Nursing
M-A | Nasal protection strategy reduces the incidence of nasal pressure injuries during nasotracheal intubation.
19 Oct, 2022 | 14:13h | UTC
M-A | Efficacy of different preoperative skin antiseptics on the incidence of surgical site infections.
14 Oct, 2022 | 14:02h | UTCRelated:
Antiseptic Skin Agents to Prevent Surgical Site Infection After Incisional Surgery: A Randomized, Three-armed Combined Non-inferiority and Superiority Clinical Trial (NEWSkin Prep Study) – Annals of Surgery (link to abstract – $ for full-text)
Commentary on Twitter
To reduce risk of surgical site infections.
? chlorhexidine in alcohol better than iodine (esp non-clean surgery)
? but only at 2-2.5%. Higher concentration not better!
? olanexidine possible alternative but only 1x RCT@LancetMicrobehttps://t.co/C8FHtEdYlf pic.twitter.com/FXwEOIg4Pf— Gabriele Pollara (@gpollara) August 22, 2022
Illustrations under a Creative Commons Attribution (CC BY 4.0) license
M-A | Efficacy and safety of unrestricted visiting policy for critically ill patients.
21 Sep, 2022 | 13:18h | UTC
Commentary on Twitter
https://twitter.com/arianna_gazzato/status/1568138556756860928
M-A | The effectiveness of self-care interventions in chronic illness.
14 Sep, 2022 | 13:03h | UTC
Systematic Review | Predictors of burnout among healthcare providers.
31 Aug, 2022 | 11:50h | UTCPredictors of burnout among US healthcare providers: a systematic review – BMJ Open
Commentary on Twitter
Workload, work/life balance, job autonomy and perceived support from leadership, have strong associations with risk for burnout in US healthcare providers. https://t.co/GjseiefjM7 pic.twitter.com/uisEcTs7Lk
— BMJ_Open (@BMJ_Open) August 25, 2022
RCT | Remote physician visits are noninferior to in-home physician visits for patients receiving acute hospital-level care at home (home hospital).
31 Aug, 2022 | 11:49h | UTCAuthor Interview: Remote vs In-home Physician Visits for Hospital-Level Care at Home – JAMA
Commentary on Twitter
Home hospital care is scaling fast, but the role for remote MD care is unknown. In this #RCT, remote MD care was noninferior to in-home MD care, but in-home MD care was critical to 1 in 5 patients. @hahusersgroup @WHAH_cong #OpenAccess #Research https://t.co/ZoE4oc37jx
— JAMA Network Open (@JAMANetworkOpen) August 30, 2022
Meta-analysis of randomized trials | Intensive vs. short face-to-face smoking cessation interventions.
29 Aug, 2022 | 12:03h | UTC
Systematic Review | There is little evidence to guide interventions for preventing and reducing the use of physical restraints on older people in general hospital settings.
29 Aug, 2022 | 12:01h | UTC
Update on the management of diabetes in long-term care facilities.
26 Aug, 2022 | 13:23h | UTC
Perspective | Double trouble with double-booking: limitations and dangers of overlapping surgery.
26 Aug, 2022 | 13:22h | UTCRelated:
Review | The effect of overlapping surgical scheduling on operating theatre productivity.
Study: Association of Overlapping Surgery with Perioperative Outcomes
Cluster RCT | Effect of antiseptic bathing with chlorhexidine or octenidine on central line–associated bloodstream infections in intensive care patients.
24 Aug, 2022 | 14:02h | UTCEffect of antiseptic bathing with chlorhexidine or octenidine on central line–associated bloodstream infections in intensive care patients: a cluster-randomized controlled trial – Clinical Microbiology and Infection (link to abstract – $ for full-text)
Commentary on Twitter
Antiseptic bathing for CLABSI prevention:
SW-RCT incl 72 ICUs with 76,815 showed no significant differences between daily bathing with a) 2% chlorhexidine-impregnated cloths vs b) 0.08% octenidine vs c) water & soap in CLAPSI
Thanks to @CritCareReviews https://t.co/Ou3g3ptMLp— Peter Nydahl (@NydahlPeter) May 30, 2022
M-A | The incidence and risk of venous thromboembolism associated with peripherally inserted central venous catheters in hospitalized patients.
17 Aug, 2022 | 13:49h | UTC
Trauma care in older people: charting a path from outlier to excellence.
11 Aug, 2022 | 12:16h | UTCTrauma care in older people: charting a path from outlier to excellence – Age and Ageing
Changes to the European Resuscitation Council guidelines for adult resuscitation.
9 Aug, 2022 | 12:50h | UTCChanges to the European Resuscitation Council guidelines for adult resuscitation – BJA Education
Related:
2021 Resuscitation Guidelines – Resuscitation Council UK
RCT | Antiseptic skin agents to prevent surgical site infection after incisional surgery.
8 Aug, 2022 | 11:54h | UTCAntiseptic Skin Agents to Prevent Surgical Site Infection After Incisional Surgery: A Randomized, Three-armed Combined Non-inferiority and Superiority Clinical Trial (NEWSkin Prep Study) – Annals of Surgery (link to abstract – $ for full-text)
Related:
Systematic Review | Hydrogel dressings for venous leg ulcers.
8 Aug, 2022 | 11:27h | UTCHydrogel dressings for venous leg ulcers – Cochrane Library
Summary: Hydrogel dressings for venous leg ulcers – Cochrane Library
M-A | Perioperative care bundles for the prevention of surgical-site infections.
2 Aug, 2022 | 12:30h | UTC
Brief Review | Monitoring pain in the intensive care unit.
1 Aug, 2022 | 12:30h | UTCMonitoring pain in the intensive care unit (ICU) – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
Monitoring pain in #ICU
➡️ self‐assessment tools in pts able to self‐report
➡️ observational behavioural scales in pts unable to self‐report
➡️ physiologic parameters in pts unable to self‐report nor express behaviours (deep sedaution, NMBAs)#FOAMcc
? https://t.co/SaD1BBxSNw pic.twitter.com/81tNNvnTDe— Intensive Care Medicine (@yourICM) July 30, 2022
M-A | Negative-pressure wound therapy for prevention of sternal wound infection after adult cardiac surgery.
28 Jul, 2022 | 13:03h | UTC
Cross-Sectional Study | Association of registered nurse staffing with mortality risk in hospitalized patients with sepsis.
27 Jul, 2022 | 12:16h | UTCCommentaries:
Greater Nurse Staffing Tied to Better Sepsis Outcomes – HealthDay
Reduced Sepsis Mortality Risk Seen With High Nurse Staffing – AJMC
Central venous catheter (CVC) management: evidence round-up.
26 Jul, 2022 | 12:41h | UTCCentral venous catheter (CVC) management: evidence round-up – Cochrane Library
Systematic Review | Heparin vs. 0.9% sodium chloride locking for prevention of occlusion in central venous catheters in adults.
26 Jul, 2022 | 12:43h | UTCRelated: Central venous catheter (CVC) management: evidence round-up – Cochrane Library
M-A | Costs of multimorbidity.
20 Jul, 2022 | 12:06h | UTCCosts of multimorbidity: a systematic review and meta-analyses – BMC Medicine
Related:
Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open
Multimorbidity: a priority for global health research – The Academy of Medical Sciences
The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports
Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review
Multimorbidity: clinical assessment and management – NICE Guideline
Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs
Better Care for People with Complex Needs – Institute for Healthcare Improvement
Systematic Review | Impact of early postoperative indwelling urinary catheter removal.
20 Jul, 2022 | 11:48h | UTC
Review | Improving the intensive care experience from the perspectives of different stakeholders.
19 Jul, 2022 | 13:51h | UTC