Monitoring delirium in the intensive care unit: Diagnostic accuracy of the CAM-ICU tool when performed by certified nursing assistants – A prospective multicenter study

Alaterre, Camille; Fazilleau, Claire; Cayot-Constantin, Sophie; Chanques, Gérald; Kacer, Samia; Constantin, Jean-Michel; James, Arthur

doi:10.1016/j.iccn.2023.103487

Cited by 4 publications

(1 citation statement)

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“…Factors such as loneliness caused by isolation treatment, as well as immobilization and ICU-acquired weakness that is induced by mechanical ventilation affect prognosis and increase the burden on individuals, families, and the society. [ 16 ] To promote the recovery of patients’ physical, swallowing, and language functions, individualized early rehabilitation was initiated based on the 5P rehabilitation framework (Pain management and sedation, Position management, Physicotherapeutics, Pulmonary rehabilitation, and Psychosocial support). A nurse-led intensive rehabilitation care team was established, and through doctor–nurse–technician multidisciplinary cooperation, a rehabilitation plan was developed and dynamically adjusted according to the vital signs, pain scores, and muscle strength of the patient.…”

Section: Case Presentationmentioning

confidence: 99%

Intensive care of a patient undergoing combined multi-organ cluster (“larynx–trachea–thyroid–hypopharynx–esophagus”) transplantation: A case report

Shen,

Liu,

Zhang

et al. 2024

Medicine

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Objective: The aim of this study was to summarize the intensive care experience of a patient undergoing combined multi-organ cluster (“larynx–trachea–thyroid–hypopharynx–esophagus”) transplantation. Methods: The intensive care management plan for this case was developed by a multidisciplinary team, with focus on 6 aspects: (1) stabilizing the circulation and reducing anastomotic tension by position management to improve the survival chances of transplanted organs, (2) adopting goal-directed analgesia and sedation protocols, as well as preventing anastomotic fistula, (3) implementing a bedside ultrasound-guided nutrition plan, (4) employing “body–mind” synchronous rehabilitation to facilitate functional recovery, (5) taking antirejection treatment and protective isolation measures, (6) monitoring and nursing thyroid function. Results: During the intensive care, the patient’s vital signs were stable. The patient was successfully weaned from the ventilator and transferred to the general ward for further treatment at 9 days postoperatively, and discharged upon recovery at 58 days postoperatively. The patient was in good condition during follow-up. Conclusion: This study provides reference for the care of patients who undergo similar transplantation in the future.

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Section: Case Presentationmentioning

confidence: 99%