Attaining Good End-of-Life Care in Intensive Care Units in Taiwan—The Dilemma And the Strategy

Lee, Shih Yi; Hung, Chung‐Lieh; Lee, Jun Hua; Shih, Shou Chuan; Weng, Yu; Chang, Wen-Han; Ho, Yueh Hsiu; Huang, Wen Chu; Lai, Yuen Liang

doi:10.1016/s1873-9598(09)70017-1

Cited by 6 publications

(3 citation statements)

References 39 publications

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“…This makes the characteristics of ICU patients different from patients in other rooms. The death of patients in the ICU tends to be faster than patients in other treatment rooms, so ideally end of life care is discussed and carried out earlier (Johnson et al, 2010;Lee et al, 2009). End of life care, especially in meeting psychological, social and spiritual needs, must be adjusted to the values and beliefs believed by patients and families (Janssen et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Related Factors To End Of Life Care By Nurse In Intensive Care Unit

Tahir¹,

Mediani

Emaliyawati

et al. 2021

J. Sci. n.a

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Section: Discussionmentioning

confidence: 99%

Related Factors To End Of Life Care By Nurse In Intensive Care Unit

Tahir¹,

Mediani

Emaliyawati

et al. 2021

J. Sci. n.a

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“…Endotracheal tube (ETT) intubation is performed on patients who are unable to breathe independently. However, active ETT intubation is a stressor for patients in intensive care units (ICUs) [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Comparative study between oral acetaminophen and lidocaine spray on endotracheal tube-related sore throat in adult intensive care

2021

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ackground/Purpose: Endotracheal tube (ETT)-related sore throat is a common source of stress in intensive care. Quantitative studies on therapy for ETT-related sore throat remain limited. The current study evaluated the therapeutic effects of oral acetaminophen (ACT) and lidocaine (LIDO) spray on pain relief for ETT-related sore throat in intensive care. Methods: Patients who could communicate with caregivers non-verbally and who had acquired ETT-related sore throat at a medical intensive care unit (ICU) were enrolled. The medications were dispensed at the request of the patients. The intensity of ETT-related throat pain was recorded for quantitative comparison before and after patients received 500 mg of ACT orally or one dose of 10% LIDO spray locally. Before leaving the ICU, the patients were interviewed by a research nurse to assess the effect of these interventions on satisfaction with pain management for ETT-related sore throat. Results: We enrolled 89 patients during the study period, and the intensity of ETT-related throat pain significantly decreased after treatment (6.97 in 5 min before vs. 3.60 in 120 min after oral ACT, P < 0.001; 8.56 in 5 min before vs. 4.12 in 120 min after LIDO application, P < 0.001). The degree of pain reduction over time differed between the ACT and LIDO groups. Patients in the LIDO group made more requests for additional therapy compared with patients in the ACT group (1 LIDO spray per request for an average of 4.7 requests vs. 1 ACT dose per request for an average of 1.3 requests, P < 0.001). Patients in both the ACT and LIDO groups reported high satisfaction with pain management for ETT-related sore throat (87.3 of 100 vs. 86.5 of 100, respectively, P = 0.805). Conclusion: ACT and LIDO treatment can effectively attenuate ETT-related sore throat. Patients were highly satisfied with pain management for ETT-related sore throat after both oral ACT and local LIDO application.

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“…The introduction of new technologies, such as video laryngoscopy with a hyperangulated blade and laryngeal mask airway, for airway management promotes evolutionary changes in the DA definition, with changes to target study groups depending on the equipment and environment used for practicing emergency airway management [49][50][51][52][53][54][55][56]. Moreover, studies focusing on an intervention for tracheal tuberelated sore throat, a major source of stress but an easily neglected discomfort in critically ill patients [57,58], are warranted to fill the unmet need.…”

mentioning

confidence: 99%

Factors for advancing emergency airway management practice

2022

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Compiling factors from scientific evidence of airway management in the emergency setting is a strategy for improving patient outcomes. Review and original articles in this special issue highlight the essential elements that deserve special attention in clinical practice, including airway assessments before artificial airway establishment, rapid sequence induction, continuous monitoring of vital signs after airway intubation, and management of artificial airway-associated discomfort.

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Attaining Good End-of-Life Care in Intensive Care Units in Taiwan—The Dilemma And the Strategy

Cited by 6 publications

References 39 publications

Related Factors To End Of Life Care By Nurse In Intensive Care Unit

Related Factors To End Of Life Care By Nurse In Intensive Care Unit

Comparative study between oral acetaminophen and lidocaine spray on endotracheal tube-related sore throat in adult intensive care

Factors for advancing emergency airway management practice

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