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AACN Advanced Critical Care最新文献

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Ultrasonography-Guided Procedures in the Intensive Care Setting. 超声引导下的重症监护程序。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023551
Jeffrey C Cruz, Mark Edelstein

Ultrasonography guidance can help make procedures safer and more effective, particularly in the intensive care setting. This article discusses techniques to optimize periprocedural ultrasonography and reviews common intensive care procedures for which ultrasonography can be used: vascular access procedures, paracentesis, thoracentesis, and pericardiocentesis.

超声引导可以帮助使程序更安全，更有效，特别是在重症监护设置。本文讨论了优化围手术期超声检查的技术，并回顾了超声检查可用于的常见重症监护程序:血管通路程序，穿刺外穿刺，胸穿刺和心包膜穿刺。
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引用次数: 0
Recognizing Child Abuse. 认识虐待儿童。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023779
Jodi E Mullen
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引用次数: 0
Update on the Treatment of Heparin-Induced Thrombocytopenia. 肝素诱导的血小板减少症的治疗进展。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-09-15 DOI: 10.4037/aacnacc2023462
Sheriff Gbadamosi, Kristin L Feick
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引用次数: 0
Measurement Strategies for The Joint Commission Health Care Disparities Standard: Defining Hospital-Based Requirements-Part 1. 联合委员会医疗保健差异标准的测量策略:定义基于医院的要求-第1部分。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023668
Bradi B Granger, Jill Engel
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引用次数: 1
Tenecteplase: A Review of Its Pharmacology and Uses. 替奈普酶的药理及应用综述。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023558
Jenna Forry, Alyssa Chappell
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引用次数: 0
Nurses' Overreliance on Fallible Technology. 护士对不可靠技术的过度依赖。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023526
Linda Harrington
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引用次数: 0
Critical Care Echocardiography. 重症监护超声心动图。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023186
Christopher Decker, Valeda Yong, Julianne E Linahan
Ultrasonography is increasingly applied in the critical care setting. With advancements in technology, ultrasonography has become easier to use, with smaller machines, and more fundamental to patient assessment. Ultrasonography is a hands-on tool that brings real-time, dynamic information to the bedside. Patients in the critical care setting often have unstable hemodynamics or a tenuous respiratory status; thus, the use of ultrasonography to augment the assessment greatly improves patient safety. This article explores how to differentiate the etiology of shock with the adjunct of critical care echocardiography. In addition, the article examines how various ultrasonography techniques can be used to diagnose other life-threatening cardiac conditions, such as pulmonary embolism or cardiac tamponade, and the role of echocardiography in cardiopulmonary resuscitation. Critical care providers can add echocardiography and the information it provides to their repertoire to improve diagnosis, treatment, and patient outcomes.
超声检查在重症监护中的应用越来越广泛。随着技术的进步，超声检查变得更容易使用，机器更小，对病人的评估更重要。超声检查是一种实用的工具，可将实时、动态的信息带到床边。重症监护患者通常血流动力学不稳定或呼吸虚弱;因此，使用超声检查来增强评估，极大地提高了患者的安全性。本文探讨如何区分病因休克与辅助监护超声心动图。此外，本文还探讨了各种超声技术如何用于诊断其他危及生命的心脏疾病，如肺栓塞或心脏填塞，以及超声心动图在心肺复苏中的作用。重症监护提供者可以将超声心动图及其提供的信息添加到他们的曲目中，以改善诊断、治疗和患者预后。
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引用次数: 4
Focused and Extended Focused Assessment With Sonography for Trauma. 创伤超声聚焦和扩展聚焦评估。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023597
Cynthia Blank-Reid, Denise M Zappile, Thomas A Santora

Timing is crucial when caring for an injured patient, and the evaluation requires a systematic, rapid, and thorough assessment to identify and treat immediate life-threatening injuries. An integral component of this assessment is the Focused Assessment with Sonography for Trauma (FAST) and the extended FAST (eFAST). These assessments allow for a rapid, noninvasive, portable, accurate, repeatable, and inexpensive means of diagnosing internal injury to the abdomen, chest, and pelvis. Understanding the basic principles of ultrasonography, having a thorough familiarity with the equipment, and being knowledgeable in anatomy allow the bedside practitioner to use this tool to rapidly assess injured patients. This article reviews the basic tenets that underpin the FAST and eFAST evaluations. Practical interventions and tips are provided to assist novice operators-all with the goal of decreasing the learning curve.

在护理受伤患者时，时机至关重要，评估需要系统、快速和彻底的评估，以识别和治疗即时危及生命的伤害。该评估的一个组成部分是创伤超声聚焦评估(FAST)和扩展快速评估(eFAST)。这些评估允许快速、无创、便携、准确、可重复和廉价的方法来诊断腹部、胸部和骨盆的内伤。了解超声检查的基本原理，对设备有一个彻底的熟悉，并在解剖学知识允许床边执业医师使用这个工具来快速评估受伤的病人。本文回顾了支撑FAST和eFAST评估的基本原则。为新手提供了实用的干预措施和技巧，所有这些都是为了缩短学习曲线。
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引用次数: 2
Thromboelastography: A Novel Approach to Hemostasis in Cardiac Surgery. 血栓弹性成像:心脏外科止血的新方法。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023957
Cristina A Wojack, Anna M Marrocco, Jeanne Caitlyn Enstrom, Jesus Casida
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引用次数: 0
Competency Assessment of Pediatric Intensive Care Nurses. 儿科重症监护护士能力评估。
IF 2.2 Q2 NURSING
AACN Advanced Critical Care
Pub Date : 2023-06-15 DOI: 10.4037/aacnacc2023556
Nicole Robbins, Sara Gandora, Kenneth J Oja, David C Mulkey

One of the biggest challenges that clinical nurse educators at the unit level face today is measuring the ongoing competency of nursing staff members to ensure provision of high-quality, evidence-based care. Pediatric nursing leaders at an urban, level I trauma teaching institution in the southwestern United States used a shared governance approach to create a standardized competency assessment tool for pediatric intensive care unit nurses. Donna Wright's competency assessment model was used as a framework to guide the tool's development. The adoption of the standardized competency assessment tool was aligned with the organization's institutional goals and enabled clinical nurse educators to comprehensively evaluate staff members on a regular basis. This standardized competency assessment system for pediatric intensive care nurses is more effective than use of a practice-based, task-oriented assessment method and has improved nursing leaders' ability to staff the pediatric intensive care unit safely.

临床护理教育工作者在单位层面面临的最大挑战之一是衡量护理人员的持续能力，以确保提供高质量的循证护理。美国西南部一所城市一级创伤教学机构的儿科护理领导使用共享治理方法为儿科重症监护室护士创建了标准化的能力评估工具。以Donna Wright的胜任力评估模型为框架，指导该工具的开发。标准化能力评估工具的采用与该组织的机构目标一致，并使临床护士教育者能够定期对工作人员进行全面评估。这种标准化的儿科重症监护护士能力评估体系比使用基于实践的、任务导向的评估方法更有效，并提高了护理领导安全配备儿科重症监护病房人员的能力。
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引用次数: 0
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