摘要:

Neuromuscular blocking agents (NMBA) are increasingly being used in the management of critically ill patients. These medications are used to facilitate mechanical ventilation. Strange and colleagues estimated that only 4% of intensive care units utilize train-of-four (TOF) monitoring on a regular basis and that 70% never use this type of monitoring. The ease of use and low cost of the equipment lends itself to the increasingly frequent recommendations for this type of monitoring. Although unwilling to go so far as to establish this as a standard of care, the American College of Critical Care Medicine of the Society of Critical Care Medicine released an executive summary recommending train-of-four monitoring for patients receiving continuous or sustained NMBAs. This protocol and algorithm was developed to facilitate the objective monitoring of patients receiving continuous NMBAs.

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

This article provides a review of the use of propofol in the mechanically ventilated patient. The indications for the administration of propofol are presented as well as the contraindications, adverse effects, and nursing care.

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Despite significant advances made in cardiac surgery over the last 2 decades, the process of bypassing the heart and lungs or cardiopulmonary bypass (CPB) continues to precipitate physiologic insults that have an impact on a patient’s ability to recover from open-heart surgery. This article explores some of these potential insults and reviews some of the interventions used to neutralize the impact of CPB.

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Critical care nurses care for patients at the end of their lives on a daily basis. Ethical dilemmas are often encountered while caring for these patients and their families. This article reviews a case scenario along with a framework for ethical analysis.

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

More critically ill patients have acute drinking problems than chronic problems with alcohol dependence. A hospitalization offers an opportunity for nurses to perform a brief assessment and initiate a simple intervention to advise patients to reduce their drinking. A few minutes of advice may make a long-term difference in a patient’s health.

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Sexual concerns of patients after an implantable cardioverter defibrillator (ICD) exist, but are not well understood. This study explored sexual concerns and educational needs of those living with an ICD and their partners. Study results suggest a need for written patient education tools specific to sexual issues for patients and partners, and educational resources for health professionals. Addressing the fears and concerns related to sexual function of ICD patients and partners is an essential aspect of rehabilitation and recovery.

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0730-4625    

出版商:OVID    

年代:2003

数据来源: OVID