American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Observational Study
Exercise Physiologists: Key to Providing Early Mobilization in the Intensive Care Unit.
Patient immobility and a lack of physical activity in the intensive care unit results in a myriad of negative patient and hospital outcomes. ⋯ The introduction of exercise physiologists in the intensive care units proved to be a novel, safe, and effective strategy that maintained or increased the activity level of 97% of study patients.
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Multicenter Study Observational Study
Validation of the Withdrawal Assessment Tool-1 in Adult Intensive Care Patients.
The Withdrawal Assessment Tool-1 (WAT-1) has been validated for assessing iatrogenic withdrawal syndrome in critically ill children receiving mechanical ventilation, but little is known about this syndrome in critically ill adults. ⋯ Despite showing reliability, the WAT-1 is not a valid tool for assessing the presence of iatrogenic withdrawal syndrome in adults.
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Randomized Controlled Trial
High-Flow Oxygen Therapy to Speed Weaning From Mechanical Ventilation: A Prospective Randomized Study.
High-flow oxygen therapy has been widely adopted, but its use for weaning patients from mechanical ventilation has not been reported. ⋯ High-flow oxygen therapy can reduce the time needed to wean patients from mechanical ventilation by shortening the time needed to pass a spontaneous breathing trial and by decreasing the reintubation rate.
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Comparative Study
Hospital-Acquired Pressure Injuries in Critical and Progressive Care: Avoidable Versus Unavoidable.
Despite prevention strategies, hospital-acquired pressure injuries (HAPIs) continue to occur, especially in critical care, raising the question whether some pressure injuries are unavoidable. ⋯ Unavoidable HAPIs do occur; moreover, when preventive interventions are not documented and implemented appropriately, avoidable HAPIs occur.