Background Managing "spaghetti syndrome," the tangle of therapeutic cables, tubes, and cords at patients' bedsides, can be challenging. oBjectives To assess nurses' perceptions of the effectiveness of a novel banding device in management of spaghetti syndrome. Methods A simple color-coded elastomeric banding strap with ribbed flaps was attached to bed rails of adult critical care patients to help organize therapeutic cables, tubes, wires, and cords. Nurses were surveyed before and after use of the bands and after the nursing shift to assess the burden of spaghetti syndrome and the effectiveness of using the bands. results Use of the bands decreased the time spent untangling cords, reduced the frequency of contact of tubing with the floor, and diminished disruptions in care. conclusions Use of a simple flexible latex-free elastomeric band may help organize therapeutic tubing at patients' bedsides and may promote improvements in nursing care. (Critical Care Nurse. 2015;35[6]:38-45) ©2015 American Association of Critical-Care Nurses doi: http://dx.doi.org/10.4037/ccn2015321 C ritical care patients often have numerous therapeutic connections (eg, cords, cables, and tubes) at the bedside that can easily become disorganized and tangled, leading to contamination of the connections, nurses' confusion, a physical hazard that increases the risk for falls for both nurses and patients, and the possibility of damage of medical devices.1-6 This phenomenon, known as spaghetti syndrome, makes caring for patients challenging and difficult 1,2 ( Figure 1). Multiple instances of patients' deaths, permanent injury, and life-threatening situations related to entanglement with the cords of medical devices have been reported. 5,[7][8][9][10][11][12][13][14] Ensuring the organization of cords and tubes at a patient's bedside may reduce adverse outcomes such as entanglement of the patient, backflow in tubing, falls by both patients and health care personnel, and connection errors or damage of medical equipment. [5][6][7]12 38 Therapeutic tubing, cables, wires, and cords are a fundamental aspect of daily health care for delivery of medications and fl uids to patients. The often disorganized tubing and cords at the bedside increase the possibility of inadvertently connecting the wrong syringes and tubing and then unintentionally delivering medication or fl uids via the wrong route. In 2006, the Joint Commission issued alerts on tubing misconnections; interventions and procedures to manage and protect medical cords, tubes, and cables as a standard of care, but only a few devices are available to aid in this task. 11,13,15 Few bedside devices for cord control are commercially available, and they vary in complexity and design. The purpose of this study was to test use of a novel simple, sleeved-strap banding device in the management of spaghetti syndrome in a critical care unit and to assess nurses' responses to use of the band. Before the study, no devices or standard protocols were being used to manage the syndrome. MethodsAfter a compa...
Inactivity‐related diseases such as cardiovascular disease (CVD) involve a complex interplay among endothelial cells, leukocytes and activated platelets in response to vascular injury. Activated platelets are involved in atherogenesis and can promote an inflammatory phenotype of both the vasculature and leukocytes, particularly monocytes. Platelet‐monocyte complexes (PMCs) are markers of in vivo platelet activation and may be early indicators of subclinical inflammation.PURPOSETo examine the influence of combined aerobic and resistance exercise training on platelet activation, as measured by PMCs, and to characterize the acute exercise‐induced response of PMCs in a population at risk for CVD.METHODSThirty‐eight overweight‐obese (BMI: 32.8 ± 4.6 kg×m−2, age: 64 ± 5.1 years) post‐menopausal women were randomly assigned to either an exercise (EX, n=20) or education control (ED, n=18) group. EX performed 2 sets of 8 resistance exercises and 25 minutes of treadmill walking three times a week for 12 weeks while ED attended education classes (CPR certification, invited authors, health‐related talks) twice weekly for the same duration. Before (BT) and after (AT) the intervention, EX performed a single exercise bout during which blood was obtained pre‐exercise, immediately post‐exercise, 1‐hour and 2 hours post‐exercise. Blood was obtained at the same time points in resting ED. PMCs were identified via flow cytometry and analyzed in each monocyte phenotype. Monocyte phenotypes were defined as: Mon1 (CD14++CD16−), Mon2 (CD14++CD16+), and Mon3 (CD14loCD16++). All events positive for both CD14 and CD42a (marker for platelets) were considered PMCs.RESULTSExercise training resulted in a significant increase in VO2max (BT: 21.1 ± 0.85, AT: 23.7 ± 0.90 ml×kg−1×min−1, p < 0.001) and leg press strength (BT: 70 ± 4.1, AT: 99 ± 5.9 kg, p < 0.001), while no changes in fitness were observed in ED. Exercise training (EX: BT = 27.6 ± 2.7, AT = 23.7 ± 2.9 %) prevented the observed increase in percent PMC in ED (ED: BT = 20.9 ± 2.9, AT = 26.4 ± 3.2 %, p = 0.029). We observed a group x training interaction where exercise training reduced mean PMC percentage across all time points (EX: BT = 27.6 ± 2.4, AT = 22.1 ± 2.8 %, p = 0.034) while ED did not change (ED: BT = 20.2 ± 2.5, AT = 23.6 ± 2.9 %). PMCs formed with Mon1 monocytes followed a similar response (p = 0.031), but no significant changes were observed with PMCs formed in Mon2 or Mon3. A single exercise bout did not influence PMCs in any phenotype.CONCLUSIONOur results indicate that 12 weeks of combined exercise training reduces PMC formation in obese, postmenopausal women; however, a single bout of exercise did not significantly change percent PMC. The increase in PMCs in ED after the intervention is difficult to explain, but may be related to the time of year of the BT and AT experimental trials. These data may provide evidence that exercise training reduces CVD risk via reductions in platelet activation.Support or Funding InformationTCU Invests in Scholarship Grant; TCU Research and Creative Activities FundThis abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.