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Critical Care

Advanced airway management and drug-assisted intubation skills in an advanced critical care practitioner team

The ACCP team has developed over an 8-year period within a conglomerate of three district general hospitals (Heartlands, Goodhope and Solihull hospitals, HGS) comprising 26 critical care beds. The...

Factors associated with the frequency of respiratory rate measurement by hospital nurses: a multicentre cross-sectional study

This study detected five independent factors associated with the frequency of RR measurement by the nurses. The perception of importance (item 2) and educational experiences (item 18) were positively...

Evaluating a psychological support service focused on the needs of critical care and theatres staff in the first wave of COVID-19

Research from previous pandemics has shown that working with additional pressures has both a physical and psychological impact on healthcare workers. For example, about 10% of those working in health...

Estimating the time point for nutritional failure in patients suffering from acute brain attacks in the intensive care unit

This study aimed to estimate the time point where the development of nutritional failure and feeding-related complications are more likely among critically ill, mechanically ventilated patients...

The role of single-use ECG leads in reducing healthcare-associated infections

In the clinical setting, monitoring a patient's ECG rhythm requires a minimum of three electrodes (Figure 1), which are connected to colour-coded leads to aid identification, and these are usually...

The global mental health burden of COVID-19 on critical care staff

The authors started by asking the participants a few general questions around their wellbeing and anxieties (Table 2). The feeling of support from the general public was strong, with 74% of...

Service evaluation of the bereavement care delivered in a UK intensive care unit

The main aim was to evaluate the service delivery of the bereavement care that is provided in a 20-bed general ICU. In addition, the study aimed to explore the experience of bereavement care currently...

Delirium in adult patients in intensive care: nursing interventions

Identify possible nursing interventions that can be taken to prevent or manage delirium in adult patients in ICU..

Do not attempt resuscitation decisions during the COVID-19 pandemic

End-of-life care decisions have featured prominently in the popular and professional press in recent years. For example, readers will remember the demise of the Liverpool Care Pathway (LCP), which had...

Evaluation of the safety of inter-hospital transfers of critically ill patients led by advanced critical care practitioners

An ACCP-led transfer service has replaced an ad hoc process of transfer, with one of a consistent team combined with a process of training, governance and continual review. Data collection has allowed...

Use of dry dressings for central venous access devices (CVADs) to decrease central line-associated blood stream infections (CLABSI) in a trauma intensive care unit (ICU)

In March 2017, a short education session, lasting approximately 15 minutes, was given to ICU nurses. This in-service reiterated interventions that were already known by the nurses such as proper...

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