitral regurgitation, or tricuspid regurgitation. The most prevalent cause of valvular heart disease stems from calcification...
Source: Critical Care Nursing Clinics of North America - December 22, 2018 Category: Nursing Authors: Susan Lee Source Type: research

Hospital Discharge Teaching for Patients with Peripheral Vascular Disease
This article discusses disorders of peripheral vascular disease (PVD) that affect the lower extremity. PVD is an obstruction in the arteries known as arteriosclerosis obliterans, a condition that manifests from insufficient tissue perfusion that results in hardening of the arteries. Peripheral artery disease leads to an inflammatory condition called atherosclerosis. People at greatest risk include smokers, diabetics, those with high blood pressure, and those with elevated cholesterol levels. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - December 22, 2018 Category: Nursing Authors: Lucretia M. Wiltz-James, James Foley Source Type: research

Nursing Management for Patients Postoperative Cardiac Implantable Electronic Device Placement
As cardiac implantable electronic devices (CIEDs) continue to evolve and patients continue to live longer, the use of these devices increases. CIEDs include permanent pacemakers, implanted cardioverter-defibrillators, and cardiac resynchronization therapy devices. Over the last 2 decades, the functionality of these devices has increased and can be complex. Critical care nurses should be equipped with the knowledge to care for patients immediately postoperative CIED placement and for patients admitted to critical care units with CIEDs already in place. Patients with CIEDs are a vulnerable population with special needs and c...
Source: Critical Care Nursing Clinics of North America - December 22, 2018 Category: Nursing Authors: Leanne H. Fowler Source Type: research

ST-Elevation Myocardial Infarction and Non-ST-Elevation Myocardial Infarction
This article discusses the pathophysiology, presentation, and diagnosis and management of both ST-elevation myocardial infarction (STEMI) and non-STEMI. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - December 21, 2018 Category: Nursing Authors: Deedra H. Harrington, Frances Stueben, Christy McDonald Lenahan Source Type: research

Cardiovascular Risk Reduction
This update presents evidence for new antiplatelet therapies including modified P2Y12 inhibitors and a new class of thromboxane antagonists. Discussed are emerging data on established antihyperlipidemic medications that support an additional antiplatelet effect. Current information about the effectiveness of several bleeding reversal agents is discussed, and the concept of personalized antiplatelet therapy, wherein selection of an antiplatelet therapy is based on genetic factors or laboratory testing that predict response to therapy and risk of adverse effects. Finally, future drug targets are introduced and drug interacti...
Source: Critical Care Nursing Clinics of North America - December 21, 2018 Category: Nursing Authors: Troy J. Smith, Jessica L. Johnson, Abiy Habtewold, Melissa A. Burmeister Source Type: research

Increased Nursing Participation in Multidisciplinary Rounds to Enhance Communication, Patient Safety, and Parent Satisfaction
Effective communication among health care team members is a mainstay of patient safety, especially in a neonatal ICU (NICU), given small errors can have serious and life-threating consequences. Ineffective communication with families of hospitalized children can lead to decreased satisfaction and trust in the health care team. To enhance communication, the NICU nursing staff at the Johns Hopkins Children's Center spearheaded an initiative to create an enhanced nursing role in multidisciplinary patient rounds. Education of the nursing staff and other team members and the development of a rounding script for nurses was instr...
Source: Critical Care Nursing Clinics of North America - November 15, 2018 Category: Nursing Authors: Karen Dittman, Stephanie Hughes Source Type: research

Neonatal Hypoglycemia
This article reviews transitional events leading to extrauterine euglycemia, risk factors contributing to transient or persistent hypoglycemia, and common treatment approaches. Current information related to neurodevelopmental outcomes and screening strategies to prevent significant hypoglycemia with early treatment is described. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 15, 2018 Category: Nursing Authors: Mary L. Puchalski, Terri L. Russell, Kristine A. Karlsen Source Type: research

Neonatal Encephalopathy
It is well-documented in the literature that infants who suffer from hypoxic ischemic encephalopathy are at high risk for neurologic sequelae or even death. With the addition of therapeutic hypothermia into the treatment regimen for neonatal hypoxic ischemic encephalopathy, newborns afflicted with hypoxic ischemic encephalopathy were given the opportunity for a better outcome. Questions linger as to the most optimal treatment strategy of therapeutic hypothermia for these newborns. The goal of this article is to discuss current management strategies, as well as future trends, for infants with hypoxic ischemic encephalopathy...
Source: Critical Care Nursing Clinics of North America - November 15, 2018 Category: Nursing Authors: Elizabeth A. Schump Source Type: research

Modes of Neonatal Ventilation
The art and science of neonatal ventilation continue to evolve with advances in technology and as a result of evidenced based research. Although some historically administered therapies remain such as nasal continuous positive airway pressure, newer therapies have emerged in the neonatal intensive care unit such as pressure regulated volume control and neurally adjusted ventilatory assist. The challenge for clinicians continues to be which mode will support the patient ’s medical diagnosis with minimal barotrauma or lung injury. Vigilance and collaborative discussions among the treatment team remain the cornerstones ...
Source: Critical Care Nursing Clinics of North America - November 15, 2018 Category: Nursing Authors: Shawn Hughes Source Type: research

Neonatal Resuscitation
This article briefly describes the preparation and principles of newborn resuscitation and selected components of the Neonatal Resuscitation Program Flow Diagram. Five resuscitation scenarios of increasing complexity are used to illustrate how the guidelines are integrated into clinical practice. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - November 15, 2018 Category: Nursing Authors: Jeanette G. Zaichkin Source Type: research