American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Meta Analysis
Prevention of Tracheostomy-Related Pressure Injury: A Systematic Review and Meta-analysis.
In the critical care environment, individuals who undergo tracheostomy are highly susceptible to tracheostomy-related pressure injuries. ⋯ Use of hydrophilic dressings and foam collars decreases the incidence of tracheostomy-related pressure injury in critically ill patients. Evidence regarding individual interventions is limited by lack of sensitive measurement tools and by use of bundled interventions. Further research is necessary to delineate optimal interventions for preventing tracheostomy-related pressure injury.
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Safe, reliable, high-quality critical care delivery depends upon interprofessional teamwork. ⋯ Teamwork and work environment health were rated by ICU team members as good but not excellent. Care coordination and meaningful recognition can be improved.
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Physiological functions with circadian rhythmicity are often disrupted during illness. ⋯ Circadian rhythmicity of vital signs at ICU discharge is not predictive of GOS-6 in patients with TBI.
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Tracheostomies are highly aerosolizing procedures yet are often indicated in patients with COVID-19 who require prolonged intubation. Robust investigations of the safety of tracheostomy protocols and provider adherence and evaluations are limited. ⋯ Multidisciplinary engagement in the development and implementation of a COVID-19 tracheostomy protocol is associated with acceptable safety for all members of the care team.