scholarly journals Resuscitation fluid use in critically ill adults: an international cross sectional study in 391 intensive care units

Critical Care ◽  
2010 ◽  
Vol 14 (5) ◽  
pp. R185 ◽  
Author(s):  
Simon Finfer ◽  
Bette Liu ◽  
Colman Taylor ◽  
Rinaldo Bellomo ◽  
Laurent Billot ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Resuscitation Fluid ◽  
Critically Ill Adults ◽  
Ill Adults

scholarly journals Practices and Barriers towards Physical Assessment among Nurses Working in Intensive Care Units: Multicenter Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Bikis Liyew ◽  
Ambaye Dejen Tilahun ◽  
Tilahun Kassew
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Assessment Practice ◽  
Cross Sectional ◽  
Specialty Area ◽  
Physical Assessment

Background. In the intensive care units, patients need special consideration and monitor frequently with appropriate physical assessment skills. Nurses working in the intensive care units play a fundamental role in detecting patients at risk of deterioration through ongoing assessment and action in response to changing health status. Most of the nursing activities were poorly assessed in low-income countries including Ethiopia. Therefore, this study was aimed to assess the nurses’ practice and barriers to physical assessment among critically ill patients in Northwest Ethiopia. Methods. An institution-based multicenter cross-sectional study was conducted at Amhara regional state referral hospitals from March to September 2019. A total of 299 nurses working in the intensive care units were recruited through the convenience sampling method. A 30-item physical assessment practice and 36-item barriers to nurses’ use of the physical assessment scale inventory were used. The linear regression analysis model was fitted, and the adjusted unstandardized beta (β) coefficient with a 95% confidence interval was used. A p value < 0.05 was considered statistically significant. Results. The mean score of the nurses’ practice towards physical assessment among critically ill patients was 101.26 ± 24.99 . Greater perceived reliance on others and technology ( β = − 0.78 , 95% CI (-1.07, -0.48)), ward culture ( β = − 0.48 , 95% CI (-0.85, -0.11)), specialty area ( β = − 1.46 , 95% CI (-2.01, -0.90)), lack of nursing role model ( β = − 0.54 , 95% CI (-1.06, -0.02)), being unmarried ( β = − 6.10 , 95% CI (1.75, 10.46)), taken training ( β = 11.53 , 95% CI (6.34, 16.72)), and knowledge score ( β = 2.81 , 95% CI (2.00, 3.63)) were the factors significantly associated with the nurses’ practice score towards physical assessment. Reliance on others and technology towards physical assessment practice was the most important barrier followed by ward culture and specialty area. Conclusion. Nurses working in the intensive care units had a good practice towards physical assessment among critically ill patients. Hence, to increase the practice towards physical assessment in intensive care settings, especially for married nurses, experienced critical care nurses, and specialist professionals, practice support training, modifying ward environment, and educational support care are recommended.

scholarly journals Caring for critically ill adults in paediatric intensive care units in England during the COVID-19 pandemic: planning, implementation and lessons for the future

2021 ◽  
pp. archdischild-2020-320962
Author(s):  
Ruchi Sinha ◽  
Angela Aramburo ◽  
Akash Deep ◽  
Emma-Jane Bould ◽  
Hannah L Buckley ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Critically Ill ◽  
Clinical Care ◽  
Adult Patients ◽  
Paediatric Intensive Care ◽  
Critically Ill Adults ◽  
Care Capacity ◽  
Ill Adults ◽  
Paediatric Intensive Care Units

ObjectiveTo describe the experience of paediatric intensive care units (PICUs) in England that repurposed their units, equipment and staff to care for critically ill adults during the first wave of the COVID-19 pandemic.DesignDescriptive study.SettingSeven PICUs in England.Main outcome measures(1) Modelling using historical Paediatric Intensive Care Audit Network data; (2) space, staff, equipment, clinical care, communication and governance considerations during repurposing of PICUs; (3) characteristics, interventions and outcomes of adults cared for in repurposed PICUs.ResultsSeven English PICUs, accounting for 137 beds, repurposed their space, staff and equipment to admit critically ill adults. Neighbouring PICUs increased their bed capacity to maintain overall bed numbers for children, which was informed by historical data modelling (median 280–307 PICU beds were required in England from March to June). A total of 145 adult patients (median age 50–62 years) were cared for in repurposed PICUs (1553 bed-days). The vast majority of patients had COVID-19 (109/145, 75%); the majority required invasive ventilation (91/109, 85%). Nearly, a third of patients (42/145, 29%) underwent a tracheostomy. Renal replacement therapy was provided in 20/145 (14%) patients. Twenty adults died in PICU (14%).ConclusionIn a rapid and unprecedented effort during the first wave of the COVID-19 pandemic, seven PICUs in England were repurposed to care for adult patients. The success of this effort was underpinned by extensive local preparation, close collaboration with adult intensivists and careful national planning to safeguard paediatric critical care capacity.

scholarly journals Nurses’ use of non-pharmacological pain management methods in intensive care units: A descriptive cross-sectional study

2021 ◽  
Vol 58 ◽  
pp. 102705
Author(s):  
Zeinab Kia ◽  
Maryam Allahbakhshian ◽  
Mahnaz Ilkhani ◽  
Malihe Nasiri ◽  
Atefeh Allahbakhshian
Keyword(s):  
Intensive Care ◽  
Pain Management ◽  
Intensive Care Units ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Sources of Noise and Their Effects on Nurses in Intensive Care Units: A Cross Sectional Study

2021 ◽  
Author(s):  
Zahra Kooshanfar ◽  
Sadra Ashrafi ◽  
Ezzat Paryad ◽  
Yalda Salmanghasem ◽  
Tahereh Khaleghdoost Mohammadi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional
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