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Category: Critical Care Nursing Acute kidney injury (AKI) is a common complication in critically ill patients admitted to the intensive care unit. Epidemiologic data suggest that o...
Category: Critical Care Nursing With ECMO in venoarterial mode, deoxygenated blood is removed from the venous system and pumped to a membrane lung, which removes carbon dioxide and...
Category: Critical Care Nursing Mechanically ventilated patients are at an increased risk of pulmonary infections. One reason is that the ICU environment, with its heavy antibiotic...
Category: Critical Care Nursing Extracorporeal membrane oxygenation modes are named for the sites from which the blood is drained and returned. There are two major types, venoarter...
Category: Critical Care Nursing During ECMO, a massive inflammatory response occurs because of blood contact with the ECMO circuit, upregulating the coagulation system. Both activa...
Category: Critical Care Nursing During ECMO, anticoagulation is administered during cannulation and is continued throughout the ECMO run to mitigate the risk of thrombosis in both...
Category: Critical Care Nursing Dyspnea, anxiety and discomfort from inadequate ventilatory support can lead to stress-related catecholamine release with subsequent increases in my...
Category: Critical Care Nursing In VV ECMO, the native heart must deliver oxygenated flow to the systemic circulation. VV requires adequate cardiac function. Venous blood is divert...
Category: Critical Care Nursing In harlequin” or “north-south” syndrome, methods to improve upper body oxygenation include placing another venous cannula into the right atrium, the...
Category: Critical Care Nursing Mechanical ventilation complications include lung injury, cardiac compromise, oxygen toxicity and patient discomfort. Applying support requires trad...
Category: Critical Care Nursing Ventilator-induced lung injury is often a regional phenomenon that occurs when low-resistance/high-compliance units receive a disproportionately hi...
Category: Critical Care Nursing The lung can be injured when it is stretched excessively by positive-pressure ventilation. Historically, the most well-recognized injury was alveola...
Category: Critical Care Nursing Because of alveolar flooding, exudate and collapse, lung injury usually leads to mismatching and intrapulmonary shunt. In many disease processes, ma...
Category: Critical Care Nursing Mechanically ventilated patients are at an increased risk of pulmonary infections. One reason is that the endotracheal tube impairs the cough reflex...
Category: Critical Care Nursing Alveoli prevented from collapsing, or “derecruiting,” by PEEP receive several potential benefits. First, alveolar recruitment improves matching and...
Category: Critical Care Nursing Mechanically ventilated patients are at an increased risk of pulmonary infections. The natural protective mechanism of glottic closure is compromise...
Category: Critical Care Nursing Patients can interact with all three phases of an assisted breath: (1) trigger, (2) flow delivery and (3) cycle. Triggering dyssynchronies can be at...
Category: Critical Care Nursing Initiation of targeted temperature management should be started as soon as possible, in particular after cardiac arrest, and maintained for a minim...
Category: Critical Care Nursing Positive-pressure mechanical ventilatory support is an essential component in the life support of patients with respiratory failure. However, it is...
Category: Critical Care Nursing Excessive alveolar stretch (i.e., beyond physiologic limits) can produce significant lung injury even without frank alveolar rupture (ventilator-ind...
Category: Critical Care Nursing In ECMO patients with severe respiratory failure who are femoral artery cannulated, differential oxygen saturations of the upper and lower extremiti...
Category: Critical Care Nursing During renal replacement therapy, the patient’s blood is purified by circulating it through an extracorporeal circuit containing a hemodialyzer, con...
Category: Critical Care Nursing In mechanical ventilation, managing dyssynchronies can be challenging. Careful adjustments of flow magnitude, timing and patterns (especially the us...
Category: Critical Care Nursing In veno-venous ECMO, deoxygenated blood is removed from the venous system and sent via an external pump to the membrane lung where oxygen is added a...
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