Nursing in critical care
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Nursing in critical care · Mar 2008
Randomized Controlled Trial Comparative StudyComparison of complications and procedural activities of pulmonary artery catheter removal by critical care nurses versus medical doctors.
None of the nursing studies on PA catheter removal pointed out any differences in complications after removal and procedural activities for removal of PA catheter by CCNs vs MDs in Turkey. ⋯ Instructing CCNs to remove a PA catheter has been highlighted in keeping the number of complications associated with removal procedure of PA catheter.
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Nursing in critical care · Nov 2007
Randomized Controlled TrialReducing the risk of ventilator-acquired pneumonia through head of bed elevation.
It has been suggested that placing critically ill ventilated patients in a semirecumbent position minimizes the likelihood of nosocomial pneumonia. ⋯ There was a trend towards a reduction in VAP in the patients nursed at 45 degrees. However, because of the sample size this difference did not reach statistical significance.
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Nursing in critical care · Sep 2006
Randomized Controlled TrialThe effect of music listening on older adults undergoing cardiovascular surgery.
The purpose of this study was to determine the effect of music listening on postoperative anxiety and intubation time in patients undergoing cardiovascular surgery. Coronary artery disease and valvular heart disease affect approximately 15 million Americans and 5 million persons in the U. K. annually, with the majority of these patients being older adults. ⋯ Differences in mean intubation time were measured in both groups. Older adults who listened to music had lower scores on the state anxiety test (F = 5.57, p = .022) and had significantly fewer minutes of postoperative intubation (F = 5.45, p = .031) after cardiovascular surgery. Older adults undergoing cardiovascular surgery who listen to music had less anxiety and reduced intubation time than those who did not.
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Nursing in critical care · Sep 2005
Randomized Controlled Trial Comparative Study Clinical TrialComparing the effectiveness of two types of cooling blankets for febrile patients.
A randomized controlled trial was conducted to compare the effectiveness of airflow- and waterflow-cooling blankets for febrile patients in intensive care unit. More patients in the airflow than in the waterflow-cooling blanket group reached the desired temperature of <38 degrees C at the end of 8h (94.1 versus 60.0%, chi2=2.86, P=0.047). Patients in the airflow blanket group also took less time than those in the waterflow blanket group to achieve the desired temperature (3.1 and 5.7h, respectively, U=2.00, P<0.001). These findings suggest that the airflow blanket is the cooling blanket of choice for febrile patients when external cooling is needed.
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Nursing in critical care · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialCooling strategies for patients with severe cerebral insult in ICU (Part 2).
Critically ill patients who have sustained a severe cerebral insult will be actively cooled should they develop an elevated body core temperature. Patients who require therapeutic hypothermia for neuroprotection may require the same cooling strategies. ⋯ An experimental approach was used to examine the effects of paracetamol and four external cooling strategies on patients with severe cerebral insult It is suggested that paracetamol is effective in reducing body core temperature and that fans may not. However, data obtained from the study of the four external cooling strategies were inconclusive.