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Biomedical subjects

M A Curley

Publications and source records attributed to M A Curley.

9 recordsLinked to original sources
PubMed1995

Providing comfort to critically ill pediatric patients: isoflurane.

Isoflurane is a fluorinated ether used primarily as an inhalation anesthetic. Rapid titratable effects, limited metabolism, and a reliable mode of administration make isoflurane an appealing alternative to the use of intravenous sedatives and narcotics in critically ill patients requiring prolonged mechanical ventilation. This article, in reviewing this novel approach to management of patient discomfort, focuses on nursing practice issues and provides a critical analysis of isoflurane use in the intensive care unit.

Child↗
PubMed1992

Effects of the nursing Mutual Participation Model of Care on parental stress in the pediatric intensive care unit--a replication.

The pediatric intensive care unit (PICU) hospitalization of a child is stressful for parents. Helping parents to decrease their stress is warranted so that they can function in a vital role that is therapeutic to them and their critically ill child. Although many interventions have been recommended to help parents decrease their stress, only the Nursing Mutual Participation Model of Care (NMPMC) has been tested in the clinical setting. This article reports a study that expands on Curley's original work by investigating the effects of the NMPMC on parental stress when implemented by PICU staff nurses. Fifty-six parents participated in the study, which used a quasi-experimental design. Sequential sampling placed the first 31 subjects into the control group and the next 25 subjects in the experimental group. The experimental group received care from staff nurses instructed in the NMPMC. The dependent measure was the Parental Stressor Scale:Pediatric Intensive Care Unit (PSS:PICU) administered within 24 to 48 hours of PICU admission, every 48 hours thereafter, and 24 hours after PICU discharge. The results indicated that parents in the experimental group perceived less stress than the control group, specifically the stress related to alterations in parental role in the PICU setting. Implications for nursing care are discussed.

Adult↗
PubMed1990

Extracorporeal membrane oxygenation: current use and future directions.

Extracorporeal membrane oxygenation (ECMO) is the process of using prolonged cardiopulmonary bypass to support patients with reversible respiratory and/or cardiac failure who are refractory to maximal conventional therapy. This process has been used extensively for critically ill neonates, with encouraging results. The use of ECMO in the pediatric population has been limited but is increasing. The history, mechanics, and current applications of ECMO are discussed in this article. Critical care nursing management of the pediatric or neonatal ECMO patient focuses on optimizing recovery of the pulmonary and/or cardiac system while preventing complications. A case study of a pediatric ECMO patient is presented which illustrates the complex nursing care issues related to use of this intervention. Future directions for ECMO are addressed.

Child↗
PubMed1988

Effects of the nursing mutual participation model of care on parental stress in the pediatric intensive care unit.

The pediatric intensive care unit (PICU) hospitalization of a child is stressful for parents. Helping parents to decrease their stress is warranted so that they can function in the vital role that is therapeutic to them and their critically ill child. Many parent-supportive nursing interventions have been recommended but none has been tested in the clinical setting. A quasi-experimental design was used to study the effects of the nursing mutual participation model of care (NMPMC) on the perceived environmental stress of parents in the PICU. Thirty-three parents, experiencing the PICU for the first time, participated in the study. Sequential sampling divided the participants into two groups, control and experimental. The experimental group participated in the NMPMC, designed to be supportive to and guided by the perceived individual needs of each parent. The dependent measure was the Parental Stressor Scale: Pediatric Intensive Care Unit administered within 24 to 48 hours of PICU admission, every 48 hours thereafter, and 24 hours after PICU discharge. The results indicate that the NMPMC is helpful in alleviating parental stress, specifically the stress related to interruption in the parent-child relationship, in the PICU setting.

Child↗
PubMedDate not supplied

Challenges in nursing: infants with congenital diaphragmatic hernia.

Despite advances in the care of infants born with congenital diaphragmatic hernia, mortality rate continues to be high. Immediate survival is directly related to the degree of pulmonary hypoplasia present. The spectrum is wide, from minimal pulmonary hypoplasia, in which neonates do well, to severe pulmonary hypoplasia, which is incompatible with life. Between these two extremes lie infants with compromised pulmonary function whose long-term survival depends on the clinical strengths of their multidisciplinary team. Over the past year, 23 infants with congenital diaphragmatic hernia were cared for in the Multidisciplinary Intensive Care Unit at Children's Hospital, Boston. A retrospective chart review enabled the authors to describe the trajectory of illness and generate nursing practice guidelines. This article presents the nursing care issues that were identified in this challenging population.

Hernia, Diaphragmatic↗
PubMedDate not supplied

End-tidal CO2 monitoring in critically ill infants and children.

End-tidal carbon dioxide (ETCO2) monitoring is an effective tool to continuously assess the adequacy of ventilation in critically ill infants and children. Optimal clinical application of this noninvasive monitoring technique requires an understanding of the physiologic principles of ETCO2 monitoring and its unique technologic considerations.

Blood Gas Analysis↗