Calling ICU/CCU nurses!

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Specializes in Intermediate care.

I don't know where to put this- but it can be moved if needed.

Im in my senior synthesis in an ICU/CCU combined. I have to do a research based project on something in the ICU/CCU. SO i have to come up with a PICO question, and i really want to do something good. I asked my preceptor and he said that he would think about it, he has given me some good ideas to go off of, but im having trouble finding something to write a PICO question on.

He said something with ventilators (I was told not to do Ventilator acquired pneumonia, too many people do that), or something with Dialysis patients (hemo/peritoneal), different treatments, etc.

Does anyone have any suggestions of things they see in their ICU or CCU that could be "researched".

i hate saying this is homework help, but it's not technically giving me answers...just suggestions of things they see that could be interesting!

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Specializes in Intermediate care.

oh jeez. i didnt see there is a specific section for nursing students!

I'm sorry....i'll put it over there. But i'll still leave it here just incase :)

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I'm not sure what a PICO is, but how about CRRT? That's interesting stuff or maybe barotrauma with high levels of peep?

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Specializes in ICU and EMS.

The newest trend in ICU care is early mobility. We often get our intubated/vented patients out of bed into the chair for several hours per day. If the patient is able, we will even ambulate them around the unit with the vent in tow! Research has shown this to decrease the number of days in the ICU as well as reduce the amount of rehab required after discharge. Maybe you could expand on this??

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Specializes in Intermediate care.

PICO is a research based question comparing two like things. Someone in my class on a med/surg floor is doing the comparison of saline lock vs. heparin lock in IV's.

my last PICO question, when i was on a cardiac floor was the use of metoprolol in patients with active MI. Effective or not??...I went with this because the hospital i work at uses metoprolol still with active MI, but the hospital i did my clinical rotation on said that they don't use it anymore because they found it to not be effective.

Good suggestions though!! :) i like the peep thing. i could do something based off that.

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Specializes in Intermediate care.
The newest trend in ICU care is early mobility. We often get our intubated/vented patients out of bed into the chair for several hours per day. If the patient is able, we will even ambulate them around the unit with the vent in tow! Research has shown this to decrease the number of days in the ICU as well as reduce the amount of rehab required after discharge. Maybe you could expand on this??

Whoa! Ambulate patients on the vent?!?! That would be way cool, i'll see if i can find alot on it. Thanks!

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Specializes in Intermediate care.

There is actually alot of information out there on that. Honestly, i've only ever seen a patient get in the chair with a ventilator. So that just surprised me....

Thanks for the idea!!

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Specializes in M/S, Peds.

What about CLRT (continuous lateral rotation therapy) vs q2hr turns on a patients who are sedated?

I work in an ICU and we have gotten vented patients up to a cardiac chair.

Good Luck with your project!

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

I had to look up PICO....

EBP proposes that clinical problems that emerge from care practice, teaching or research be decomposed and organized using the PICO strategy(7,11-12). PICO represents an acronym for Patient, Intervention, Comparison and Outcome. These four components are the essential elements of the research question in EBP and of the construction of the question for the bibliographic search of evidence(7,9-10,13-15). The PICO strategy can be used to construct several kinds of research questions, originated from clinical practice, human and material resource management, the search of symptom assessment instruments, among others. The adequate (well constructed) research question allows for the correct definition of which information (evidence) is needed to solve the clinical research question(7,11-12), maximizes the recovery of evidence in the database, focuses on the research scope and avoids unnecessary searching.

http://www.scielo.br/scielo.php?pid=S0104-11692007000300023&script=sci_arttext&tlng=en#tabela2

I like the ambulation of vented patients or PEEP and barotrauma....

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hello ..

Iam new soI not sure about where Iam writing is it write place to do it or I have my own space .. I studying EBP .. so we were asked to chose PICO .. so since Iam working in ICU .. I chose this .. P : ventilated patient , I : instillation of saline during suction , C : no to install , O : reduces incidence of VAP .. I have a tribal in finding articles about it .. RCT & systemic review is needed ..

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Specializes in SICU, trauma, neuro.

From what I'm aware of, lavaging has been shown to NOT be best practice when suctioning is necessary. I'm on my phone so it's tough to copy and paste links...but have you done a Google Scholar, Cinahl, Pub Med search for "lavage for tracheal suctioning?"

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Specializes in Oncology.

I know this is old, but if I'm ever tubed and you withdraw my sedation to ambulate me I promise I'm self extubating.

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