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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 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 Mechanical ventilation complications include lung injury, cardiac compromise, oxygen toxicity and patient discomfort. Applying support requires trad...
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 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 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 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 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 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 Volume repletion can be used, if appropriate, to maintain cardiac output in the setting of high intrathoracic pressure. Lung distention can increase...
Category: Critical Care Nursing Other positive-pressure ventilation regional injuries include: Pericardium (pneumopericardium), subcutaneous tissue (subcutaneous emphysema), pleura...
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 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...
Category: Critical Care Nursing The kidneys are crucial to removal of water and homeostasis of electrolytes and acid-base. Volume overload in an anuric patient and severe electroly...
Category: Critical Care Nursing During ECMO, several neurologic complications, including seizures, ischemic stroke, intracranial hemorrhage and brain death may occur. The cause of...
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 Target temperature management includes the use of induced hypothermia (i.e., cooling procedures initiated to provide brain and/or organ protection)...
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 patients with respiratory failure on VV-ECMO, right ventricular failure can occur due to pulmonary fibrosis and increased pulmonary vascular resi...
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 Because parenchymal lung injury is often heterogeneous, appropriate PEEP in one region may be suboptimal in another. Optimizing PEEP is a balance be...
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 Intermittent hemodialysis is a very efficient dialysis technique performed during a 3- to 4-hour period. While on the other hand, continuous renal r...
Category: Critical Care Nursing In ECMO, if desaturated blood from the left heart is primarily perfusing the upper body, this results in a cyanotic upper body with a well-perfused...
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