March 2013 - Volume 8 - Issue 2
pp: 4-48


Heart Beats

Topics in Progressive Care

Research Rounds


An alternative for managing severe Clostridium difficile

Cook, Jessica L.; Drummond, Christopher; Johns, Minday M.

Nursing Critical Care . 8(2):18-20, March 2013.

Find out about a promising new evidence-based procedure, loop ileostomy with colonic lavage, which has been used at the University of Pittsburgh Medical Center to successfully reduce morbidity and mortality in patients with severe C. difficile infection.

Is this patient a candidate for ultrafiltration?

Streets, Kara W.; Vickers, Sharon M.

Nursing Critical Care . 8(2):31-38, March 2013.

Similar to dialysis, ultrafiltration is a type of renal replacement therapy that may be indicated for patients with heart failure who have significant volume overload despite outpatient diuretic therapy. Here's what you need to know about this therapy, which can be safely managed in any telemetry unit or even in an outpatient treatment area that has appropriately trained personnel.

Compartment syndrome of the lower extremities: A pressing issue

Harris, Helene; Smith, Carla J.

Nursing Critical Care . 8(2):44-47, March 2013.

Without treatment, acute compartment syndrome of the lower extremities can cause muscle and nerve damage within 4 hours. Although compartment syndrome is common after trauma, it also can occur in some postsurgical patients and after vein harvesting for coronary artery bypass grafting.