Acute cardiogenic pulmonary oedema: reflecting on the management of an intensive care unit patient

Skinner, Jaime; McKinney, Aidin

doi:10.1111/j.1478-5153.2011.00410.x

Cited by 4 publications

(3 citation statements)

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“…Saunders et al (2016) acknowledged that reflection involves the purposeful and critical analysis of experiences in order to extract deeper meaning from them. As such, reflection is a means whereby nurses can integrate their theoretical knowledge and the practice of nursing and bring them into closer alignment (Skinner and McKinney, 2011).…”

Section: Reflective Approachmentioning

confidence: 99%

“…It is, therefore, used to give careful consideration to past experiences with the aim of learning from them in order to improve understanding and, hopefully, practice (Skinner and McKinney, 2011). Saunders et al (2016) acknowledged that reflection involves the purposeful and critical analysis of experiences in order to extract deeper meaning from them.…”

Section: Reflective Approachmentioning

confidence: 99%

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The value of life story work for staff, people with dementia and family members

McKinney¹

2017

Nursing Older People

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Section: Reflective Approachmentioning

confidence: 99%

Section: Reflective Approachmentioning

confidence: 99%

The value of life story work for staff, people with dementia and family members

McKinney¹

2017

Nursing Older People

Self Cite

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“…Moreover, to our knowledge, all reports on patients with RCDPO have described the pulmonary oedema in the context of another diagnosis — for example, as a complication of catastrophic subarachnoid haemorrhage. 4 , 5 , 6 , 7 , 8 …”

mentioning

confidence: 99%

Radiologically and clinically diagnosed acute pulmonary oedema in critically ill patients: prevalence, patient characteristics, treatments and outcomes

El-Khawas¹,

Richmond²,

Hessels³

et al. 2021

Critical Care and Resuscitation

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BACKGROUND: Acute pulmonary oedema is a life-threatening syndrome diagnosed based on radiological and clinical findings. However, to our knowledge, no studies have investigated this syndrome in critically ill patients. OJECTIVE: To describe the prevalence of radiologically and clinically diagnosed pulmonary oedema (RCDPO) in critically ill patients, characteristics of diagnosed patients, and treatments and outcomes in this patient population. METHODS: We conducted a retrospective study using natural language processing to identify all radiological reports of pulmonary oedema among patients who had been admitted to single tertiary intensive care unit (ICU) over a 1-year period (January 2015 to January 2016). We reviewed clinical data, discharge diagnosis, treatment and outcomes for such patients, and used multivariable logistic regression analysis to identify the association of RCDPO with various outcomes. RESULTS: Out of 2001 ICU patients, we identified 238 patients (11.9%) with RCDPO. Patients with RCDPO were more acutely ill, had more chronic liver disease and had more chronic renal failure than critically ill patients who did not have RCDPO. They were typically admitted with acute cardiovascular disease; were more likely to receive invasive mechanical ventilation and continuous renal replacement therapy; had longer duration of ICU and hospital stay; were more likely to die in hospital; and, if discharged alive, were more likely to be admitted to a chronic care facility. In total, 46 RCDPO patients (19.3%) died in hospital. On multivariable analysis, only age and continuous renal replacement therapy were independently associated with mortality. In contrast, invasive mechanical ventilation was associated with a 2.5 times greater odds of radiological resolution. CONCLUSION: RCDPO affected about one in eight ICU patients. Such patients were sicker and had more comorbidities. The presence of RCDPO was independently associated with higher risk of death. Invasive mechanical ventilation was the only intervention independently associated with greater odds of radiological resolution.

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High-Risk Pregnancy

2017

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Acute cardiogenic pulmonary oedema: reflecting on the management of an intensive care unit patient

Cited by 4 publications

References 43 publications

The value of life story work for staff, people with dementia and family members

The value of life story work for staff, people with dementia and family members

Radiologically and clinically diagnosed acute pulmonary oedema in critically ill patients: prevalence, patient characteristics, treatments and outcomes

High-Risk Pregnancy

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