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Items 1 - 6 of 6 |
One page. |
The current practice of tracheostomy in the United Kingdom: a postal survey.
Krishnan K, Elliot SC, Mallick A.
Anaesthesia, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK.
A postal questionnaire was sent to 228 intensive care units throughout the United Kingdom to determine aspects of current tracheostomy practice. From the number of units responding (n = 178, 78%), the majority (n = 173, 97%) practised percutaneous tracheostomy as opposed to open surgical tracheostomy. The Blue Rhino single dilator was the most popular technique (n = 114, 64%). Percutaneous tracheostomy is increasingly carried out under bronchoscopic guidance (n = 148, 83%); however, there remains considerable variation in the timing of tracheostomy and only 61 units (34%) have set follow-up procedures.
PMID: 15766339 [PubMed - indexed for MEDLINE]
Evaluation of a hand hygiene programme on an intensive care unit.
Dawson SJ, Forrest H, Greenaway A.
Department of Infection Control, The Great Western Hospital, Swindon SN3 6BB, UK.
Publication Types:
PMID: 15823668 [PubMed - in process]
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Kinetic therapy positively influences oxygenation in patients with ALI/ARDS.
Rance M.
Adult Intensive Care, John Radcliffe Hospital, Headington, Oxford, UK. martinerance@ic24.net
Acute respiratory distress syndrome (ARDS) is a fulminant form of respiratory failure, with diverse aetiology, despite technological advances in intensive care medicine; mortality rates remain 50-70%. Costs associated with the management of patients in intensive therapy unit (ITU) are very high; therefore, the requirement for those working in critical care to provide evidence-based practice is mandatory. One area of investigation is that kinetic therapy improves pulmonary complications in critically ill patients by positively influencing oxygenation and gaseous exchange. Whilst kinetic therapy does appear to be an effective therapy in ITU, there are inconsistencies in reported findings, and thus, clearly a need for further research into this innovative therapy to maximize its potential.
Publication Types:
PMID: 15739638 [PubMed - indexed for MEDLINE]
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Relatives' experiences of critical care.
Hughes F, Bryan K, Robbins I.
European Institute of Health and Medical Sciences, University of Surrey, Guildford, UK. f.hughes@surrey.ac.uk
This exploratory study investigates relatives' overall experiences of the critical care environment and how staff perceived these experiences. Traditionally, research in Critical Care concentrated on patients' psychological well-being or relatives' immediate needs. There is little research that addresses the relative's overall experience of events. Critical Care Units are possibly the most daunting units in hospitals. Having a family member admitted to a Critical Care Unit could qualify as a traumatic-enough stressor to induce post-traumatic stress symptoms in relatives. A convenience sample of eight relatives and five staff participated in the study. The study used qualitative methods and drew on techniques of grounded theory. While staff perceived relatives' experiences accurately; issues arose, from both staff and relatives perspective, with regard to accurate dissemination of information. Further research into the communication processes used within Critical Care Units is required in addition to developing best practice in this area.
PMID: 15739636 [PubMed - indexed for MEDLINE]
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What is reasonable in organ donation?
Ridley S.
Publication Types:
PMID: 15739633 [PubMed - indexed for MEDLINE]
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Blurred, blended or disappearing--the image of critical care nursing.
Albarran J, Scholes J.
Publication Types:
PMID: 15739632 [PubMed - indexed for MEDLINE]
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