Anaesthesia 2002 May;57(5):521
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PMID: 12004826, UI: 21999616
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Anaesthesia 2002 May;57(5):504
PMID: 12004813, UI: 21999603
Anaesthesia 2002 May;57(5):470-4
University Department of Anaesthesia and Academic Neurosurgery, Box 167, Addenbrooke's Hospital, Cambridge CB 2QQ, UK. las30@cam.ac.uk
Demand for magnetic resonance investigations in critically ill patients is increasing. While these patients frequently need ventilatory support, not all of them require controlled ventilation and many may be treated with continuous positive airway pressure. Controlled ventilation, with the concurrent need for sedation, may be inappropriate when airway physiology is being studied and may retard weaning. No commercially available ventilator designed for the magnetic resonance environment can deliver high flow continuous positive airway pressure. We tested the Caradyne Whisperflow flow generator and five Whisperflow valves (2.5-15 cmH2O airway pressure) within a 3 Tesla environment for safety and possible dysfunction. All components had minimal ferromagnetic properties and tests showed no clinically relevant change in flow delivery or oxygen concentration in the magnetic field. In addition, the airway pressure generated by the valves was not affected by the magnetic field. We conclude that the tested system can be safely used in a 3 Tesla magnetic resonance environment.
PMID: 11966557, UI: 21963378
Anaesthesist 2002 Mar;51(3):221-33; quiz 234-5
Universitatsklinik Heidelberg, Klinik fur Anaesthesiologie, Im Neuenheimer Feld 110, 69120 Heidelberg. Fabian_Spoehr@med.uni-heidelberg.de
PMID: 11993085, UI: 21989452
Nurs Crit Care 2002 Mar-Apr;7(2):73-83
Paediatric Intensive Care Unit, Bristol Royal Hospital for Children, Upper Maudlin Street, Bristol BS2 8BJ. Caroline.Haines@ubht.swest.nhs.uk
[Medline record in process]
Through a review of literature and research, together with reflection on clinical practice, this article reflectively analyses and evaluates the concept of the establishment and development of a nurse consultant post in paediatric intensive care. Manley's (1997) conceptual framework is used as a structure for the reflection, which has enabled a detailed and logical approach and allowed both reflection and analysis of the role in relation to the speciality. It is evident that nurse consultant posts have been developed in a variety of clinical specialities and are providing a real opportunity to improve patient care, progress nursing as a profession and provide a clinical career framework for nurses. The concept of the nurse consultant in paediatric intensive care is both innovative and strategic: Manley has identified many sub-roles, skills and processes necessary to influence and develop the role. The elements of 'transformational leadership', 'change agent' and 'collaborator' identified by Manley appear to hold the key to the ability to influence and develop paediatric intensive care nursing from a practice perspective.
PMID: 12035326, UI: 22031966
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