Recent publications reveal significant changes in pathophysiologic concepts, technological support, and management of critically ill patients. These changes, combined with today's emphasis on the importance of evidence based nursing practice, present major challenges for critical care nurses in clinical practice roles.
This seminar addresses a variety of topics which pertain to critically ill patients, whether in the Emergency Department or ICU setting. Innovations regarding recent evidence based changes in methods of optimizing hemodynamic support in the perioperative patient, use of the new Neurally Adjusted Ventilatory Assist mode of mechanical ventilation, and caveats related to fluid administration type and volume in critical illness are included. Hepatorenal syndrome and other considerations related to renal interaction in liver failure are addressed, as are new insights regarding interventions for patients with cirrhosis in the critical care setting.
A fascinating look at the concept of frailty as an indicator of biological age and physical reserve is included, with emphasis on the role of frailty on outcomes in critical care, including survival. Finally, the rapidly growing and potentially lethal topic of anaphylaxis is discussed, with emphasis on its recognition and treatment in the critically ill population.
MSN, RN-BC, CCRN-K