January 2017 - Volume 12 - Issue 1
pp: 4-48
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Editorial

Innovations in Practice

Tech Talk

Pearls


Using bispectral index monitoring to gauge depth of sedation/analgesia

Mitchell-Hines, Theadoshia; Ellison, Kristi; Willis, Scott

Nursing Critical Care . 12(1):12-16, January 2017.

Using a specialized bedside monitor, clinicians can achieve individualized levels of moderate sedation/analgesia with predictive targeted brain wave values. Called the bispectral index monitor, this noninvasive device can be used without assistance from highly specialized clinicians.

Cerebral hyperperfusion syndrome following carotid artery revascularization

Vacca, Vincent M. Jr.; Thomas, Sarah Beth

Nursing Critical Care . 12(1):32-39, January 2017.

Cerebral hyperperfusion syndrome (CHS) is a complication that follows carotid artery revascularization by either carotid endarterectomy or carotid artery stenting. Anticipation, early recognition, and aggressive management of CHS are essential to prevent disastrous complications.

Acute pain management in the patient with a substance use disorder

Rosier, Patricia Kelly

Nursing Critical Care . 12(1):40-46, January 2017.

Opioid addiction and substance use disorders are a major problem in the United States. These conditions are present in many of the patients admitted to hospitals. This article discusses nursing assessment, management, and evaluation of acute pain in the presence of substance use disorder and what to do when a patient with addiction is already in treatment.