How do you manage and monitor endotracheal tube cuff pressures in your unit? Do you have a written protocol? Is it a nursing or solely a respiratory therapy responsibility? Unfortunately, there are few if any “gold standards” in this area.
In this issue, Rose and Redl describe their findings related to the current practices in Australia and New Zealand. Some issues to consider:
See Article, pp 428–435
Evidence-based practice is the foundation of critical care nursing, including the ability to critically evaluate that evidence.
In this issue, Chapa and colleagues provide an excellent example of such an evaluation process related to use of implantable cardioverter-defibrillators in patients with heart failure without ventricular arrhythmias.
As these authors illustrate, there are several issues to consider when evaluating the evidence:
All evidence may not meet these criteria, as it may not be possible to conduct randomized, clinical trials in every case. Still, practice...