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Gaps in pain, agitation and delirium management in intensive care: Outputs from a nurse workshop
Significant improvements in our understanding of pain, agitation, and delirium management within the Intensive Care Unit have been made in recent years. International guidelines and implementation bundles have become more evidence-based, patient-centred, and provide clear recommendations on the best-practice management of critically ill patients.However, the intensive care community has highlighted the need for higher-order evidence in several areas of pain, agitation and delirium research and studies suggest that a significant number of intensive care patients still receive outdated treatment as a consequence of inadequat...
Source: Intensive and Critical Care Nursing - May 15, 2018 Category: Nursing Authors: Carsten Hermes, Maria Acevedo-Nuevo, Andrea Berry, Thomas Kjellgren, Alessandra Negro, Paola Massarotto Tags: Review Source Type: research

Unplanned extubations in an intensive care unit: Findings from a critical incident technique
Patients on mechanical ventilation are at risk of experiencing a potentially life-threatening unplanned extubation in the intensive care unit, which can lead to arrhythmias, bronchial aspiration, difficulty in reintubation or even sudden cardiac arrest. Although incidence and outcomes of the phenomenon have been documented in several quantitative studies, no studies have investigated the antecedents as experienced by critical care nurses. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 15, 2018 Category: Nursing Authors: Matteo Danielis, Simona Chiaruttini, Alvisa Palese Tags: Research article Source Type: research

The health care system is making ‘too much noise’ to provide family-centred care in neonatal intensive care units: Perspectives of health care providers and hospital administrators
To describe the perspectives of health care providers and hospital administrators on their experiences of providing care for infants in Level II neonatal intensive care units and their families. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 11, 2018 Category: Nursing Authors: Karen M. Benzies, Vibhuti Shah, Khalid Aziz, Abhay Lodha, Ren ée Misfeldt Tags: Research article Source Type: research

Carbon monoxide poisoning in a young, healthy patient: A case study of heart failure recovery after Hyperbaric Oxygenation Treatment
The effectiveness of hyperbaric oxygen treatment for acute cardiac diseases is unknown. Similarly, the effectiveness of hyperbaric oxygen treatment for carbon monoxide intoxication is also unknown, particularly for cases in which carboxyhemoglobin (COHb) levels return to normal.Our case study revolved around a healthy twenty-year-old male patient, who suffered from carbon monoxide intoxication. The patient presented to the Emergency Department unconscious. Blood workup revealed significant carbon monoxide intoxication and cardiac injury (COHb  = 41%, troponin T = 0.38 ng/dl, ST depression). (Source: Intensive and...
Source: Intensive and Critical Care Nursing - May 9, 2018 Category: Nursing Authors: Michael Kuniavsky, Yair Bechor, Marina Leitman, Shai Efrati Tags: Case Study Source Type: research

He survived thanks to a non-sedation protocol: Nurses ’ reflections about caring for critically ill, non-sedated and mechanically ventilated patients
The objective was to explore ICU nurses ’ experiences of caring for non-sedated, critically ill mechanically ventilated patients, when following a study protocol as part of a clinical trial. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 5, 2018 Category: Nursing Authors: Ranveig Lind, Hilde-Ir én Liland, Berit S. Brinchmann, Inga Akeren Tags: Research article Source Type: research

Nurses ’ reflections about caring for critically ill, non-sedated and mechanically ventilated critically ill patients
The objective was to explore ICU nurses ’ experiences of caring for non-sedated, critically ill mechanically ventilated patients, when following a study protocol as part of a clinical trial. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 5, 2018 Category: Nursing Authors: Ranveig Lind, Hilde-Ir én Liland, Berit S. Brinchmann, Inga Akeren Tags: Research article Source Type: research

Music intervention to prevent delirium among older patients admitted to a trauma intensive care unit and a trauma orthopaedic unit
Evaluate music listening for delirium prevention among patients admitted to a Trauma Intensive Care and Trauma Orthopaedic Unit. The Roy Adaptation Model provided the theoretical framework focusing on modifying contextual stimuli. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 4, 2018 Category: Nursing Authors: Kari Johnson, Julie Fleury, Darya McClain Tags: Research article Source Type: research

The health promoting conversations intervention for families with a critically ill relative: A pilot study
After intensive care unit treatment, patients often have prolonged impairments that affect their physical, cognitive and mental health. Family members can face overwhelming and emotionally challenging situations and their concerns and needs must be addressed. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 3, 2018 Category: Nursing Authors: S. Ågren, A. Eriksson, M. Fredrikson, G. Hollman-Frisman, L. Orwelius Tags: Research article Source Type: research

Implementation and evaluation of a follow-up programme after intensive care treatment: A practice development project
This study aimed to measure the effects of a newly developed follow-up programme on intensive care unit patient quality of care, as perceived by their relatives, and the appropriateness of the programme according to nurses. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - May 2, 2018 Category: Nursing Authors: Margo van Mol, Erwin Ista, Monique van Dijk Tags: Research article Source Type: research

The communication experience of tracheostomy patients with nurses in the intensive care unit: A phenomenological study
To describe the experience and sources of comfort and discomfort in tracheostomy patients, when they communicate with nurses in the Intensive Care Unit. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - April 27, 2018 Category: Nursing Authors: Angela Tolotti, Annamaria Bagnasco, Gianluca Catania, Giuseppe Aleo, Nicola Pagnucci, Lucia Cadorin, Milko Zanini, Gennaro Rocco, Alessandro Stievano, Franco A. Carnevale, Loredana Sasso Tags: Research article Source Type: research

Use of the CAM-ICU during daily sedation stops in mechanically ventilated patients as assessed and experienced by intensive care nurses – A mixed-methods study
Mechanically ventilated patients are at risk of developing delirium, which increases mortality and prolongs their stay in the Intensive Care Unit (ICU). (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - April 27, 2018 Category: Nursing Authors: Else Berit Steinseth, Sevald H øye, Reidun Hov Tags: Research article Source Type: research

Chest X-ray quiz
This is a follow-up chest X-ray from the June issue of a 26  year-old male who presented to Emergency Department complaining of sudden onset of chest pain and shortness of breath. What treatment has been instituted? Has there been resolution of the pneumothorax? (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - April 24, 2018 Category: Nursing Authors: Marea Reading Source Type: research

Preferences of patients ’ family regarding family-witnessed cardiopulmonary resuscitation: A qualitative perspective of intensive care patients’ family members
To describe preferences of intensive care patients ’ family members regarding the idea of an inpatient family-witnessed cardiopulmonary resuscitation. (Source: Intensive and Critical Care Nursing)
Source: Intensive and Critical Care Nursing - April 23, 2018 Category: Nursing Authors: Natalia Sak-Dankosky, Pawe ł Andruszkiewicz, Paula R. Sherwood, Tarja Kvist Source Type: research