A5090397147- Traumatic Brain Injury and Neurovascular Disturbances
- Acute Ischemic Stroke Management
- Cerebrospinal fluid and hydrocephalus
- Glaucoma and retinal disorders
- Stroke Rehabilitation and Recovery
- Intensive Care Unit Cognitive Disorders
- Hemodynamic Monitoring and Therapy
- Optical Imaging and Spectroscopy Techniques
- Cerebral Venous Sinus Thrombosis
- Trauma and Emergency Care Studies
- Venous Thromboembolism Diagnosis and Management
- Cerebrovascular and Carotid Artery Diseases
- Neurosurgical Procedures and Complications
- Intracranial Aneurysms: Treatment and Complications
- Migraine and Headache Studies
- Patient Satisfaction in Healthcare
- Cardiovascular Syncope and Autonomic Disorders
- Blood Pressure and Hypertension Studies
- Family and Patient Care in Intensive Care Units
- Music Therapy and Health
- Anesthesia and Sedative Agents
- Intracerebral and Subarachnoid Hemorrhage Research
- Simulation-Based Education in Healthcare
- Sleep and related disorders
- Nursing Diagnosis and Documentation
E Ink (South Korea)
2016-2024
The University of Texas Southwestern Medical Center
2015-2024
Southwestern Medical Center
2015-2024
Neurological Surgery
2018-2024
Digestive Care (United States)
2024
Texas Woman's University
2017-2021
Health First
2021
Yahoo (United Kingdom)
2019
University of Texas Health Science Center at Dallas
2019
Mission Health
2019
Abstract The pupillary light reflex (PLR) describes the response when hits retina and sends a signal (cranial nerve II) to Edinger-Westphal Nucleus which via cranial III results in constriction. Neurological Pupil index TM (NPi) pupil constriction velocity (CV) are two distinct variables that can be observed measured using pupillometer. We examine NPi CV 27,462 readings (1,617 subjects). values <3.0 < 0.8 mm/sec were considered abnormal. Regression was used clarify effect of size...
Emergency departments are high-stress environments for patients and clinicians. As part of the clinical team, nurses experience this stress daily subject to high levels burnout, which has been shown lead hypertension, depression, anxiety. Presence these diseases may also contribute creating a cycle illness. This prospective qualitative study used phenomenological approach better understand factors associated with burnout among emergency department nurses. Burnout manifests itself in multiple...
ABSTRACT BACKGROUND Automated pupillometry is becoming widely accepted as an objective measure of pupillary function, especially in neurocritical care units. Normative reference values and thresholds to denote a significant change are necessary for integrating automated into practice. OBJECTIVE Providing point estimates normal ranges data will help clinicians intuit meaning from these that drive clinical interventions. METHODS This study used planned descriptive analysis using multicenter...
Trained medical practitioners have been assessing the pupillary light reflex for more than 2 millennia. However, interrater reliability of remains low. To overcome drawbacks a subjective interpretation size and reactivity, automated pupillometers are becoming increasingly commonplace, but do not adequate data from which to judge whether numerical values provided by pupillometer "within reference limits."This article details methods used create an extensive database readings associated...
Statin use may be associated with improved outcome in intracerebral hemorrhage patients. However, the topic remains controversial. Our analysis examined effect of prior, continued, or new statin on outcomes using ERICH (Ethnic/Racial Variations Intracerebral Hemorrhage) data set.
Cerebral vasospasm causing delayed cerebral ischemia (DCI) is a source of significant morbidity after subarachnoid hemorrhage (SAH). Transcranial Doppler used at most institutions to detect sonographic but has poor positive predictive value for DCI. Automated assessment the pupillary light reflex been increasingly as reliable way assessing reactivity, and Neurological Pupil Index (NPi) shown decrease hours prior clinical manifestation ischemic injury or herniation syndromes. The aim this...
Abstract Background Automated infrared pupillometry (AIP) and the Neurological Pupil index (NPi) provide an objective means of assessing trending pupillary light reflex (PLR) across a broad spectrum neurological diseases. NPi quantifies PLR ranges from 0 to 5; in healthy individuals, both eyes is expected be ≥ 3.0 symmetric. AIP values demonstrate emerging value as prognostic tool with predictive properties that could allow practitioners anticipate deterioration recovery. The presence...
In a diverse, multicenter population, to confirm or refute the conclusions that pupillary light reflex changes are associated with increased intracranial pressure.Replication study.Within Establishing Normative Data for Pupillometer Assessments in Neuroscience Intensive Care registry there were 273 patients (16,221 observations) included both pressure and pupillometry values.To evaluate findings by previous author, we explored differences among measures of pulmonary obtained from automated...
Blood pressure (BP) management is a crucial part of critical care that directly affects morbidity and mortality. While BP has become mainstay in patient care, the accuracy precision measures across commonly used sites (left upper arm, right etc.) methods have not been established. This study begins to fill this gap literature by testing null hypothesis measurement does vary according site. prospective, non-randomized, cross-sectional 80 neurocritical unit patients. Near simultaneous...
ABSTRACT BACKGROUND: Delirium is associated with worse outcomes, but there a gap in literature identifying nurse-led interventions to reduce delirium postoperative (postop) surgical spine patients. Because family presence has been variety of beneficial effects, we aimed examine whether the intensive care unit (ICU) during night after surgery was less confusion or on postop day 1. METHODS: This prospective nonrandomized pilot clinical trial pragmatic sampling. Group designation assigned by...
ABSTRACT Background: Triage and neurological assessment of the 1.7 million traumatic brain injuries occurring annually is often done by nurse practitioners physician assistants in emergency department. Subjective assessments, such as examination that includes evaluation pupillary light reflex (PLR), can contain bias. Quantitative pupillometry (QP) standardizes objectifies PLR examination. Additional data are needed to determine whether QP predict changes a injury (TBI) patient. Purpose: This...
ABSTRACT BACKGROUND: A change in the pupillary light reflex (PLR) is a sensitive indicator for detecting expanding intracranial lesions. Changes PLR may be prognostic marker patients with The purpose of this analysis was to explore how readings, size, constriction velocity (CV), dilation (DV), Neurologic Pupil Index (NPi), and latency predict clinical outcome subarachnoid hemorrhage. METHODS: This secondary prospectively collected multicenter registry data. within-subject standard deviation...
As the 2nd most common neurodegenerative disorder, Parkinson's disease (PD) affects over 1 million Americans. Treatment is complex and may include pharmacotherapy, rehabilitative measures, surgical intervention. A comprehensive understanding of patient's perceptions about PD a vital step towards improving health literacy clinical outcomes.KnowPD web-based survey with Likert responses for cross-sectional, nonrandomized study to assess patients' knowledge symptoms, medications, deep brain...
Background Asymmetric pupil reactivity or size can be early clinical indicators of midbrain compression due to supratentorial ischemic stroke primary intraparenchymal hemorrhage (IPH). Radiographic midline shift is associated with worse functional outcomes and life-saving interventions. Better understanding quantitative characteristics would a non–invasive, safe, cost-effective way improve identification life-threatening mass effect resource utilization emergent radiographic imaging. We...
Intracranial pressure (ICP) is often obtained via external ventricular drain (EVD) placement and discussed as a key vital sign in neuroscience. Nurses are most delegated the task of observing, adjudicating, documenting ICP. Cerebrospinal fluid drainage requires that transducer connected to EVD open drain, prohibiting ICP monitoring. There no recent data support an evidence-based standard for period waveform should be observed, after clamped, able adjudicate value represents patient's status....
ABSTRACT BACKGROUND: Nurse staffing ratios impact both the quality and safety of care on a particular unit. Most hospitals have access to large volume nurse-sensitive outcomes. We hypothesized that these data could be used explore changing nurse-to-patient ratio patient-reported outcomes, nurse satisfaction scores, metrics. METHODS: Retrospective from hospital resources (eg, Press Ganey reports) were linked daily records assignment sheets) in pre-post study. Before September 2017, was 1:1.75...