Improving Emergency Cricothyroidotomies: Simulation-Based Training for Critical Care Providers
This article discusses skill proficiency of providers related to emergency cricothyroidotomies. Various techniques to improve procedural skills were studied. Accurate identification of the cricothyroid membrane via palpation remained consistently inadequate. High-fidelity simulation including the use of human cadavers may be the preferred method of skill training for crisis management. The authors emphasize that additional research is needed regarding a method for rapid cricothyroid membrane identification as well as needle cricothyroidotomy versus surgical airway on cadavers. More consistent training will enable emergency...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
Workplace Violence Against Emergency Nurses: A Literature Review
Violence against health care providers is one of the most pressing problems faced by health care systems around the world. Because of unpredictability and acuity of emergency cases, emergency nurses are more vulnerable to workplace violence. Violence against emergency nurses is a complex and multidimensional problem that has a devastating impact on the physical, psychological, and social well-being of nurse victims. The purpose of this review is to integrate evidence on manifestations, contributing factors, and consequences of workplace violence perpetrated by patients and/or their relatives against emergency nurses, in ad...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
Post–Sepsis Syndrome
Sepsis is both common and costly. Successful implementation of guidelines in the acute care setting has decreased mortality and increased the number of sepsis survivors. However, patients returning to the community continue to experience complications related to sepsis and many are poorly prepared to manage these long-term complications. These long-term complications are collectively referred to as post–sepsis syndrome. The purpose of this review is to increase knowledge about post–sepsis syndrome and to compare post–sepsis syndrome with post–intensive care unit syndrome. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
Early Recognition and Management of Sepsis in the Elderly: A Case Study
This article aims to inform clinicians and nurses of the importance of early recognition of subtle signs and symptoms and the management of sepsis in the elderly. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
Patient Perspectives of Sickle Cell Management in the Emergency Department
The objective of this study was to use a multimethods approach to describe how patients with SCD in North Carolina perceive the care they receive in emergency departments (EDs). Fourteen participants completed an interview (n = 10) or 2 focus groups (n = 2 per focus group) and 51 completed surveys. Sixty percent of participants with pain attack “very much” or “quite a bit” avoided going to the ED for care because of prior bad experiences and 50% of participants reported waiting 120 minutes or more in the ED for treatment of their sickle cell pain. Participants reported that stigma associated with provider perceptio...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
Early Versus Traditional Oral Feeding Following Elective Colorectal Surgery: A Literature Review
Traditional feeding protocols withhold oral intake until the return of bowel function for concern of postoperative complications following elective colorectal surgery. Implementation of early feeding into clinical practice challenges this conventional approach. The purpose of this literature review is to analyze the current evidence and compare the impact of traditional versus early oral feeding protocols on postoperative outcomes following elective colorectal resection. A literature search of PubMed, EMBASE, CINAHL, and Scopus was conducted. Outcomes of interest include the resolution of postoperative ileus, the incidence...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
Nursing Care for Extracorporeal Membrane Oxygenation in the Trauma Patient
Trauma patients that survive the immediate threat of death are at risk for potentially life-threatening complications such as acute respiratory distress syndrome and multisystem organ failure. Extracorporeal membrane oxygenation (ECMO) use in trauma patients has largely been controversial for concerns of inducing major hemorrhage with the use of systemic anticoagulation to prevent thrombus development while connected to the ECMO circuit. There is limited data available for specific guidelines for optimal management of the trauma population; however, recent studies suggest comparable outcomes to those of nontrauma patients ...
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - February 25, 2021 Category: Nursing Tags: Foreword Source Type: research
COVID-19: An Update on the Epidemiological, Clinical, Preventive, and Therapeutic Management of 2019 Novel Coronavirus Disease
The COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus (SARS-CoV-2) remains a serious issue for global health, given widespread infectivity and a high contagion rate. A tremendous amount of data has been generated since it was first identified in December 2019. It is vital to keep up with these data from across the world at a time of uncertainty and continuously evolving guidelines and clinical practice. This review provides an update on recent developments concerning epidemiology, clinical presentation, treatment options, and scientific advancements to combat the COVID-19 pandemic. (Source: Critical...
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
Developing a Multidisciplinary Approach to the COPD Care Pathway
Chronic obstructive pulmonary disease (COPD) is characterized as a predominately preventable and treatable inflammatory lung disease caused by progressive obstructed airflow from the lungs. In the United States and worldwide, it is becoming a major cause in hospital admissions as well as an increase in morbidity and mortality. The rising total cost of care for COPD is concerning for all health care industries. The disease has significant impact on the patient's quality of life and psychological well-being. A worldwide initiative is underway in developing a care model that is multifactorial through continuous monitoring of ...
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
The Role of Palliative Care in COPD
Chronic obstructive pulmonary disease is a highly symptomatic disease that may lead to significant morbidity. Even with optimal therapy, the patient's quality of life can be severely affected. These symptoms include dyspnea, anxiety, depression, and malnourishment. Palliative care is a branch of medicine that specializes in the care of patients with a terminal illness no matter what stage of the disease they are in. It implements a family-centered approach to help patients deal with their symptoms. It also helps with shared decision-making and advanced care planning. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
Comorbidities Associated With Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease or COPD is characterized by airflow obstruction, causing respiratory symptoms. There are treatments available for COPD; however, COPD has significant extrapulmonary effects, including well-recognized ones as cardiovascular disease and often underdiagnosed ones as osteoporosis. It is imperative to be aware of these comorbidities to optimize COPD patient care. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
COPD and Cardiovascular Disease: A Review of Association, Interrelationship, and Basic Principles for Integrated Management
The presence of comorbid cardiovascular disease (CVD) in patients with chronic obstructive pulmonary disease (COPD) can result in unfavorable outcomes, ranging from deterioration in quality of life to increases in all-cause and cardiovascular mortality. Moreover, cardiovascular events are major cause of hospitalization in patients with COPD and contributing significantly to the economic burden of the disease. Despite the acknowledgment of the prognostic significance of CVD comorbidity in COPD patients, CVD remains underrecognized and undertreated in this patient population. In this article, we address the current knowledge...
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide and results in an economic and social burden that is both substantial and increasing. The natural history of COPD is punctuated by exacerbations, which have major short- and long-term implications on the patient and health care system. Evidence-based guidelines stipulate that early detection and prompt treatment of exacerbations are essential to ensure optimal outcomes and to reduce the burden of COPD. In this review, we provide a concise overview of COPD exacerbations and their risk factors and etiology (infection vs noninfe...
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
Lung Transplantation in COPD
Chronic obstructive pulmonary disease (COPD) remains one of the leading causes of morbidity and mortality both in the United States and worldwide. Despite advances in medical treatment including smoking cessation, bronchodilator therapy, oxygen administration, and pulmonary rehabilitation, patients with advanced COPD still suffer significant debility. For select patients with severe COPD, there are additional surgical options including lung volume reduction surgery and ultimately lung transplantation. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
