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Key strategies for successful integration of nurse practitioners into intensive care units include defining their role and providing orientation options

Strategies ID’d for Integration of Nurse Practitioners Into ICUs

Successful integration requires strategic planning to define their role, develop program for training
For critically ill adults

Acute Kidney Injury Is Risk Factor for Delirium, Coma

Stage 2 and 3 acute kidney injury linked to increased risk of both delirium, coma in critically ill adults
Adding a full-time trained communication facilitator in the intensive care unit may improve quality of care while also reducing costs

Communication Facilitator Beneficial in Intensive Care Unit

Full-time, trained communication facilitator improves quality of care, costs
There has been an increase in the use of mechanical ventilation over time without substantial improvement in survival among hospitalized nursing home residents with advanced dementia

Ventilators May Be Overused Among Dementia Patients in ICUs

Hospitals may put too many advanced dementia patients on ventilators, research suggests
For high-risk critically ill patients who have undergone extubation

High-Flow Oxygen Not Inferior for Averting Reintubation

Not inferior to noninvasive mechanical ventilation for high-risk patients who have undergone extubation
For adults with sepsis

Levosimendan Doesn’t Prevent Acute Organ Dysfunction

Drug also tied to lower odds of successful weaning from mechanical ventilation in adults with sepsis
A conservative protocol for oxygen therapy results in lower intensive care unit mortality compared to conventional care

Conservative Oxygen Treatment Linked to Lower ICU Mortality

Findings among adult ICU patients with expected length of stay of 72 hours or longer
Empirical treatment with micafungin seems not to increase invasive fungal infection-free survival at 28 days for patients with intensive care unit-acquired sepsis with Candida colonization

Empirical Micafungin Treatment Doesn’t Improve Survival

No increase in invasive fungal infection-free survival for ICU-acquired sepsis, Candida colonization
For pediatric patients with in-hospital cardiac arrest

Tracheal Intubation Not Beneficial in Peds Cardiac Arrest

Lower survival for pediatric patients with tracheal intubation during in-hospital cardiac arrest
Early mobilization benefits surgical intensive care unit patients

Early Mobilization Improves Outcomes, LOS in Surgical ICUs

Patients discharged sooner, become more functional when they leave the hospital