Heart & lung : the journal of critical care
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Randomized Controlled Trial Clinical Trial
Effect of lateral positions on tissue oxygenation in the critically ill.
The purpose of this study was to assess the effect of lateral positions on tissue oxygenation in critically ill patients. ⋯ These findings suggest that lateral positioning of critically ill patients who are hypoxemic or have low cardiac output does not further endanger tissue oxygenation. Evaluation of individual patient responses to position changes in the clinical setting is encouraged until further studies using more heterogenous populations can provide more definitive guidance.
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Randomized Controlled Trial Clinical Trial
Effect of cardiopulmonary resuscitation training for parents of high-risk neonates on perceived anxiety, control, and burden.
⋯ CPR training is an important intervention for promoting a sense of control and reducing the anxiety and sense of burden experienced by parents of neonates at risk for cardiopulmonary arrest.
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Randomized Controlled Trial Comparative Study Clinical Trial
Intradermal normal saline solution, self-selected music, and insertion difficulty effects on intravenous insertion pain.
To examine the effect of listening to self-selected music versus an intradermal injection of normal saline solution on the intensity and distress of intravenous (IV) catheter insertion pain. ⋯ Intradermal unpreserved saline solution contributes to greater pain intensity and distress, greater insertion difficulty, and a higher failure rate than the use of music or routine IV insertion. Listening to preferred music attenuates the effect of insertion difficulty on IV insertion pain. Intravenous insertion attempts were unsuccessful in more than one third of the subjects, resulting in higher pain distress scores. Further research is needed on interventions to reduce IV insertion pain and on factors contributing to IV insertion failure.
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Randomized Controlled Trial Comparative Study Clinical Trial
Effectiveness of a music therapy intervention on relaxation and anxiety for patients receiving ventilatory assistance.
To test the effects of music therapy on relaxation and anxiety reduction for patients receiving ventilatory assistance. ⋯ A single music therapy session was found to be effective for decreasing anxiety and promoting relaxation, as indicated by decreases in heart rate and respiratory rate over the intervention period with this sample of patients receiving ventilatory assistance.
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Randomized Controlled Trial Clinical Trial
A comparison of intravascular pressure monitoring system contamination and patient bacteremia with use of 48- and 72-hour system change intervals.
To determine the incidence of culture positivity in intravascular monitoring systems by comparing 48- versus 72-hour intervals for flush solution, stopcocks, and catheters on removal. ⋯ Our results showed that increasing the change interval to 72 hours did not increase the risk of catheter-associated infection or catheter-associated bacteremia. Chi-square analysis did not show an association between culture-positive stopcocks, the incidence of culture-positive catheter tips, entries into the system, or catheter-related bacteremia and a change interval that was increased to 72 hours. Thus, increasing the change interval to 72 hours does not increase the risk of infection.