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Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Cardiopulmonary Resuscitation IV: Pharmacological Management01:25

Cardiopulmonary Resuscitation IV: Pharmacological Management

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Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Early mobilisation algorithm for the critical patient. Expert recommendations.

M Raurell-Torredà1, E Regaira-Martínez2, B Planas-Pascual3

  • 1Universidad de Barcelona, Investigadora principal proyecto MoviPre, Barcelona, Spain.

Enfermeria Intensiva
|August 9, 2021
PubMed
Summary
This summary is machine-generated.

Early mobilization (EM) protocols can significantly improve outcomes for intensive care unit (ICU) patients. This study provides an EM algorithm and specific recommendations for high-risk patient groups to enhance recovery.

Keywords:
AlgorithmAlgoritmoDebilidad adquirida en la UCIEarly mobilisationIntensive care unitMovilización tempranaUnidad de cuidados intensivosWeakness acquired in the ICU

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Area of Science:

  • Critical Care Medicine
  • Physical Therapy
  • Patient Outcomes

Background:

  • Intensive care unit (ICU)-acquired weakness affects a significant portion of critically ill patients (40%-46%).
  • Early Mobilization (EM) is a proven safe, feasible, and cost-effective intervention.
  • EM demonstrates substantial short-term and long-term benefits for patient recovery.

Purpose of the Study:

  • To develop a general Early Mobilization (EM) algorithm for critically ill patients.
  • To outline specific EM recommendations for high-risk subpopulations.
  • Targeted populations include neurocritical, traumatic, CRRT, VAD, and ECMO patients.

Main Methods:

  • A comprehensive literature review was conducted.
  • Databases searched include Medline, CINAHL, Cochrane, and PEDro.
  • Focus on studies published within the last 10 years detailing EM protocols.

Main Results:

  • Thirty articles met the inclusion criteria.
  • Twenty-one articles provided general EM guidance; seven focused on neurocritical/traumatic patients.
  • Specific protocols were identified for CRRT (1 article) and ECMO/VAD (1 article).
  • Decision-making algorithms and safety criteria figures were developed.

Conclusions:

  • The developed EM algorithms facilitate early patient mobilization (days 1-5 post-ICU admission).
  • Key considerations before initiating mobilization are outlined.
  • Essential safety criteria for discontinuing mobilization are provided.