COVID-19 and the Cardiovascular System
COVID-19, a symptom complex of respiratory failure induced by a highly infectious pathogen, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has been classified as a pandemic. As of April 15, 2020, there have been 2 million people diagnosed with the viral infection and 130 000 deaths globally. It is highly likely that the number of infections is underrepresented secondary to variations in testing and reporting strategies globally. In this short review, we aim to summarize the current understanding of SARS-CoV-2 as it pertains to cardiovascular disease. We discuss the basis of cardiac pathophysiology and addres...
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
Supportive Management and Interventions for Respiratory Failure Due to SARS-CoV-2
Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection can vary from asymptomatic to severe symptoms. It can lead to respiratory failure and acute respiratory distress syndrome requiring intubation and mechanical ventilation. Triaging patients is key to prevent spread, conserving medical resources, and providing appropriate care. The treatment of these patients remains supportive. Respiratory failure due to the virus should be managed by providing supplemental oxygen and early intubation. Some patients develop acute respiratory distress syndrome and refractory hypoxemia. In this article, we review the 2 phe...
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
Therapeutic Options for the Treatment of Coronavirus Disease (COVID-19)
Coronavirus disease 2019 (COVID-19) has resulted in an unprecedented pandemic, challenging practitioners to identify safe and effective therapeutic options in a limited amount of time. The rapid genomic sequencing of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) provided a significant number of therapeutic targets. Repurposed and investigational agents are being studied for use in COVID-19. Although knowledge is rapidly expanding in regard to COVID-19 and there is promise with a few agents, there are no definitely proven effective therapies at this time. Supportive care remains the mainstay of therapy while ...
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
COVID-19: Diagnostic Testing and Challenges
Coronavirus disease-2019 (COVID-19) was declared a pandemic by the World Health Organization on March 11, 2020. Following this, there has been a rapid development in policies and strategies to contain and mitigate the pandemic. One of such strategies involves the development and utilization of testing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative organism of COVID-19. In this article, we explore the diagnostic modalities for COVID-19 based on the available information to date. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
COVID-19: Epidemiology, Pathophysiology, Transmission, Symptoms
COVID-19 is caused by the coronavirus known as SARS-CoV2. This virus may lead to asymptomatic cases, mild illness, or acute respiratory distress syndrome. Here we describe the epidemiology, pathophysiology, transmission, and symptoms of the virus. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Foreword Source Type: research
Analysis of Delirium From the Dynamic Symptoms Model: A Literature Review
This article is intended to present a comprehensive approach of delirium analyzed from a symptom perspective and from theoretical and conceptual structure, such as the Dynamic Symptoms Model, specific to the nursing practice. A literature review related to delirium and components of Dynamic Symptoms Model was carried out. We searched the MEDLINE, ScienceDirect, SciELO, and Scopus databases using the terms Delirium, Intensive Care Units, Nursing, and Risk Factor. The existing literature provides evidence of the antecedents, experience, interventions, interactions, and consequences of delirium, which are components of the Mo...
Source: Critical Care Nursing Quarterly - May 21, 2020 Category: Nursing Tags: Original Articles Source Type: research
Rise of the Robots: Is Artificial Intelligence a Friend or Foe to Nursing Practice?
This article aims to explore the relevance of nursing in a technologically advanced postmodern health care system. The relevance of nursing in the future is solidified by the unique nature of nursing that includes the embodiment of human caring and emotional intelligence. Nurses' abilities to intervene before patient deterioration, care for patients holistically, and manage various aspects of care will be heightened by the adoption of AI. Nurses should embrace AI technology, as we predict that it will decrease nurse workload and cognitive overload and allow for increased patient-nurse interaction. Current and future nurses...
Source: Critical Care Nursing Quarterly - May 21, 2020 Category: Nursing Tags: Original Articles Source Type: research
The Human Touch: Is Modern Technology Decreasing the Value of Humanity in Patient Care?
The art of nursing care is rarely a black or white concept. Within the art of caring for and saving lives, lies many paradoxical concepts, such as nurses' codependent relationship with technology. A literature review was completed with the purpose of answering the question of whether or not technology has decreased the value of humanity in patient care. Robotic care was a concept that was identified in this review, which may devalue the human touch component of nursing care. In addition, the adoption of technological advancements to assess patients and its impact on direct nursing care was another concept explored. The aim...
Source: Critical Care Nursing Quarterly - May 21, 2020 Category: Nursing Tags: Original Articles Source Type: research
Energy Expenditure and Shivering Severity During Targeted Temperature Management at 36°C After Cardiac Arrest: A Case Series
This article reports patterns of EE for patients with and without shivering who received TTM at 36°C after cardiac arrest. Based on 96 case assessments, there were 14 occasions when more than one 15-minute interval period was required to appropriately modify the Bedside Shivering Assessment Scale (BSAS) score. Investigators noted that although higher EE was related to higher BSAS scores, there may be opportunities for earlier detection of shivering. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - May 21, 2020 Category: Nursing Tags: Original Articles Source Type: research
Nurses' Attitude, Behavior, and Knowledge Regarding Protective Lung Strategies of Mechanically Ventilated Patients
This article reports findings from what is thought to be the first study in Palestine that explores critical care nurses' knowledge about PLSs. The purpose of this study was to assess the critical care nurses' attitude, behavior, and knowledge regarding PLSs of mechanically ventilated patients. This descriptive, cross-sectional study was conducted at both public and private hospitals in Palestine. The sample included nurses who worked in intensive care units and cardiac care units and utilized a previously developed and validated questionnaire. The result of the study concludes that the majority of the Palestinian critical...
Source: Critical Care Nursing Quarterly - May 21, 2020 Category: Nursing Tags: Original Articles Source Type: research
Continuous Lactate Measurement Devices and Implications for Critical Care: A Literature Review
The aim of this article is to review the literature on lactate measurements in critical care and the current devices used to measure noninvasively and invasively. Lactate measurements are currently being used as a way to measure the severity of sepsis. Intravascular and subcutaneous devices are some of the ways that these measurements can be continuously gathered as well as point-of-care blood tests. New devices that are being currently used with athletes can measure lactate noninvasively. As the advance of technology continues to move at a fast speed, an evaluation of literature is needed to assess the continued support o...
Source: Critical Care Nursing Quarterly - May 21, 2020 Category: Nursing Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - May 21, 2020 Category: Nursing Tags: Foreword Source Type: research
Control of Shivering During Targeted Temperature Management
Targeted temperature management (TTM) is used frequently in patients with a variety of diseases, especially those who have experienced brain injury and/or cardiac arrest. Shivering is one of the main adverse effects of TTM that can often limit its implementation and efficacy. Shivering is the body's natural response to hypothermia and its deleterious effects can negate the benefits of TTM. The purpose of this article is to provide an overview of TTM strategies and shivering management. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - February 22, 2020 Category: Nursing Tags: Original Articles Source Type: research
Melatonin, Ramelteon, Suvorexant, and Dexmedetomidine to Promote Sleep and Prevent Delirium in Critically Ill Patients: A Narrative Review With Practical Applications
Sleep plays an important role in the recovery of critically ill patients. However, patients in the intensive care unit (ICU) often suffer sleep disturbances and abnormal circadian rhythms, which may increase delirium and lengthen ICU stay. Nonpharmacologic strategies for preventing and treating sleep disturbances and delirium, such as overnight eye masks and ear plugs, are usually employed first, given the lack of adverse effects. However, a multimodal approach to care including pharmacotherapy may be necessary. Despite the limited available data supporting their use, medications such as melatonin, ramelteon, suvorexant, a...
Source: Critical Care Nursing Quarterly - February 22, 2020 Category: Nursing Tags: Original Articles Source Type: research
