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Contents: July 1 2006, Volume 15, Issue 4   [Index by Author] 
      Down Editorials
      Down Letters to the Editor
      Down 2006 AACN Distinguished Research Lecture
      Down New Issues in Critical Care
      Down Corrections
      Down Psychosocial Issues
      Down Clinical Issues in Critical Care
      Down Case Reports
      Down Methods in Critical Care Research
      Down Current Controversies in Critical Care
      Down Cardiology Casebook
      Down ECG Puzzler
      Down Education Directory
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To see an article, click its [Full Text] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.

Editorials:Back

Kathleen Dracup and Christopher W. Bryan-Brown
Evidence-Based Practice Is Wonderful ... Sort Of
Am J Crit Care 2006 15(4): 356-358. [Full Text] [PDF]  

Letters to the Editor:Back

Jane M. Campbell
Nursing Practice and Advanced Degrees
Am J Crit Care 2006 15(4): 359. [Full Text] [PDF]  

Colleen Walsh-Irwin
Nursing Practice and Advanced Degrees
Am J Crit Care 2006 15(4): 359. [Full Text] [PDF]  

Cynthia Stock
Varying Approaches to End-of-Life Care
Am J Crit Care 2006 15(4): 359. [Full Text] [PDF]  

2006 AACN Distinguished Research Lecture:Back

Norma A. Metheny
Preventing Respiratory Complications of Tube Feedings: Evidence-Based Practice
Tracheobronchial microaspiration of gastric contents greatly increases risk for aspiration-related pneumonia in critically ill, tube-fed patients. This article reviews current research-based information to support modifying those risk factors for aspiration that can be controlled: malpositioned feeding tubes, improper feeding site, large gastric volume, and supine position.
Am J Crit Care 2006 15(4): 360-369. [Abstract] [Full Text] [PDF] [CE Test]  

New Issues in Critical Care:Back

Daleen Aragon
Evaluation of Nursing Work Effort and Perceptions About Blood Glucose Testing in Tight Glycemic Control
Tight glycemic control is important in critically ill patients and involves adjustment of insulin infusions and hourly monitoring of blood glucose levels. Nurses’ perceptions about tight glycemic control and the work associated with it are assessed.
Am J Crit Care 2006 15(4): 370-377. [Abstract] [Full Text] [PDF]  

Melissa M. Barth and Carole E. Jenson
Postoperative Nursing Care of Gastric Bypass Patients
The incidence of morbid obesity is increasing epidemically in the United States. Nurses are in a pivotal position to affect both early and late outcomes of these patients after gastric bypass surgery. These authors describe the unique nursing considerations and how to use critical thinking skills to best meet the needs of postoperative gastric bypass patients.
Am J Crit Care 2006 15(4): 378-387. [Abstract] [Full Text] [PDF] [CE Test]  

Corrections:Back

CORRECTION
Am J Crit Care 2006 15(4): 377. [Full Text] [PDF]  

Psychosocial Issues:Back

Sue Ann Thomas, Erika Friedmann, Chi-Wen Kao, Pia Inguito, Matthew Metcalf, Frances J. Kelley, and Steven S. Gottlieb
Quality of Life and Psychological Status of Patients With Implantable Cardioverter Defibrillators
Implantable cardioverter defibrillators reduce mortality in patients at high risk for sudden cardiac death and in patients with heart failure. Patients with defibrillators often experience psychological distress and poor quality of life. These authors review the research on psychological status and quality of life of patients with implantable cardioverter defibrillators and suggest nursing interventions to improve the patients’ health.
Am J Crit Care 2006 15(4): 389-398. [Abstract] [Full Text] [PDF]  

Clinical Issues in Critical Care:Back

Ankie E.W. Hamaekers, Walther N.K.A. van Mook, J.P.M. Offermans, and Marco A.E. Marcus
Successful Use of Recombinant Factor VIIa for Treatment of Severe Postpartum Hemorrhage
Primary postpartum hemorrhage is one of the most common causes of maternal death. Recombinant factor VIIa is a safe and effective drug for the treatment of bleeding episodes in patients with coagulation deficiencies. Its use in patients with severe bleeding without known coagulation factor deficiencies or (preexisting) bleeding disorders has been described only in a few case reports. These authors present a case of severe primary postpartum hemorrhage treated with recombinant factor VIIa at an early stage in addition to standard medical intervention.
Am J Crit Care 2006 15(4): 399-401. [Full Text] [PDF]  

Anthony Limpus, Wendy Chaboyer, Ellen McDonald, and Lukman Thalib
Mechanical Thromboprophylaxis in Critically Ill Patients: A Systematic Review and Meta-Analysis
These authors systematically reviewed 5 randomized trials, 13 observational studies, and 3 survey studies providing evidence on compression and pneumatic devices for thromboprophylaxis in intensive care patients. A meta-analysis of the randomized controlled trials was done to determine whether use of compression and pneumatic devices reduces the incidence of venous thromboembolism.
Am J Crit Care 2006 15(4): 402-412. [Abstract] [Full Text] [PDF] [CE Test]  

Case Reports:Back

Maximo H. Trujillo, Carlos F. Fragachan, Francisco Tortoledo, and Fanny Ceballos
"Lariat Loop" Knotting of a Nasogastric Tube: An Ounce of Prevention
Knotting of small-bore feeding tubes and nasogastric tubes during insertion and removal is rare, but it can lead to serious complications including respiratory distress, severe laryngeal injury, and tracheoesophageal puncture. These authors describe a case of "lariat loop" knotting of a plastic nasogastric tube during removal.
Am J Crit Care 2006 15(4): 413-414. [Full Text] [PDF]  

James W. Price
Novel Electrocardiographic Changes Associated With Iatrogenic Pneumothorax
Left-sided pneumothoraces greater than 30% are often associated with recognizable findings on 12-lead electrocardiograms. In this case study, the electrocardiographic findings were suggestive of acute myocardial infarction. The author discusses the possible causes of the electrocardiographic findings.
Am J Crit Care 2006 15(4): 415-419. [Full Text] [PDF]  

Methods in Critical Care Research:Back

Céline Gélinas, Lise Fillion, Kathleen A. Puntillo, Chantal Viens, and Martine Fortier
Validation of the Critical-Care Pain Observation Tool in Adult Patients
Little research has been conducted to validate pain assessment tools in critical care, especially for patients who cannot communicate verbally. These authors evaluated the reliability and validity of the Critical-Care Pain Observation Tool in 105 cardiac surgery patients in an intensive care unit. Each patient’s self-report of pain was obtained while the patient was conscious and intubated and after extubation.
Am J Crit Care 2006 15(4): 420-427. [Abstract] [Full Text] [PDF]  

Current Controversies in Critical Care:Back

Lisa Day
Advocacy, Agency, and Collaboration
Am J Crit Care 2006 15(4): 428-430. [Full Text] [PDF]  

Cardiology Casebook:Back

Laurie G. Futterman and Louis Lemberg
The Clinical Significance of Exercise-Induced Ventricular Arrhythmias
Am J Crit Care 2006 15(4): 431-435. [Full Text] [PDF]  

ECG Puzzler:Back

Michele M. Pelter and Mary G. Carey
Long QT Syndrome
Am J Crit Care 2006 15(4): 437-438. [Full Text] [PDF]  

Education Directory:Back

EDUCATION DIRECTORY
Am J Crit Care 2006 15(4): 439. [Full Text] [PDF]  

To see an article, click its [Full Text] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.


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