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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 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...
A multicenter study of nearly 6,000 ICU patients with gastrointestinal bleeding shows that hourly blood urea nitrogen trajectories during the first 24 hours predict mortality far b...
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 During ECMO, several neurologic complications, including seizures, ischemic stroke, intracranial hemorrhage and brain death may occur. The cause of...
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 A rise in intracranial pressure often results in a decrease in cerebral perfusion pressure, coupled with disturbed autoregulation of the cerebrovasc...
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 Increased intracranial pressure is a common complication of traumatic brain injury because of the mass effect of the hemorrhage, the edema accompany...
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...
Before Tennessee attempted to execute Christa Gail Pike on September 30, 2026, she wrote something that captured an important distinction between death and dying. Pike, who was sen...
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 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...
“I called palliative care because I needed to free up the bed. Otherwise, I could have taken care of this dying patient myself.” The ICU attending said it standing at the nurses’ s...
In another post, I’ve shared the story of Mrs. F, a very ill older woman with cancer who said she didn’t want to go to the hospital, even though she wasn’t on hospice. Now, I want...
Listen and followApple PodcastsSpotifyYouTubeMore apps · Browse all episodes A patient in intensive care gets worse at 2 a.m., and the hospital has no critical care doctor in the b...
Category: Critical Care Nursing Because diseased lung units require higher pressures to open than to keep open, additional recruitment can sometimes be provided by the use of recru...
In the midst of a busy Monday clinic, I field calls from the nursing facility in India where my aunt is slowly dying. The young doctors there are traumatized by our family’s refusa...
Category: Critical Care Nursing The induction of hypothermia can induce some cardiovascular alterations, including an increase in cardiac systolic function associated with a mild i...
Category: Critical Care Nursing In target temperature management, hyperglycemia, caused by decreased insulin sensitivity occurring during hypothermia, is common particularly in the...
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 Positive-pressure mechanical ventilatory support is an essential component in the life support of patients with respiratory failure. However, it is...
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