American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Randomized Controlled Trial
Using a criteria-based reminder to reduce use of indwelling urinary catheters and decrease urinary tract infections.
Duration of indwelling urinary catheterization is an important risk factor for urinary tract infection. ⋯ Use of a criteria-based reminder to remove indwelling urinary catheters can diminish the use of urinary catheterization and reduce the likelihood of catheter-associated urinary infections. This reminder approach can prevent catheter-associated urinary infections, and its use should be strongly considered as a way to enhance the safety of patients.
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Controlled Clinical Trial
Outcomes of nasal bridling to secure enteral tubes in burn patients.
Reliable securement of nasally inserted enteral tubes is a problem in patients with facial burns that make use of traditional adhesive tape ineffective. ⋯ In burn patients, use of a nasal bridle to secure nasally inserted tubes had clinical advantages over securement with traditional adhesive tape.
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Randomized Controlled Trial
CNE article: pain after lung transplant: high-frequency chest wall oscillation vs chest physiotherapy.
Background Chest physiotherapy and high-frequency chest wall oscillation (HFCWO) are routinely used after lung transplant to facilitate removal of secretions. To date, no studies have been done to investigate which therapy is more comfortable and preferred by lung transplant recipients. Patients who have less pain may mobilize secretions, heal, and recover faster. ⋯ Conclusions HFCWO seems to provide greater decreases in pain scores than does chest physiotherapy. Bilateral lung transplant recipients preferred HFCWO to chest physiotherapy. HFCWO may be an effective, feasible alternative to chest physiotherapy. (American Journal of Critical Care. 2013;22:115-125).