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Coronavirus (COVID-19)


Below are free-access articles in AACN Advanced Critical Care, Critical Care Nurse, and American Journal of Critical Care related to the care of patients with COVID-19. 

For additional resources, please visit the AACN website.

Ahead of Print

Katie M. Moynihan, Valerie Bailey, Dorothy M. Beke, Faraz Alizadeh, Kimberlee Gauvreau, and Jennifer M. Snaman
Staff Perceptions of Dying and Death in a Pediatric Cardiac Intensive Care Unit During COVID-19

Katherine A. Kissel, Christine Filipek, Jessica Jenkins
Impact of the COVID-19 Pandemic on Nurses Working in an Intensive Care Units: A Scoping Review

Safanah Siddiqui, Gabriel Lutz, Ali Tabatabai, Rachel Nathan, Megan Anders, Miranda Gibbons, Marguerite Russo, Sarah Whitehead, Peter Rock, Thomas Scalea, and Raya E. Kheirbek
Early Guided Palliative Care Communication for Patients With COVID-19 Receiving ECMO

Zuhal Gülsoy and Tuba Karabey
Quality Of Life and Coping With Stress in Relatives of Patients in Intensive Care Units During COVID-19


Dannette A. Mitchell and Maureen A. Seckel

Acute Respiratory Distress Syndrome and Prone Positioning

John J. Gallagher

Mechanical Ventilator Modes

American Association of Critical-Care Nurses

Standard Versus Alternative Ventilator Modes: What's the Difference?

Kathy M. Baker, Natalia Sullivan Vragovic, and Robert B. Banzett

Intensive Care Nurses’ Perceptions of Routine Dyspnea Assessment

Sandra K. Hanneman, Gary M. Gusick, Shannan K. Hamlin, Sheryln J. Wachtel, Stanley G. Cron, Deborah J. Jones, Sandra A. Oldham

Manual vs Automated Lateral Rotation to Reduce Preventable Pulmonary Complications in Ventilator Patients

Vinciya Pandian, Linda L. Morris, Martin B. Brodsky, James Lynch, Brian Walsh, Cynda Rushton, Jane Phillips, Alphonsa Rahman, Troy DeRose, Leah Lambe, Lionel Lami, Sarah Pui Man Wu, Francisco Paredes Garza, Simona Maiani, Andrea Zavalis, Kafilat Ajoke Okusanya, Patrick A. Palmieri, Brendan A. McGrath, Paolo Pelosi, Mary Lou Sole, Patricia Davidson, Michael J. Brenner
Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach

Jessica Montanaro
Using In Situ Simulation to Develop a Prone Positioning Protocol for Patients With ARDS

Jennifer Bardwell, Sushama Brimmer, and Wesley Davis
Implementing the ABCDE Bundle, Critical-Care Pain Observation Tool, and Richmond Agitation-Sedation Scale to Reduce Ventilation Time

Karen Miguel, Colleen Snydeman, Virginia Capasso, Mary Ann Walsh, John Murphy, and Xianghong Sean Wang
Development of a Prone Team and Exploration of Staff Perceptions During COVID-19

Filippo Binda, Federica Marelli, Alessandro Galazzi, Riccardo Pascuzzo, Ileana Adamini, and Dario Laquintana
Nursing Management of Prone Positioning in Patients With COVID-19

Ruff Joseph Macale Cajanding
Silent Hypoxia in COVID-19 Pneumonia: State of Knowledge, Pathophysiology, Mechanisms, and Management

Karen A. Allicock, Danielle Coyne, Anna N. Garton, Erin C. Hare, and Maureen A. Seckel
Awake Self–Prone Positioning: Implementation During the COVID-19 Pandemic

Carolynn T. Jones, R. Scott Kopf, Lisa Tushla, Sarah Tran, Caroline Hamilton, Meghan Lyman, Rachel McMullen, Drashti Shah, Angela Stroman, Eryn Wilkinson, Daniel Kelmenson, Jose Vazquez, and Peter G. Pappas
A Care Step Pathway for the Diagnosis and Treatment of COVID-19–Associated Invasive Fungal Infections in the Intensive Care Unit


Barbara Leeper
Right Ventricular Failure

Shannan K. Hamlin, Sandra K. Hanneman, Nikhil S. Padhye, and Robert F. Lodato
Hemodynamic Changes With Manual and Automated Lateral Turning in Patients Receiving Mechanical Ventilation

Samantha R. Asber, Kenneth P. Shanahan, Leslie Lussier, Dorothy Didomenico, Marissa Davis, Jennifer Eaton, Michele Esposito, and Navin K. Kapur
Nursing Management of Patients Requiring Acute Mechanical Circulatory Support Devices 

Teri M. Kozik, Marisa Mitchell, Salah S. Al-Zaiti, Mary G. Carey, and Michele M. Pelter

Noteworthy Electrocardiographic Changes Following Pharmacologic Treatment of COVID-19 [ECG Puzzler]

Ruff Joseph Macale Cajanding
Comprehensive Review of Cardiovascular Involvement in COVID-19

Semyon Melnikov, Alex Furmanov, Alik Gololobov, Muhammad Atrash, Chaya Broyer, Marta Gelkop, Slava Gezunterman, Tova David, Limor Eisenberg, Esam Kadry, Ruti Nave, Edna Shalom, Noga Shoval, Gregory Traytel, Nagah Zaid, Shoshy Goldberg, and Amir Vardi
Recommendations From the Professional Advisory Committee on Nursing Practice in the Care of ECMO–Supported Patients

Nestor Neil A. Peig, Erica Djen, Marielle Garalza, Caroline Given, Jasmine Henderson, Tara O’Connor, Catherine Puno Serrano, Adrianna Veatch, Michelle Rodriguez, Katrine Murray, Pamela S. Miller, and Taline Marcarian
Nursing Management of a Patient With COVID-19 Receiving ECMO: A Case Report


Karen Johnson, Lauri Speirs, Anne Mitchell, Heather Przybyl, Diane Anderson, Brenda Manos, Amy Schaenzer, and Keri Winchester

Validation of a Postextubation Dysphagia Screening Tool for Patients After Prolonged Endotracheal Intubation

Infectious Disease

Constance S. Harrell Shreckengost, Limeng Wan, Alexandra W. Reitz, Alice Lin, Rohan K. Dhamsania, Julia Spychalski, J. Miller Douglas, Andrea Lane, Dina Amin, Steven Roser, David Berkowitz, Jorge Esteban Foianini, Renée Moore, Jithin K. Sreedharan, Abesh Niroula, Randi Smith, Onkar V. Khullar, and the PTS-COVIDTrach Collaborative
Tracheostomies of Patients With COVID-19: A Survey of Infection Reported by Health Care Professionals

Taylor C. Standiford, Janice L. Farlow, Michael J. Brenner, Ross Blank, Venkatakrishna Rajajee, Noel R. Baldwin, Steven B. Chinn, Jessica A. Cusac, Jose De Cardenas, Kelly M. Malloy, Kelli L. McDonough, Lena M. Napolitano, Michael W. Sjoding, Emily K. Stoneman, Laraine L. Washer, and Pauline K. Park
COVID-19 Transmission to Health Care Personnel During Tracheostomy Under a Multidisciplinary Safety Protocol

Brian W. Gilbert, Michael Reichert, and Suzanne Fletcher
Strategies for the Management of Sepsis

Elizabeth Bridges and Sheryl Greco
Identifying Patients at Risk for Sepsis

Nancy Munro, Kristine Anne Scordo, and Misty M. Richmond
COVID-19: An Immunopathologic Assault

Margo A. Halm

COVID-19 and Antimalarial Drugs: Harms Outweigh Benefits


Jill L. Guttormson, Kelly Calkins, Natalie McAndrew, Jacklynn Fitzgerald, Holly Losurdo, and Danielle Loonsfoot
Critical Care Nurses’ Experiences During the COVID-19 Pandemic: A US National Survey

Ithan D. Peltan, Ellen Caldwell, Andrew J. Admon, Engi F. Attia, Stephanie J. Gundel, Kusum S. Mathews, Alexander Nagrebetsky, Sarina K. Sahetya, Christine Ulysse, Samuel M. Brown, Steven Y. Chang, Andrew J. Goodwin, Aluko A. Hope, Theodore J. Iwashyna, Nicholas J. Johnson, Michael J. Lanspa, Lynne D. Richardson, Kelly C. Vranas, Derek C. Angus, Rebecca M. Baron, Benjamin A. Haaland, Douglas L. Hayden, B. Taylor Thompson, Todd W. Rice, and Catherine L. Hough, for the Prevention and Early Treatment of Acute Lung Injury (PETAL) Network
Characteristics and Outcomes of US Patients Hospitalized With COVID-19

Claudia Skinner, Lilian Ablir, Todd Bloom, Stacie Fujimoto, Yelena Rozenfeld, and Peggy Leung
Effects of Safety Zone Implementation on Perceptions of Safety and Well-being When Caring for COVID-19 Patients 

Sarah Gast, Julie Barroso, Francesca A. Blanchard, Amy A. Campbell, Stacey J. Carter, Emma V. Clark, Rachel Hilton, Richard Branson, Steven Greenberg, and Ruth Kleinpell
Critical Care Nurses’ Experiences of Caring for Patients With COVID-19 : Results of a Thematic Analysis

Vijay Krishnamoorthy, Tetsu Ohnuma, Raquel Bartz, Matthew Fuller, Nita Khandelwal, Krista Haines, Charles Scales, and Karthik Raghunathan
Acute Care Resource Use After Elective Surgery in the United States: Implications During the COVID-19 Pandemic 

Heather M. Passerini

Contemporary Transfusion Science and Challenges

Lolade S. Bakare and John M. Allen

COVID-19 Therapeutics: Making Sense of It All

Abigail C. Jones, Rachel Hilton, Blair Ely, Lovemore Gororo, Valerie Danesh, Carla M. Sevin, James C. Jackson, Leanne M. Boehm
Facilitating Posttraumatic Growth After Critical Illness

Joanne McPeake, Theodore J. Iwashyna, Leanne M. Boehm, Elizabeth Hibbert, Rita N. Bakhru, Anthony J. Bastin, Brad W. Butcher, Tammy L. Eaton, Wendy Harris, Aluko A. Hope, James Jackson, Annie Johnson, Janet A. Kloos, Karen A. Korzick, Joel Meyer, Ashley Montgomery-Yates, Mark E. Mikkelsen, Andrew Slack, Dorothy Wade, Mary Still, Giora Netzer, Ramona O. Hopkins, Tara Quasim, Carla M. Sevin, and Kimberley J. Haines
Benefits of Peer Support for Intensive Care Unit Survivors: Sharing Experiences, Care Debriefing, and Altruism

Aluko A. Hope, Andrea (Annie) Johnson, Joanne McPeake, Hali Felt, Carla M. Sevin, Mark E. Mikkelsen, Theodore J. Iwashyna, Caroline Lassen-Greene, Kimberley J. Haines, Sachin Agarwal, Rita N. Bakhru, Leanne M. Boehm, Brad W. Butcher, Kelly Drumright, Tammy L. Eaton, Elizabeth Hibbert, Karen Sara Hoehn, David Hornstein, Heather Imperato-Shedden, James C. Jackson, Janet A. Kloos, Anna Lewis, Joel Meyer, Ashley Montgomery-Yates, Veronica Rojas, Christa Schorr, Dorothy Wade, and Cydni Williams
Establishing a Peer Support Program for Survivors of COVID-19: A Report From the Critical and Acute Illness Recovery Organization

Somnath Bose and Akiva Leibowitz
Pragmatic Disease-Focused Checklist for Use During Rounding on Critically Ill Patients With COVID-19

Kristine Anne Scordo, Misty M. Richmond, and Nancy Munro
Post-COVID-19 Syndrome: Theoretical Basis, Identification, and Management

Caroline Fritz, Laurie-Anne Claude, Sophie Hamada, Mathilde Trosdorf, Hugues de la Barre, Amélie Yavchitz, Darless Clausse, Cédric Lemogne, Anne Godier, and Cécile Flahault
Daily Telephone Call During the COVID-19 Pandemic: Perceptions of Families and Provider

Stephanie J. Scibilia, Sarah K. Gendreau, Rachel Toran Towbin, and Mary Beth Happ
Impact of COVID-19 on Patient-Provider Communication in Critical Care: Case Reports


Sandy L. Arneson, Sara J. Tucker, Marie Mercier, and Jaspal Singh
Answering the Call: Impact of Tele-ICU Nurses During the COVID-19 Pandemic

Mary Kay Bader, Annabelle Braun, Cherie Fox, Lauren Dwinell, Jennifer Cord, Marne Andersen, Bryan Noakes, and Daniel Ponticello

A California Hospital's Response to COVID-19: From a Ripple to a Tsunami Warning

Linda Bell

Just-in-Time Learning During a Crisis

Clayton J. Shuman and Deena Kelly Costa

Stepping in, Stepping up, and Stepping out: Competencies for Intensive Care Unit Nursing Leaders During Disasters, Emergencies, and Outbreaks [Commentary]

Diana Brickman, Andrew Greenway, Kathryn Sobocinski, Hanh Thai, Ashley Turick, Kevin Xuereb, Danielle Zambardino, Philip S. Barie, and Susan I. Liu
Rapid Critical Care Training of Nurses in the Surge Response to the Coronavirus Pandemic

Sandra Dunbar, Jeannie Cimiotti, and Carolyn Reilly

A Tribute to Our Nurses on the Front Lines of Care

Stefano Bambi, Pasquale Iozzo, and Alberto Luccini

New Issues in Nursing Management During the COVID-19 Pandemic in Italy

Linda Berger Spivack and Marla Spivack
Understanding and Adapting to Leadership Challenges: Navigating the COVID-19 Crisis in the Bronx

Sara M. Reese, Jennifer Johnson, Jennifer Edwards, Michelle Oliveti, and Susan Buszkiewic
Innovative Partnership Between Intensive Care Unit Nurses and Therapists to Care for Patients With COVID-19

Kelly L. Jones, Maren R. Johnson, Andrea Y. Lehnertz, Robert R. Kramer, Kelly E. Drilling, Lisa D. Bungum, and Sarah J. Bell
Rapid Deployment of Team Nursing During a Pandemic: Implementation Strategies and Lessons Learned


Moral Distress/Resilience

Anthony Bucca, Lauryn Ullrich, Awan Rahman, Christopher Smith, Monica Johnson, Amie Allanson-Dundon, Douglas Corwin, James A. James, III, Christine Marchionni, Livia Bratis, and Erin Bendas
Unmasking the Truth of Health Care Workers’ Well-being During the COVID-19 Pandemic

Cynda Hylton Rushton

Moral Resilience: A Capacity for Navigating Moral Distress in Critical Care

Beth Fitzpatrick, Kelsey Bloore, and Nancy Blake
Joy in Work and Reducing Nurse Burnout: From Triple Aim to Quadruple Aim

Nancy Blake

Resilience During Difficult Times in Health Care

Karen Stutzer and Mary Bylone
Building Moral Resilience

Sandra B. Dunbar, Jeannie P. Cimiotti, and Carolyn M. Reilly

A Tribute to Our Nurses on the Front Lines of Care

Meredith Mealer, Jacqueline Jones, and Paula Meek

Factors Affecting Resilience and Development of Posttraumatic Stress Disorder in Critical Care Nurses

Nancy Blake

Caring for the Caregivers During the COVID-19 Pandemic

Jenna A. LoGiudice and Susan Bartos
Experiences of Nurses During the COVID-19 Pandemic: A Mixed-Methods Study

Feifei Zhang, Qiantao Zuo, Jingxia Cheng, Zhuyue Li, Longling Zhu, Yingying Li, Lijuan Xuan, Yu Zhou, and Xiaolian Jiang
Professional Identity During the COVID-19 Pandemic: A Cross-Sectional Survey of Nurses in China

Beverly Ann M. Howell
Battling Burnout at the Frontlines of Health Care Amid COVID-19

Tessy A. Thomas, F. Daniel Davis, Shelley Kumar, Satid Thammasitboon, and Cynda H. Rushton
COVID-19 and Moral Distress: A Pediatric Critical Care Survey

Perry M. Gee, Marla J. Weston, Tom Harshman, and Lesly A. Kelly
Beyond Burnout and Resilience: The Disillusionment Phase of COVID-19

Ryan Holliday, David J. Ricke, Claudia Ricklefs, and Meredith Mealer
Brief Narrative Writing Program Implemented in a Neurosurgical Intensive Care Unit During the COVID-19 Pandemic  

Ethics/End of Life

Asiana Elma, Deborah Cook, Michelle Howard, Alyson Takaoka, Neala Hoad, Marilyn Swinton, France Clarke, Jill Rudkowski, Anne Boyle, Brittany Dennis, Daniel Brandt Vegas, and Meredith Vanstone
Use of Video Technology in End-of-Life Care For Hospitalized Patients During The COVID-19 Pandemic 

Kristen Jones-Bonofiglio, Nico Nortjé, Laura Webster, and Daniel Garros
A Practical Approach to Hospital Visitation During a Pandemic: Responding With Compassion to Unjustified Restrictions   

Melissa Kurtz Uveges, Aimee Milliken, and Afi Alfred
Role of the Critical Care Nurse in Disclosing Difficult News

Suzanne Marmo and Kerry A. Milner
From Open to Closed: COVID-19 Restrictions on Previously Unrestricted Visitation Policies in Adult Intensive Care Units

Kathleen Turner and Cynda Hylton Rushton

“Why Are We Doing This?” Creating New Narratives to Meet Futility With Integrity

Susan B. Williams and Michael D. Dahnke

Clarification and Mitigation of Ethical Problems Surrounding Withdrawal of Extracorporeal Membrane Oxygenation

Freda DeKeyser Ganz
Improving Family Intensive Care Unit Experiences at the End of Life: Barriers and Facilitators

Margaret L. Campbell

Ensuring Breathing Comfort at the End of Life: The Integral Role of the Critical Care Nurse

Krista Wolcott Altaker, Jill Howie-Esquivel, and Janine K. Cataldo

Relationships Among Palliative Care, Ethical Climate, Empowerment, and Moral Distress in Intensive Care Unit Nurses

William E. Rosa, Betty R. Ferrell, and Clareen Wiencek
Increasing Critical Care Nurse Engagement of Palliative Care During the COVID-19 Pandemic

Cynda Hylton Rushton, Nancy Reller, and Sandra M. Swoboda

Applying E-PAUSE to Ethical Challenges in a Pandemic

Carol Pavlish, Joan Henriksen, Katherine Brown-Salzman, Ellen Robinson, Umme Shefa Warda, Christopher Farra, Belinda Chen, & Patricia Jakel

A Team-Based Early Action Protocol to Address Ethical Concerns in the Intensive Care Unit

William E. Rosa, Betty R. Ferrell, and  Clareen Wiencek
Increasing Critical Care Nurse Engagement of Palliative Care During the COVID-19 Pandemic

Medication Management

Patrick M. Wieruszewski, Jonathan G. Leung, and Sarah Nelson

Ketamine Use in the Intensive Care Unit

Margo A. Halm

COVID-19 and Antimalarial Drugs: Harms Outweigh Benefits

Adam Sieg, Komal Pandya, Ryan Winstead, and Rickey Evans

Overview of Pharmacological Considerations in Extracorporeal Membrane Oxygenation

Stephanie Bass, Mark Vance, Anita Reddy, Seth Bauer, Erin Roach, Heather Torbic, Sarah Welch, and Abhijit Duggal

Bispectral Index for Titrating Sedation in ARDS Patients During Neuromuscular Blockade

Jeannine W.C. Blake

Flow Accuracy of IV Smart Pumps Outside of Patient Rooms During COVID-19

Pressure Injuries

Stefano Bambi, Gian Domenico Giusti, Alessandro Galazzi, Elisa Mattiussi, Irene Comisso, Matteo Manici, Moris Rosati, and Alberto Lucchini
Pressure Injuries Due to Personal Protective Equipment in COVID-19 Critical Care Units

Connie Johnson, Nicholas A. Giordano, Lopa Patel, Karyn A. Book, Jennifer Mac, Janet Viscomi, April Em, Anna Westrick, Monika Koganti, Mindaline Tanpiengco, Karen Sylvester, and Kari A. Mastro
Pressure Injury Outcomes of a Prone-Positioning Protocol in Patients With COVID and ARDS


Aluko A. Hope and Cindy L. Munro

Testimonies From the Pandemic Shore [Editorial]

Aluko A. Hope and Cindy L. Munro

Discussing Evidence in the Fog of the Pandemic [Editorial]

Cindy L. Munro and Richard H. Savel

Viral Outbreaks in an Age of Global Citizenship [Editorial]

Richard H. Savel and Cindy L. Munro
Measles 2015: Why Public Health Matters to Critical Care [Editorial]

Cindy L. Munro and Peter E. Morris

Seasonal Influenza: Protect Your Patients by Protecting Yourself [Editorial]

Cindy L. Munro and Aluko A. Hope

Meeting Today’s Challenges: All In [Editorial]

Aluko A. Hope and Cindy L. Munro
Dialogue as a Disruptive Discourse Oriented Toward Justice [Editorial]

Annette Bourgault
Honoring Our Fallen Colleagues and Ourselves: Taking Time to Grieve

Annette Bourgault
Reflections During the 2020 Pandemic

Annette Bourgault
A Tribute to Frontline Health Care Professionals During the COVID-19 Pandemic


Kristen Christensen, Nora Colman, Kay Van Voorhis, Katherine Daniels, Haley Culpepper, Kiran Hebbar, and Michael Wolf
Situational Awareness Huddles in a Pediatric Cardiac Intensive Care Unit During the COVID-19 Pandemic

Kristin Atlas, Jessica Strohm Farber, Kerry Shields, and Ruth Lebet
Multisystem Inflammatory Syndrome in Children in the Critical Care Setting


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