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Sedation Options for Intubated Intensive Care Unit Patients
A common requirement for intubated patients in the intensive care unit (ICU) is sedation and pain management to facilitate patient safety and timely, atraumatic healing. The Society of Critical Care Medicine guidelines for management of pain, sedation, and delirium in adult ICU patients provide assessment scales for pain, sedation, and delirium; medications for sedation and pain management, and protocols for weaning sedation, are discussed. Proficient assessment skills, pharmacologic knowledge of medications administered to provide sedation, and an understanding of the importance of nonpharmacologic interventions can help ...
Source: Critical Care Nursing Clinics of North America - February 27, 2015 Category: Nursing Authors: Jennifer Lacoske Source Type: research

Improved Guideline Adherence and Reduced Brain Dysfunction After a Multicenter Multifaceted Implementation of ICU Delirium Guidelines in 3,930 Patients
Objectives: Implementation of delirium guidelines at ICUs is suboptimal. The aim was to evaluate the impact of a tailored multifaceted implementation program of ICU delirium guidelines on processes of care and clinical outcomes and draw lessons regarding guideline implementation. Design: A prospective multicenter, pre-post, intervention study. Setting: ICUs in one university hospital and five community hospitals. Patients: Consecutive medical and surgical critically ill patients were enrolled between April 1, 2012, and February 1, 2015. Interventions: Multifaceted, three-phase (baseline, delirium screening, a...
Source: Critical Care Medicine - February 16, 2019 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

Major publications in critical care pharmacotherapy literature in 2018
ConclusionThis clinical review and expert commentary of impactful critical care pharmacotherapy publications in 2018 provides perspectives and insights for the critical care practitioner.
Source: Journal of Critical Care - May 2, 2019 Category: Gastroenterology Source Type: research

Aromatherapy improves nausea, pain, and mood for patients receiving pediatric palliative care symptom-based consults: A pilot design trial.
Abstract OBJECTIVE: The role of aromatherapy in supportive symptom management for pediatric patients receiving palliative care has been underexplored. This pilot study aimed to measure the impact of aromatherapy using validated child-reported nausea, pain, and mood scales 5 minutes and 60 minutes after aromatherapy exposure. METHODS: The 3 intervention arms included use of a symptom-specific aromatherapy sachet scent involving deep breathing. The parallel default control arm (for those children with medical exclusion criteria to aromatherapy) included use of a visual imagery picture envelope and deep breathin...
Source: Palliative and Supportive Care - August 18, 2019 Category: Palliative Care Authors: Weaver MS, Robinson J, Wichman C Tags: Palliat Support Care Source Type: research

The Quality of End-of-Life Care Among Intensive Care Unit Versus Ward Decedents.
CONCLUSIONS: Among hospital decedents, ICU care was associated with higher family ratings of quality of end-of-life care than ward care. Reducing ICU use among hospital decedents may not improve end-of-life quality, and efforts to understand how ICU care improves end-of-life quality could help provide better care outside ICUs. PMID: 31940238 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - January 14, 2020 Category: Respiratory Medicine Authors: Rolnick JA, Ersek M, Wachterman MW, Halpern SD Tags: Am J Respir Crit Care Med Source Type: research

Pressure Injuries Due to Personal Protective Equipment in COVID-19 Critical Care Units
CONCLUSIONS: Pressure injuries related to PPE represent an important adverse effect for nurses caring for patients with COVID-19. This topic deserves study to determine adequate solutions for preventing and treating such injuries and their potential influence on nurses' work tolerance.PMID:33912903 | DOI:10.4037/ajcc2021178
Source: American Journal of Critical Care - April 29, 2021 Category: Nursing Authors: Stefano Bambi Gian Domenico Giusti Alessandro Galazzi Elisa Mattiussi Irene Comisso Matteo Manici Moris Rosati Alberto Lucchini Source Type: research