PubMed · 14397017
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
J M LAPORTE. 1955. [Progress in heart surgery].. https://pubmed.ncbi.nlm.nih.gov/14397017/
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
Diabetes mellitus is reaching epidemic proportions in the United States. It is now the fourth most common comorbid condition complicating hospital discharges. There is a rapidly evolving body of literature assessing the short-term and long-term effects of strict glycemic control in the hospital setting. Results from several landmark studies have challenged the long-held notion that stress hyperglycemia is beneficial. This article will focus on these studies, postulated mechanisms of action, and finally, description of an insulin infusion protocol developed at a community hospital for patients undergoing cardiac surgery.
This study analyzed what nurses wrote in narrative nursing notes for cardiac-surgery patients. The nursing notes of 46 patients were analyzed based on the nursing process. Eight patterns were extracted according to different combinations of nursing process components, of which an assessment alone was the most frequent nursing phrase (45.8%), followed by assessment or diagnosis-intervention-outcome (25.9%). The content of the nursing notes was also classified into 15 categories, of which nursing outcomes were recorded more frequently in nursing care driven mainly by physician's order such as disease-related symptom management, insomnia care, respiratory care, and pain control, than in independent nursing care such as education and emotional care. A survey on the attitudes of nurses toward the nursing record revealed that they do not document nursing outcomes as much as they think they do. The main reasons for this discrepancy were insufficient time for recording and lack of knowledge about why, how, and what to evaluate. Even though there is room for improvement, nursing notes represent a useful resource for determining nursing contributions to patient outcomes.
A hospital-based magnetic guidance system (MGS) was installed to assist a physician in navigating catheters and guide wires during interventional cardiac and neurosurgical procedures. The objective of this study is to examine the performance of this magnetic field-guided navigation system. Our results show that the system's radiological imaging components produce images with quality similar to that produced by other modern fluoroscopic devices. The system's magnetic navigation components also deflect the wire and catheter tips toward the intended direction. The physician, however, will have to oversteer the wire or catheter when defining the steering angle during the procedure. The MGS could be clinically useful in device navigation deflection and vessel access.