American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Review Meta Analysis
Mechanical thromboprophylaxis in critically ill patients: a systematic review and meta-analysis.
To systematically review the randomized trials, observational studies, and survey evidence on compression and pneumatic devices for thromboprophylaxis in intensive care patients. ⋯ The limited evidence suggests that use of compressive and pneumatic devices yields results not significantly different from results obtained with no treatment or use of low-molecular-weight heparin. Until large randomized controlled trials are conducted, the role of mechanical approaches to thromboprophylaxis for intensive care patients remains uncertain.
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Review Meta Analysis
Mechanical thromboprophylaxis in critically ill patients: a systematic review and meta-analysis.
To systematically review the randomized trials, observational studies, and survey evidence on compression and pneumatic devices for thromboprophylaxis in intensive care patients. ⋯ The limited evidence suggests that use of compressive and pneumatic devices yields results not significantly different from results obtained with no treatment or use of low-molecular-weight heparin. Until large randomized controlled trials are conducted, the role of mechanical approaches to thromboprophylaxis for intensive care patients remains uncertain.
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The incidence of morbid obesity is increasing epidemically in the United States. Multiple factors affect the disease process. Numerous methods have been used to treat morbid obesity. ⋯ Nurses' application of current nursing literature and standards of care for postoperative gastric bypass patients puts nurses in a pivotal position to affect both early and late outcomes of these patients after surgery. Morbid obesity is defined, and current treatment trends and postoperative complications are discussed. Recognition and identification of unique nursing considerations and use of critical thinking skills to best meet the needs of postoperative gastric bypass patients, including how obesity affects hemodynamic parameters and airway management, are highlighted.