Top Read Articles

Published in last 1 year |

In last 2 years |

In last 3 years |

All

Please wait a minute...


For Selected: Download Citations EndNote Ris BibTeX Toggle Thumbnails

Select

Expert consensus on the prevention and nursing of postoperative delirium in adults Surgical Nursing Professional Committee of Chinese Nursing Association , Nursing Department/Neurosurgery/Vascular Surgery/Critical Care Medicine，The First Affiliated Hospital of Chongqing Medical University , Department of Nursing，Tongji Hospital，Tongji Medical College，Huazhong University of Science and Technology , （Writing Committee：LIU Liping，ZHANG Ping，ZHU Hua，WU Qiansheng，ZHANG Chuanlin，LIU Jiali，QIN Jingwen，LIU Meiyan） Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (7): 837-842.   DOI: 10.3761/j.issn.2096-7446.2025.07.011 Abstract （1416）   HTML （14）    PDF（pc） （978KB）（30）       Knowledge map    Save Objective To develop an expert consensus on the prevention and nursing care of postoperative delirium in adults（hereinafter referred to as the“consensus”），to guide the nursing of postoperative delirium in adults. Methods The guidelines，expert consensuses，systematic reviews，and original studies related to postoperative delirium in adults were searched in domestic and international databases and related websites，with the search period from the establishment of the database to May 2024. The first draft of the consensus was written through literature review，stakeholder interviews and expert meeting. From December 2024 to January 2025，19 experts were invited to conduct two rounds of letter consultation，revise and improve the content of the first draft，determine the level of evidence and recommendation strength，and form the final draft of the consensus. Results The content of the “consensus” includes five aspects：classification，risk factors，assessment and identification，prevention，and nursing care of postoperative delirium in adults. Conclusion This consensus can provide practical guidance for clinical nursing staff in the prevention and nursing care of postoperative delirium in adults. Reference | Related Articles | Metrics | Comments（0）

Select

Construction and usability evaluation of knowledge graph and intelligent Q&A system for ventilator alarm management WANG Hanmin, ZHANG Yumei, WANG Qiaohong, WANG Jian, YU Lujiang, LI Li Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (6): 659-664.   DOI: 10.3761/j.issn.2096-7446.2024.06.003 Abstract （1045）   HTML （16）    PDF（pc） （1973KB）（12）       Knowledge map    Save Objective To construct a knowledge graph based intelligent Q&A system for ventilator alarm management in intensive care units，to improve healthcare professionals’ ability to recognize and handle ventilator alarms，and to enhance patient safety and treatment outcomes. Methods We integrated knowledge from various sources such as thesis，guidelines，standards，clinical practice cases，device user manuals，etc.，and developed the knowledge framework through expert interviews and expert meetings. We used a combination of automation and manual review to construct entities，extract and integrate knowledge，and input data into the Neo4j graph database as “entity-relationship-entity” ternary data for storage. And for the semantic understanding and parsing of natural language questions，the knowledge graph Cypher query statement was created，so that the knowledge graph has intelligent question and answer functions. The system usability scale was used to test the usability of the Q&A system. Results The constructed knowledge graph covered six fields，including ventilation mode，parameter settings，alarm types，alarm causes，treatment measures，and equipment maintenance，and contains 206 knowledge entities，15 kinds of inter-entity relationships，and 256 linkages of knowledge points，and a web-side intelligent Q&A system has been developed based on the knowledge graph. The mean score of the System Usability Scale was （76.44 ± 13.17）. Conclusion The knowledge graph based intelligent Q&A system for ventilator alarm management constructed in this study has certain scientific validity and usability. Through the visualization of knowledge system functions，intelligent question and answer，and personalized recommendation，it provides an auxiliary decision support tool for healthcare professionals to effectively identify and accurately deactivate the alarms，and improves the safety of clinical alarms. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

The predictive value of glycemic variability in early enteral feeding intolerance in critically ill patients ZHU Lihong, ZHUANG Yiyu Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (6): 645-652.   DOI: 10.3761/j.issn.2096-7446.2025.06.001 Abstract （989）   HTML （3）    PDF（pc） （1356KB）（7）       Knowledge map    Save Objective To explore the value of glycemic variability（GV） in predicting early enteral feeding intolerance（EFI） in critically ill patients，and provide a basis for precision nutrition management. Methods The 283 patients who initiated enteral nutrition in the ICU between June 2022 and June 2024 were enrolled. Patients were divided into a tolerance group and an intolerance group based on the occurrence of enteral feeding intolerance（EFI）. Data collected included general patient characteristics，laboratory parameters，clinical treatments，and blood glucose values，with glycemic variability（GV） calculated. Logistic regression and Cox proportional hazards regression analyses were used to identify independent risk factors for EFI，while receiver operating characteristic （ROC） curves was employed to evaluate the predictive efficacy of GV for EFI. Results Among the 283 patients，156 tolerated enteral feeding，while 127 developed EFI. The incidence of EFI was 44.87%，with primary manifestations of gastric retention（50.39%） and diarrhea（36.22%），mostly occurring between days 2 and 3 after nutrition initiation. Logistic and Cox regression indicated that pre-nutrition glucose standard deviation（GLUsd）（β=0.218，OR=1.244） and APACHE Ⅱ score（β=0.078，OR=1.081） were independent risk factors for EFI. ROC analysis showed that the AUCs for APACHE Ⅱ score and pre-nutrition GLUsd were 0.696 and 0.657，respectively，increasing to 0.723 when combined. Correspondingly，accuracy improved from 67.137% and 63.984% to 70.115%，with more balanced sensitivity and specificity. GV indicators during nutrition initiation did not show significant predictive value. Conclusion APACHE Ⅱ score and pre-nutrition GLUsd are both significant predictors of early enteral feeding intolerance，and their combination further enhances diagnostic efficacy. Clinically，the dual-dimensional assessment of metabolic stability and disease severity should be emphasized prior to nutrition support，in order to optimize nutritional management，reduce the incidence of EFI，and improve outcomes in critically ill patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Expert consensus on emergency nursing practice for patients with acute aortic dissection Internal Medicine Nursing Professional Committee of the Chinese Nursing Association, Nursing Professional Committee of the National Cardiovascular Disease Expert Committee, （Writing Committee：TIAN Qing, PANG Ran, ZHAO Rui, WANG Mengwei, XIE Yunyi, LIU Yuwen, WANG Fei, HA Shusong, WANG Hanle Chinese Journal of Emergency and Critical Care Nursing    2026, 7 (1): 70-76.   DOI: 10.3761/j.issn.2096-7446.2026.01.010 Abstract （804）   HTML （6）    PDF（pc） （1177KB）（23）       Knowledge map    Save Objective To formulate the expert consensus on emergency nursing practice for patients with acute aortic dissection（AAD） （hereinafter referred to as the “consensus”） in order to standardize clinical nursing practice. Methods Based on the review of relevant literature，evaluation and summary of relevant evidence，and classification of evidence levels，the first draft of the consensus was formed. From March to April 2025，2 rounds of expert consultations and 9 experts were invited to conduct a validation and revise the items to form the final consensus. Results Totally 19 experts participated in the inquiry. The positive coefficient of experts was 95% and 100%，the authority coefficient was 0.929. The average value of each index was more than 3.5；the coefficient of variation was less than 0.25. The Kendall’s harmony coefficient for 2 rounds of expert consultation was 0.14 and 0.188（P<0.001）. The final consensus included four domains：emergency triage，emergency examination，emergency and nursing，and patient transportation. Conclusion The consensus is highly scientific，and it can provide a practical reference for clinical nurses managing emergency care for AAD patients. Table and Figures | Reference | Supplementary Material | Related Articles | Metrics | Comments（0）

Select

Expert consensus on nursing management of trauma resuscitation units in emergency rooms Emergency Nursing Committee of Chinese Nursing Association , Department of Nursing/Department of Emergency，The Second Affiliated Hospital，Zhejiang University School of Medicine , （Writing Committee：WANG Sa，WANG Yuwei，YAN Danping，WU Zuojia，FENG Xiuqin，LAN Meijuan，JIN Jingfen） Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (7): 830-836.   DOI: 10.3761/j.issn.2096-7446.2025.07.010 Abstract （711）   HTML （1）    PDF（pc） （1074KB）（10）       Knowledge map    Save Objective To formulate the expert consensus on nursing management of trauma resuscitation units in emergency rooms，providing a reference for standardizing trauma center nursing management and improving the quality of care for severe trauma patients. Methods Based on previous research and an analysis of the needs for trauma unit development，this consensus was developed by reviewing domestic and international studies，guidelines，expert consensus，and clinical practices related to trauma resuscitation unit construction and nursing management over the past ten years. An evidence-based analysis was conducted，and the final consensus was established through a Delphi expert consultation process. Results The consensus consists of 31 recommendations in five key areas，including definition of concepts，configuration and functions of the trauma resuscitation unit，construction and management of basic functions in trauma resuscitation units，construction and management of trauma nursing teams，and development and management of trauma nursing systems. Among these，there were 25 recommendations with Grade A，and 6 with Grade B. Conclusion This consensus is scientific and practical，and it provides guidance for the nursing management of trauma resuscitation units in trauma centers. Reference | Related Articles | Metrics | Comments（0）

Select

Application of continuous intra-abdominal pressure monitoring and warning system in enteral nutrition for prone mechanical ventilation patients CHEN Jianqin, DAI Zhenjuan, WANG Jie, LIU Yimeng, CHENG Yongjing, XU Shenting Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (7): 798-804.   DOI: 10.3761/j.issn.2096-7446.2025.07.005 Abstract （653）   HTML （5）    PDF（pc） （1139KB）（6）       Knowledge map    Save Objective To explore the application effect of a continuous intra-abdominal pressure monitoring and warning system in enteral nutrition for prone mechanical ventilation patients.Methods The research enlisted 80 patients who were subjected to prone position mechanical ventilation in the Intensive Care Unit of a tertiary hospital in Shanghai from July 2022 to May 2024. Using the Random number table method，they were divided into intervention group and control group. The intervention group used the continuous intra-abdominal pressure monitoring and warning system in enteral nutrition and the control group used the conventional enteral nutrition treatment. The feeding compliance rates，the incidence of feeding intolerance symptoms within 7 days and nutritional indicators were compared between the two groups. Results The feeding compliance rate in intervention group was higher than the control group（86.75% VS 55.48%，P<0.001）. The incidence of feeding intolerance symptoms in intervention group was lower than the control group（37.84% VS 64.86%，P=0.020）. On the 8th day，the nutritional indicators in intervention group had higher levels of pre-albumin and albumin than the control group，the differences were statistically significant（P<0.05）. The difference in calf circumference between the two groups was not statistically significant（P>0.05）. Conclusion The application of continuous intra-abdominal pressure monitoring and warning system can help to improve the rate of feeding compliance，reduce the incidence of feeding intolerance，and enhance the indicators of nutrition. It has clinical guidance significance for the implementation of enteral nutrition in prone mechanical ventilation patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Evidence transformation and effect evaluation of glycemic monitoring and multidimensional management in adult ICU patients YANG Huijie, HE Jiatao, HUANG Ganying Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (12): 1413-1420.   DOI: 10.3761/j.issn.2096-7446.2025.12.001 Abstract （651）   HTML （1）    PDF（pc） （1078KB）（22）       Knowledge map    Save Objective Guided by the Evidence Implementation Model developed by the Fudan University Centre for Evidence-Based Nursing，this study aimed to apply the best evidence for glycemic management in critically ill patients and evaluate its effectiveness. Methods A four-phase approach—comprising evidence retrieval，baseline audit，practice innovation，and outcome evaluation—was employed to implement best practice in glycemic management in the ICU of a tertiary class A hospital in Zhejiang Province. Outcomes were compared before（June-July 2024） and after（October-November 2024） the evidence application，focusing on healthcare providers’ compliance with audit criteria，the proportion of patients within the time in target blood glucose range，glucose variability，and the incidence of hypoglycemia. Results The study included 8 physicians，28 nurses，and 60 patients（30 before and 30 after the intervention）. After the evidence practice，there was a significant improvement in the execution rates of audit criteria among clinicians，with 12 audit indicators showing statistically significant differences compared to baseline（P<0.05）. System-level audit criteria（items 10，24） achieved 100% compliance. The differences in the average proportion of patients within the time in target blood glucose range and glucose variability before and after the evidence-based practice were statistically significant（P=0.026，0.027）. However，the difference in the incidence of hypoglycemia was not statistically significant（P=0.667）. Conclusion The evidence-based practice for blood glucose management effectively standardized the behaviors of healthcare providers，improved the proportion of critically ill patients within the target blood glucose range，reduced glucose variability and the incidence of hypoglycemia. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Construction and usability evaluation of intelligent communication mode for patients with mechanical ventilation LI Shujie, GAO Wenhui, SUN Xuelian, LIANG Xiao, XIAO Qian Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (6): 665-670.   DOI: 10.3761/j.issn.2096-7446.2025.06.004 Abstract （640）   HTML （13）    PDF（pc） （1098KB）（3）       Knowledge map    Save Objective To design and develop an intelligent communication mode for mechanically ventilated patients in Intensive Care Unit（ICU） based on WeChat applet，and evaluate its usability. Methods On the basis of the current situation investigation and qualitative interviews，the first draft of the content of the intelligent communication model module was constructed，and expert consultation was conducted in December 2021. A multi-field team combined with WeChat applet to design and develop an intelligent communication model. From August 2022 to February 2023，103 patients and 103 nurses from a tertiary hospital in Beijing were selected using convenience sampling method，and a questionnaire adapted from the technology acceptance model was used to evaluate the usability of the intelligent communication mode. Results The small program mainly included five modules：communication，WeChat users，usage records，feedback and text size setting. The usability score of the 103 patients was（99.89±3.73） out of 105. The usability score of the 103 tested nurses was（169.35±4.65） out of 175.Conclusion The intelligent communication mode developed based on WeChat applet can meet the effective communication between ICU nurses and mechanically ventilated patients，and can be applied to clinical practice. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Construction and applicability analysis of management scheme for preventing unexpected interruption of continuous renal replacement therapy in ICU patients PENG Li, XU Cuirong, FENG Bo, YAO Yuanyuan, XING Xingmin, YU Lin Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1036-1041.   DOI: 10.3761/j.issn.2096-7446.2025.09.002 Abstract （621）   HTML （3）    PDF（pc） （1354KB）（2）       Knowledge map    Save Objective To construct a prevention and management scheme of unexpected interruption of continuous renal replacement therapy with regional citrate anticoagulation（RCA-CRRT） in ICU patients，and to provide a theoretical basis for reducing the probability of unexpected interruption and improving the efficiency of continuous replacement therapy. Methods Based on fault tree theory，a prevention and management scheme of unexpected interruption of RCA-CRRT in ICU patients was drafted through literature review. Then the expert correspondence questionnaire was prepared，and the Delphi method was used to conduct expert consultation. Combined with the coefficient of variation，average score and expert opinion of the items，the contents of the scheme were amended and screened，forming the final scheme. Results Twenty experts were selected for two rounds of letter consultation. The final effective recovery rates of both rounds were 100%，the expert authority coefficient was 0.943 and 0.958，and the Kendall’s W was 0.224 and 0.229，respectively. The prevention and management scheme for unexpected interruption of RCA-CRRT in ICU patients was finally formed，including 5 first-level items（individual patient level，CRRT treatment level，catheter function level，quality control level，instrument and equipment level），15 second-level items and 60 third-level items. Conclusion The scheme which constructs from five levels provides a basis for the standardization of the management of RCA-CRRT，helps to further improve the use efficiency of extracorporeal circulation filter，optimize the allocation of medical resources and improve the therapeutic effect. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

A scoping review of central venous pressure monitored via peripherally inserted central catheters XU Xin, WANG Zixin, WANG Wei, FENG Xiuqin Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1138-1143.   DOI: 10.3761/j.issn.2096-7446.2025.09.020 Abstract （604）   HTML （0）    PDF（pc） （1071KB）（2）       Knowledge map    Save Objective To analyze relevant studies on the use of peripherally inserted central catheters（PICC） for monitoring central venous pressure（CVP），and to clarify the feasibility，accuracy，material selection，measurement methods，and precautions for monitoring CVP via PICC，providing reference for clinical practice. Methods A computer search was conducted across PubMed，Cochrane Library，Web of Science，MEDLINE，CNKI，VIP，and Wanfang Data for literature published from the inception of the databases until 2024，regarding PICC for CVP monitoring. The selected articles were summarized. Results A total of 21 studies were included，of which 19 were randomized controlled trials（RCTs） and 2 were meta-analyses. Most studies compared CVP results measured through PICC and through central venous catheter（CVC），and there was high consistency between the two. The main factors influencing the measurement of CVP by PICC included the change of thoracic pressure，patency of catheter，the inherent resistance of catheter，the position of catheter tip，and the type of catheter front opening. Conclusion The CVP values measured via PICC are consistent with those measured using CVC. PICC can be used to measure CVP when CVC placement is not feasible due to time constraints or patient-related reasons. However，attention should be given to catheter selection and the avoidance of factors that could lead to measurement errors during the process. Table and Figures | Reference | Supplementary Material | Related Articles | Metrics | Comments（0）

Select

Core strategies of nursing and reflection on brain protection after cardiopulmonary resuscitation LIU Fang, LI Mengnan, GUO Yuyan, CAO Xiaobai, WANG Yujiao, YANG Qianqian Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (7): 792-797.   DOI: 10.3761/j.issn.2096-7446.2025.07.004 Abstract （571）   HTML （1）    PDF（pc） （943KB）（7）       Knowledge map    Save Brain protection after cardiopulmonary resuscitation（CPR） is a key intervention strategy to improve the prognosis of neurological function of patients，but its clinical nursing practice still faces the challenge of insufficient standardization. By systematically reviewing domestic and foreign guidelines，consensus and evidence-based evidence，this paper integrates the core strategies of brain protection nursing after CPR from the dimensions of multimodal assessment of neurological function，targeted temperature management（TTM），hemodynamic optimization，hyperbaric oxygen awakening and digital intelligence rehabilitation technology. Studies have proposed that the hierarchical intervention model based on dynamic monitoring and multidisciplinary collaboration mechanism can significantly improve clinical nursing efficacy. In the future，it is necessary to further construct standardized nursing pathways and explore the application of artificial intelligence in neurological prognosis prediction，so as to promote the precise development of brain protection nursing after CPR. Reference | Related Articles | Metrics | Comments（0）

Select

Application and development of of ICU nursing quality evaluation indicators：a scoping review XIONG Xingyu, ZHANG Dandan, CHENG Shouzhen Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (6): 758-764.   DOI: 10.3761/j.issn.2096-7446.2025.06.022 Abstract （570）   HTML （0）    PDF（pc） （993KB）（2）       Knowledge map    Save Objective Based on the three-dimensional quality structure model，a scoping review of the names，contents，and frequencies of ICU nursing quality evaluation indicators at home and abroad were conducted to provide reference for the construction of evaluation indicators of ICU nursing quality which is suitable for Chinese environment. Methods Based on the research framework proposed by Arksey and O`Malley，we searched PubMed，Embase，Web of science，Cochrane，China Knowledge Network，Wanfang database，from the establishment of the database to April 15，2024. Data selection and graphing was done by two researchers，using qualitative content analysis methods to qualitatively summarize the extracted contents. Results 18 articles were finally included. Most of the included studies used the Donabedian model（55.56%） as the theoretical framework. The basic method to form the indicators was mostly based on the literature review（72.22%），and then Delphi expert correspondence（88.89%），ultimately resulting in 3 first-level indicators，15 second-level indicators，and 115 third-level indicators，with a cumulative frequency of 784. Conclusion Evaluation indicators of ICU nursing quality have developed in the direction of evidence-based，scientific and professionalization，but there are still differences with the foreign index system，so it is necessary to further strengthen the quantity and quality of structural quality inputs，focusing on basic nursing care and nursing operations in process quality，while emphasizing the “patient-centered” outcome quality. In the future，we need to build a new type of high-quality，operable，and localized evaluation indicators for ICU nursing quality. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

A visualized analysis of research hotspots and development trend on fall prevention and control in older adults ZHOU Chunxia, TIAN Meng, WU Lizhen, LI Qian Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (7): 879-884.   DOI: 10.3761/j.issn.2096-7446.2025.07.020 Abstract （561）   HTML （0）    PDF（pc） （1603KB）（8）       Knowledge map    Save Objective To analyze the research hotspots and development trends of fall prevention and control among the elderly，providing references for healthcare professionals to implement effective prevention and intervention strategies. Methods A systematic search was conducted for relevant literature on fall prevention and control among the elderly in CNKI database，covering the time frame from June 1，2014，to June 1，2024. Bibliometric analysis was performed using CiteSpace 6.3.1 software. Results A total of 1，406 articles were included，showing an overall upward trend in publication volume. Keyword co-occurrence analysis revealed that research hotspots were concentrated in areas such as fall risk factors，fall detection technologies，fear of falling，and fall interventions. The research has formed eight clusters，including validity，elderly，fall detection，risk factors，fear of falling，fall risk，balance ability，and injuries. Keyword burst analysis indicated that future research would focus on technology-driven personalized prevention，interdisciplinary collaboration，and community involvement，promoting the comprehensive development of precise intervention strategies. Conclusion Research on fall prevention and control among the elderly has been expanding. In the future，it is necessary to further strengthen collaboration among research institutions，foster interdisciplinary communication，and advance personalized fall prevention strategies alongside intelligent technologies，in order to enhance the scientific and effective prevention and control of falls in the elderly. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

The best evidence summary of early identification and nursing care for emergency adult patients with sepsis WANG Yuchuan, HUANG Ping, ZHOU Tiantian, TAO Junjie, CHEN Meng, YAN Zhenlong, HE Jingjing Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (10): 1253-1260.   DOI: 10.3761/j.issn.2096-7446.2025.10.019 Abstract （561）   HTML （3）    PDF（pc） （1176KB）（11）       Knowledge map    Save Objective To comprehensively search，screen，evaluate，and summarize the best evidence of identification and nursing for emergency patients with sepsis at home and abroad. Methods The clinical decision，recommended practice，evidence summary，guidelines，systematic review，expert consensus on the early identification and nursing of emergency patients with sepsis were systematically searched in domestic and foreign databases. The search period was from January 1，2015 to January 1，2025. Results A total of 18 articles were included，including 2 clinical decisions，5 guidelines，4 evidence summaries，3 systematic reviews，and 4 expert consensuses. A total of 34 pieces of evidence from 8 aspects were summarized，including early screening and identification，cluster nursing，hemodynamic monitoring，respiratory support，sedation and analgesia，nutritional support，blood glucose management，teamwork and quality evaluation. Conclusion This study summarizes the best evidence for early identification and nursing of adult emergency patients with sepsis. It suggests that clinical nursing staff should combine the domestic evidence application situation to select and transform the evidence pertinently，implement the early identification and timely rescue of emergency patients with sepsis，to improve the clinical outcome of patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Research progress of end tidal carbon dioxide monitoring in patients undergoing cardiopulmonary resuscitation CHEN Peng Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (7): 891-896.   DOI: 10.3761/j.issn.2096-7446.2025.07.022 Abstract （560）   HTML （0）    PDF（pc） （913KB）（5）       Knowledge map    Save Cardiac arrest is one of the most common and critical diseases in the emergency department，and it is also an important health problem of public concern. If not treated in time，it will cause serious damage to the tissues and functional organs of human，and even threaten the lives of patients. Cardiopulmonary resuscitation，as an important treatment method for cardiac arrest，is the key to save patients’ lives，but the success rate of resuscitation is generally low at this stage. In order to improve the success rate of treatment of patients with cardiac arrest，high-quality cardiopulmonary resuscitation and effective index monitoring in the process of cardiopulmonary resuscitation to guide the quality of resuscitation were proposed. This article reviews the monitoring principle and waveform interpretation of the partial pressure of end tidal carbon dioxide （PETCO2），the application guidance value in cardiopulmonary resuscitation，and the factors affecting PETCO2 during cardiopulmonary resuscitation，in order to provide reference for the application of PETCO2 monitoring in cardiopulmonary resuscitation. Reference | Related Articles | Metrics | Comments（0）

Select

Effects of implementing an early activity multidisciplinary collaboration model in ICU mechanically ventilated patients WANG Xueqin, LÜ Ying, ZHAO Qinghua, ZHANG Chuanlin, MI Jie Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1029-1035.   DOI: 10.3761/j.issn.2096-7446.2025.09.001 Abstract （556）   HTML （6）    PDF（pc） （1036KB）（7）       Knowledge map    Save Objective To evaluate the implementation effect of an early activity multidisciplinary collaboration model based on the framework of the interprofessional collaborative team development theory in ICU mechanically ventilated patients. Methods Critically ill patients who received mechanical ventilation treatment in the Department of Intensive Care Medicine of a tertiary-level A hospital from July 2023 to February 2024 were selected as the study subjects using quasi-experiment research method，and were divided into 54 cases in the experimental group and 56 cases in the control group according to the sequence of admission time. The experimental group implemented the multidisciplinary cooperation mode of early activity based on the interprofessional collaborative team development theory，and the control group implemented the routine early activity program. The differences between the groups before and after intervention were compared in the level of cooperation of multidisciplinary team members，the rate of early activity among patients，the cumulative activity duration during ICU，the incidence of adverse events，the time of first active activity，the rate of out-of-bed activity，and the length of mechanical ventilation. Results The team cooperation level of multi-disciplinary members in experimental group was improved from（3.32±0.71） points to（3.72±0.50） points（P<0.01）. The early activity rate of experimental group was increased （The rates in experimental and control group were 48.21% and 35.22%）（P<0.05）The out-of-bed activity rate of experimental group was increased（The rates in experimental and control group were 48.1% and 7.1%）（P<0.01）. The cumulative activity time of patients during ICU stay was increased（P<0.05），and the length of mechanical ventilation was shortened（P<0.05）. There were no significant adverse events between the two groups during the activity period，and there was no significant difference in the time of the first active activity（P>0.05）. Conclusion The multidisciplinary collaboration model of early activity based on the theory of interprofessional collaborative team development may improve the cooperation level of multidisciplinary team members，promote the early activity of mechanical ventilation patients，and improve the efficiency of activity. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Evidence summary for the nursing of the conservative oxygen therapy in adult critically ill patients LU Hailin, WANG Huihong, HUA Jianing, FANG Tingting, LIU Yiran, TANG Jue, CHENG Haoran, GU Danfeng Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (6): 751-757.   DOI: 10.3761/j.issn.2096-7446.2025.06.021 Abstract （547）   HTML （1）    PDF（pc） （1000KB）（4）       Knowledge map    Save Objective To retrieve and evaluate the relevant literature on conservative oxygen therapy for critically ill adults，summarize the best evidence，and provide references for clinical practice. Methods We developed a literature search strategy following the "6S" evidence model to retrieve computer decision support systems，guideline websites，and professional society websites，as well as Chinese and English databases，with a search timeframe from the establishment of the databases to April 22，2024. Literature that met the inclusion and exclusion criteria was selected，and two researchers independently conducted quality assessment and extracted and summarized evidence based on professional judgment. Results A total of 17 articles were included，including 4 guidelines，2 evidence summaries，and 11 systematic reviews. 22 pieces of evidence were extracted into 9 categories：oxygenation targets，contraindications，initiation timing，assessment，monitoring，discontinuation timing，precautions，quality control，and bene-fits of conservative oxygen therapy. Conclusion This study summarizes the best evidence for conservative oxygen therapy nursing in adult critically ill patients，which is instructive for medical staff to formulate reasonable oxygen therapy plans，standardize clinical oxygen therapy nursing，and ensure patient oxygen safety. When applying the evidence，it is still necessary to comprehensively judge based on the patients’ specific condition. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Construction and application effects of an analgesia and sedation management program for adult patients undergoing extracorporeal membrane oxygenation therapy LIU Yuting, QI Mengying, MENG Siya, WANG Binghan, WANG Qiaosha, HE Guilan Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (8): 901-907.   DOI: 10.3761/j.issn.2096-7446.2025.08.001 Abstract （545）   HTML （5）    PDF（pc） （1090KB）（15）       Knowledge map    Save Objective This study aims to construct an analgesia and sedation management program for adult patients undergoing extracorporeal membrane oxygenation（ECMO） therapy in order to prevent the accumulation of analgesics and sedatives，avoid inadequate analgesia and sedation，reduce adverse events，and optimize ECMO support. Methods By searching domestic and foreign literature，obtaining best practice evidence，we constructed the first draft of an adult extracorporeal membrane oxygenation analgesia and sedation management program. From March to May 2024，16 experts were consulted for 2 rounds using the Delphi method to form the final draft of the adult ECMO analgesia and sedation management program. Convenience sampling method was used to select ECMO patients from the critical care medicine department of a tertiary A hospital in Shenzhen from July to September 2024 for preliminary application. The Critical-Care Pain Observation Tool（CPOT） and the Richmond Agitation and Sedation Scale（RASS） evaluation scales were used to evaluate the analgesia and sedation effect of the patients after application of the program. Results The effective questionnaire recovery rate for the two rounds of Delphi consultation were 88.9% and 100%，respectively. The expert authority coefficient was 0.862 and Kendall’s coordination coefficient was 0.069 and 0.085（both P<0. 001）. The sedation and analgesia management program in ECMO therapy for adult patients was finally formed，including 5 primary indicators（assessment tools，analgesia and sedation goals，drug selection，drug titration，monitoring），11 secondary indicators，and 24 tertiary indicators. After application of this program，the CPOT score was <3 points，the patient had no adverse stimulation that caused by pain，and the RASS score was -3 to 1. The patient did not experience insufficient or excessive sedation，and an appropriate level of sedation was maintained. Conclusion The adult ECMO analgesia and sedation management program constructed in this study is comprehensive，specific，scientific and feasible，and can provide reference for adult ECMO analgesia and sedation management. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Bibliometric analysis of research hotspots in critical care nursing ZOU Ying, CHEN Ouying, DING Junhao, LIU Ping, LI Nijina Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1131-1137.   DOI: 10.3761/j.issn.2096-7446.2025.09.019 Abstract （537）   HTML （0）    PDF（pc） （1121KB）（1）       Knowledge map    Save Objective To analyze the research hotspots and development trends of literature in the field of critical care. Methods With the core database of Web of science as the data source，the critical nursing care research literature collected from January 1，2020 to December 31，2024 were retrieved. CiteSpace software was used to analyze. Results 4 288 articles were included，and the number of published articles showed an increasing trend. High-frequency keywords included “palliative care”，“mechanical ventilation”，etc. A total of 14 cluster tags such as palliative care and 25 emergent words such as early ambulation were generated. The hot topics of research involved palliative care，moral distress，prone position，mechanical ventilation，post-intensive care syndrome and so on. The research trends included the diversification of search contents of hospice care in the field of critical care，the vertical development from basic nursing quality to critical care specialization and the integration of data empowerment and emerging technologies to promote the intelligent transformation of critical care. Conclusion From 2020 to 2024，the research in the field of critical nursing care has been rising，and the research scope has been expanding，involving humanistic care，mental health promotion，quality improvement of critical care technology，rehabilitation care，intelligent care and so on. In the future，it is still necessary to strengthen multidisciplinary cooperation，actively explore and summarize the hotspots in the field of critical nursing care，and provide basis for promoting the depth and breadth of research in the field of critical nursing care. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Summary of the best evidence for early bedside sitting activity plan in mechanically ventilated awake patients JIANG Yunlong, ZHOU Yan, Hu Jun, GAO Bingbing, HUANG Fangfang Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (11): 1342-1348.   DOI: 10.3761/j.issn.2096-7446.2025.11.010 Abstract （527）   HTML （2）    PDF（pc） （1063KB）（11）       Knowledge map    Save Objective To evaluate the relevant evidence of bedside sitting in ICU awake patients with mechanical ventilation，so as to provide a reference for clinical medical staff to implement their practice of bedside sitting. Methods Based on PIPOST，evidence-based questions were identified，search strategies were developed，and all guidelines，evidence summaries，best practice information books，recommended practices，systematic reviews and original studies on bedside sitting of mechanically ventilated awake patients in ICU were searched by computer in professional guide networks，association networks and databases at home and abroad. The quality evaluation，evidence extraction and evidence summary of the included literatures were carried out by the evidence-based team. Results 14 literatures were included，including three guidelines，a systematic review，an evidence summary and nine original studies. 25 pieces of evidence were summarized into 11 dimensions，including the establishment of multidisciplinary team，bedside sitting education，bedside sitting assessment，bedside sitting start time，bedside sitting preparation，bedside sitting mode，bedside sitting frequency，ventilator mode selection，patient placement，bedside sitting monitoring management，and termination standards. Conclusion Bedside sitting in awake patients with mechanical ventilation in ICU has important practical significance. Medical staff should scientifically manage bedside sitting according to the heterogeneity of bedside sitting，strengthen the quality control of bedside sitting，and ensure the safety of patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）