1. AACN Procedure Manual for Progressive and Critical Care - p. Page i 2. Cover - p. Page i 3. Front Matter - p. Page ii 4. Table of Contents - p. Page iii 5. Copyright - p. Page iv 6. Section Editors - p. Page v 7. Contributors - p. Page vi 8. Reviewers - p. Page vi 9. Preface - p. Page xii 10. Acknowledgments - p. Page xiv 11. List of Illustrations - p. Page xv 12. List of Tables - p. Page xvi 13. Procedure 1 : Endotracheal Intubation (Perform) - p. Page xvi 14. Procedure 2 : Endotracheal Intubation (Assist) - p. Page g20 15. Procedure 3 : Endotracheal Tube Care and Oral Care Practices for Ventilated and Nonventilated Patients - p. Page g34 16. Procedure 4 : Extubation/Decannulation (Perform) - p. Page g42 17. Procedure 5 : Extubation/Decannulation (Assist) - p. Page g47 18. Procedure 6 : Laryngeal Mask Airway - p. Page g52 19. Procedure 7 : Nasopharyngeal and Oral Airway Insertion - p. Page g63 20. Procedure 8 : Suctioning: Endotracheal or Tracheostomy Tube - p. Page g75 21. Procedure 9 : - p. Page g84 22. Procedure 10 : Surgical Cricothyrotomy (Assist) - p. Page g90 23. Procedure 11 : Tracheostomy Cuff and Tube Care - p. Page g96 24. Procedure 12 : Continuous End-Tidal Carbon Dioxide Monitoring - p. Page g114 25. Procedure 13 : Extracorporeal Membrane Oxygenation - p. Page g122 26. Procedure 14 : Oxygen Saturation Monitoring With Pulse Oximetry - p. Page g135 27. Procedure 15 : Prone Positioning for Acute Respiratory Distress Syndrome Patients - p. Page g143 28. Procedure 16 : Autotransfusion - p. Page g157 29. Procedure 17 : Chest Tube Placement (Perform) - p. Page g161 30. Procedure 18 : Chest Tube Placement (Assist) - p. Page g173 31. Procedure 19 : Chest Tube Removal (Perform) - p. Page g179 32. Procedure 20 : Chest Tube Removal (Assist) - p. Page g185 33. Procedure 21 : Closed Chest-Drainage System - p. Page g190 34. Procedure 22 : - p. Page g199.e1 35. Procedure 23 : Thoracentesis (Perform) - p. Page g204.e1 36. Procedure 24 : Thoracentesis (Assist) - p. Page g215.e1 37. Procedure 25 : - p. Page g220.e1 38. Procedure 26 : Bronchoscopy (Assist) - p. Page g227.e1 39. Procedure 27 : Invasive Mechanical Ventilation (Through an Artificial Airway): Volume and Pressure Modes - p. Page g232.e1 40. Procedure 28 : Noninvasive Ventilation - p. Page g253.e1 41. Procedure 29 : Manual Self-Inflating Resuscitation Bag-Valve-Mask Device - p. Page g266.e1 42. Procedure 30 : Weaning Mechanical Ventilation - p. Page g274.e1 43. Procedure 31 : Automated External Defibrillation - p. Page g282.e1 44. Procedure 32 : Cardioversion - p. Page g290 45. Procedure 33 : Defibrillation (External) - p. Page g299 46. Procedure 34 : Emergent Open Sternotomy (Perform) and Defibrillation (Internal) (Perform) - p. Page g307 47. Procedure 35 : Emergent Open Sternotomy and Internal Defibrillation (Assist) - p. Page g316 48. Procedure 36 : External Wearable Cardioverter-Defibrillator - p. Page g322 49. Procedure 37 : Pericardiocentesis (Perform) - p. Page g328 50. Procedure 38 : Pericardiocentesis (Assist) - p. Page g337 51. Procedure 39 : Atrial Electrogram - p. Page g345 52. Procedure 40 : Atrial Overdrive Pacing (Perform) - p. Page g354 53. Procedure 41 : - p. Page g362 54. Procedure 42 : Implantable Cardioverter-Defibrillator: Post-Insertion Care - p. Page g366 55. Procedure 43 : Permanent Pacemaker (Assessing Function) - p. Page g373 56. Procedure 44 : Temporary Transcutaneous (External) Pacing - p. Page g392 57. Procedure 45 : - p. Page 395 58. Procedure 46 : Temporary Transvenous and Epicardial Pacing - p. Page g411 59. Procedure 47 : Intraaortic Balloon Pump Management - p. Page g426 60. Procedure 48 : Ventricular Assist Devices - p. Page g446 61. Procedure 49 : Electrocardiographic Leads and Cardiac Monitoring - p. Page g462 62. Procedure 50 : ST-Segment Monitoring (Continuous) - p. Page g472 63. Procedure 51 : Twelve-Lead Electrocardiogram With Right and Left Posterior Leads - p. Page g476 64. Procedure 52 : - p. Page g489.e1 65. Procedure 53 : Arterial Catheter Insertion (Assist), Care, and Removal - p. Page g496.e1 66. Procedure 54 : Blood Sampling From an Arterial Catheter - p. Page g510.e1 67. Procedure 55 : Arterial Pressure–Based Cardiac Output Monitoring - p. Page g519.e1 68. Procedure 56 : Central Venous/Right Atrial Pressure Monitoring - p. Page g525.e1 69. PROCEDURE 57 : Blood Sampling From a Central Venous Catheter - p. Page g533.e1 70. PROCEDURE 58 : Pulmonary Artery Catheter Insertion (Perform) - p. Page g541.e1 71. Procedure 59 : Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring - p. Page g549.e1 72. Procedure 60 : Single-Pressure and Multiple-Pressure Transducer Systems - p. Page 571 73. Procedure 61 : Pulmonary Artery Catheter and Pressure Lines, Troubleshooting - p. Page g583.e1 74. Procedure 62 : Blood Sampling From a Pulmonary Artery Catheter - p. Page g599.e1 75. Procedure 63 : Continuous Venous Oxygen Saturation Monitoring - p. Page g604.e1 76. Procedure 64 : Pulmonary Artery Catheter Removal - p. Page g612.e1 77. Procedure 65 : Cardiac Output Measurement Techniques (Invasive) - p. Page g619.e1 78. Procedure 66 : Noninvasive Cardiac Output Monitoring - p. Page g633.e1 79. Procedure 67 : - p. Page 638 80. Procedure 68 : Esophageal Cardiac Output Monitoring: Assist, Care, and Removal - p. Page g643.e1 81. Procedure 69 : - p. Page g649.e1 82. Procedure 70 : Radial Arterial Sheath Removal - p. Page 657 83. Procedure 71 : Pericardial Catheter Management - p. Page 663 84. Procedure 72 : Transesophageal Echocardiography (Assist) - p. Page g678.e1 85. Procedure 73 : Arterial Puncture - p. Page g687 86. Procedure 74 : Central Venous Catheter Insertion (Perform) - p. Page g694 87. Procedure 75 : Central Venous Catheter Insertion (Assist), Nursing Care and Removal - p. Page g712 88. Procedure 76 : Implantable Venous Access Device: Access, Deaccess, and Care - p. Page 723 89. Procedure 77 : Peripherally Inserted Central Catheter and Midline Catheters - p. Page 726 90. Procedure 78 : Use of a Massive Infusion Device and a Pressure Infuser Bag - p. Page 742 91. Procedure 79 : Intraosseous Access - p. Page 754 92. Procedure 80 : Peripheral Nerve Stimulation: Train-of-Four Monitoring - p. Page g763 93. Procedure 81 : Noninvasive Brain Tissue Monitoring: Near-Infrared Cerebral Spectroscopy - p. Page 772.e1 94. Procedure 82 : EEG Monitoring Assist and Nursing Care - p. Page g778.e1 95. Procedure 83 : Signal Processed Electroencephalography - p. Page 786 96. Procedure 84 : Brain Tissue Oxygen Monitoring: Insertion (Assist), Nursing Care, and Troubleshooting - p. Page 794.e1 97. Procedure 85 : Cerebral Blood Flow Monitoring - p. Page g814.e1 98. Procedure 86 : Cerebral Microdialysis - p. Page g826.e1 99. Procedure 87 : Intracranial Pressure Monitoring, Nursing Care, Troubleshooting, and Removal - p. Page g830 100. Procedure 88 : Lumbar Puncture (Perform) - p. Page g837 101. Procedure 89 : Lumbar Puncture (Assist) and Nursing Care - p. Page g855.e1 102. Procedure 90 : Pupillometer - p. Page g865.e1 103. Procedure 91 : Cervical Traction and Stabilization: Assist and Nursing Care - p. Page g870.e1 104. Procedure 92 : Pin Site and Vest Care - p. Page g879.e1 105. Procedure 93 : Epidural Catheters: Insertion (Assist) and Pain Management - p. Page 888 106. CHAPTER 94 : Patient-Controlled Analgesia - p. Page g898.e1 107. Procedure 95 : Esophagogastric Tamponade Tube - p. Page g905.e1 108. Procedure 96 : - p. Page 919 109. Procedure 97 : Gastric Lavage in Hemorrhage and Overdose - p. Page g929.e1 110. Procedure 98 : Endoscopic Therapy - p. Page g936 111. Procedure 99 : Intraabdominal Pressure Monitoring - p. Page g946.e1 112. Procedure 100 : Nasogastric and Orogastric Tube Insertion, Nursing Care, and Removal - p. Page g956.e1 113. Procedure 101 : Fecal Microbiota Transplant (Perform) - p. Page g966.e1 114. Procedure 102 : Molecular Adsorbent Recirculating System (MARS) - p. Page g971.e1 115. Procedure 103 : - p. Page 984 116. Procedure 104 : Paracentesis (Assist) - p. Page g989 117. Procedure 105 : Continuous Renal Replacement Therapies - p. Page g995.e1 118. Procedure 106 : Hemodialysis - p. Page g1009.e1 119. Procedure 107 : Peritoneal Dialysis - p. Page g1026.e1 120. Procedure 108 : Apheresis and Therapeutic Plasma Exchange (Assist) - p. Page g1039.e1 121. Procedure 109 : - p. Page g1050.e1 122. Procedure 110 : Bone Marrow Biopsy and Aspiration (Assist) - p. Page g1060.e1 123. Procedure 111 : Burn Wound Care - p. Page g1066.e1 124. Procedure 112 : Donor-Site Care - p. Page g1080 125. Procedure 113 : Skin-Graft Care - p. Page g1086 126. Procedure 114 : Intracompartmental Pressure Monitoring - p. Page g1094 127. Procedure 115 : Wound Closure (Perform) - p. Page g1100 128. Procedure 116 : Cleansing, Irrigating, Culturing, and Dressing an Open Wound - p. Page g1111 129. Procedure 117 : Débridement: Pressure Ulcers, Burns, and Wounds - p. Page g1121 130. Procedure 118 : Negative-Pressure Wound Therapy - p. Page g1128 131. Procedure 119 : Wound Management With Excessive Drainage - p. Page g1138 132. Procedure 120 : Fecal Containment Devices and Bowel Management Systems - p. Page g1144 133. Procedure 121 : Percutaneous Endoscopic Gastrostomy, Gastrostomy, and Jejunostomy Tube Care - p. Page g1151 134. Procedure 122 : Small-Bore Feeding Tube Insertion and Nursing Care - p. Page g1156.e1 135. Procedure 123 : Small-Bore Feeding Tube Insertion Using Guidance Systems - p. Page g1162.e1 136. Procedure 124 : Thermoregulation: Heating, Cooling, and Targeted Temperature Management - p. Page g1171.e1 137. Procedure 125 : Prevention of Immobility-Related Complications: Kinetic Therapy (Continuous Lateral Rotation Therapy and Lateral Rotation Therapy) and Ambulation of Acute and Critically Ill Patients - p. Page g1183.e1 138. Procedure 126 : Intrahospital Transport of Critically Ill Patients - p. Page g1199 139. Index - p. Page g1205.e1
1. AACN Procedure Manual for Progressive and Critical Care - p. Page i 2. Cover - p. Page i 3. Front Matter - p. Page ii 4. Table of Contents - p. Page iii 5. Copyright - p. Page iv 6. Section Editors - p. Page v 7. Contributors - p. Page vi 8. Reviewers - p. Page vi 9. Preface - p. Page xii 10. Acknowledgments - p. Page xiv 11. List of Illustrations - p. Page xv 12. List of Tables - p. Page xvi 13. Procedure 1 : Endotracheal Intubation (Perform) - p. Page xvi 14. Procedure 2 : Endotracheal Intubation (Assist) - p. Page g20 15. Procedure 3 : Endotracheal Tube Care and Oral Care Practices for Ventilated and Nonventilated Patients - p. Page g34 16. Procedure 4 : Extubation/Decannulation (Perform) - p. Page g42 17. Procedure 5 : Extubation/Decannulation (Assist) - p. Page g47 18. Procedure 6 : Laryngeal Mask Airway - p. Page g52 19. Procedure 7 : Nasopharyngeal and Oral Airway Insertion - p. Page g63 20. Procedure 8 : Suctioning: Endotracheal or Tracheostomy Tube - p. Page g75 21. Procedure 9 : - p. Page g84 22. Procedure 10 : Surgical Cricothyrotomy (Assist) - p. Page g90 23. Procedure 11 : Tracheostomy Cuff and Tube Care - p. Page g96 24. Procedure 12 : Continuous End-Tidal Carbon Dioxide Monitoring - p. Page g114 25. Procedure 13 : Extracorporeal Membrane Oxygenation - p. Page g122 26. Procedure 14 : Oxygen Saturation Monitoring With Pulse Oximetry - p. Page g135 27. Procedure 15 : Prone Positioning for Acute Respiratory Distress Syndrome Patients - p. Page g143 28. Procedure 16 : Autotransfusion - p. Page g157 29. Procedure 17 : Chest Tube Placement (Perform) - p. Page g161 30. Procedure 18 : Chest Tube Placement (Assist) - p. Page g173 31. Procedure 19 : Chest Tube Removal (Perform) - p. Page g179 32. Procedure 20 : Chest Tube Removal (Assist) - p. Page g185 33. Procedure 21 : Closed Chest-Drainage System - p. Page g190 34. Procedure 22 : - p. Page g199.e1 35. Procedure 23 : Thoracentesis (Perform) - p. Page g204.e1 36. Procedure 24 : Thoracentesis (Assist) - p. Page g215.e1 37. Procedure 25 : - p. Page g220.e1 38. Procedure 26 : Bronchoscopy (Assist) - p. Page g227.e1 39. Procedure 27 : Invasive Mechanical Ventilation (Through an Artificial Airway): Volume and Pressure Modes - p. Page g232.e1 40. Procedure 28 : Noninvasive Ventilation - p. Page g253.e1 41. Procedure 29 : Manual Self-Inflating Resuscitation Bag-Valve-Mask Device - p. Page g266.e1 42. Procedure 30 : Weaning Mechanical Ventilation - p. Page g274.e1 43. Procedure 31 : Automated External Defibrillation - p. Page g282.e1 44. Procedure 32 : Cardioversion - p. Page g290 45. Procedure 33 : Defibrillation (External) - p. Page g299 46. Procedure 34 : Emergent Open Sternotomy (Perform) and Defibrillation (Internal) (Perform) - p. Page g307 47. Procedure 35 : Emergent Open Sternotomy and Internal Defibrillation (Assist) - p. Page g316 48. Procedure 36 : External Wearable Cardioverter-Defibrillator - p. Page g322 49. Procedure 37 : Pericardiocentesis (Perform) - p. Page g328 50. Procedure 38 : Pericardiocentesis (Assist) - p. Page g337 51. Procedure 39 : Atrial Electrogram - p. Page g345 52. Procedure 40 : Atrial Overdrive Pacing (Perform) - p. Page g354 53. Procedure 41 : - p. Page g362 54. Procedure 42 : Implantable Cardioverter-Defibrillator: Post-Insertion Care - p. Page g366 55. Procedure 43 : Permanent Pacemaker (Assessing Function) - p. Page g373 56. Procedure 44 : Temporary Transcutaneous (External) Pacing - p. Page g392 57. Procedure 45 : - p. Page 395 58. Procedure 46 : Temporary Transvenous and Epicardial Pacing - p. Page g411 59. Procedure 47 : Intraaortic Balloon Pump Management - p. Page g426 60. Procedure 48 : Ventricular Assist Devices - p. Page g446 61. Procedure 49 : Electrocardiographic Leads and Cardiac Monitoring - p. Page g462 62. Procedure 50 : ST-Segment Monitoring (Continuous) - p. Page g472 63. Procedure 51 : Twelve-Lead Electrocardiogram With Right and Left Posterior Leads - p. Page g476 64. Procedure 52 : - p. Page g489.e1 65. Procedure 53 : Arterial Catheter Insertion (Assist), Care, and Removal - p. Page g496.e1 66. Procedure 54 : Blood Sampling From an Arterial Catheter - p. Page g510.e1 67. Procedure 55 : Arterial Pressure–Based Cardiac Output Monitoring - p. Page g519.e1 68. Procedure 56 : Central Venous/Right Atrial Pressure Monitoring - p. Page g525.e1 69. PROCEDURE 57 : Blood Sampling From a Central Venous Catheter - p. Page g533.e1 70. PROCEDURE 58 : Pulmonary Artery Catheter Insertion (Perform) - p. Page g541.e1 71. Procedure 59 : Pulmonary Artery Catheter Insertion (Assist) and Pressure Monitoring - p. Page g549.e1 72. Procedure 60 : Single-Pressure and Multiple-Pressure Transducer Systems - p. Page 571 73. Procedure 61 : Pulmonary Artery Catheter and Pressure Lines, Troubleshooting - p. Page g583.e1 74. Procedure 62 : Blood Sampling From a Pulmonary Artery Catheter - p. Page g599.e1 75. Procedure 63 : Continuous Venous Oxygen Saturation Monitoring - p. Page g604.e1 76. Procedure 64 : Pulmonary Artery Catheter Removal - p. Page g612.e1 77. Procedure 65 : Cardiac Output Measurement Techniques (Invasive) - p. Page g619.e1 78. Procedure 66 : Noninvasive Cardiac Output Monitoring - p. Page g633.e1 79. Procedure 67 : - p. Page 638 80. Procedure 68 : Esophageal Cardiac Output Monitoring: Assist, Care, and Removal - p. Page g643.e1 81. Procedure 69 : - p. Page g649.e1 82. Procedure 70 : Radial Arterial Sheath Removal - p. Page 657 83. Procedure 71 : Pericardial Catheter Management - p. Page 663 84. Procedure 72 : Transesophageal Echocardiography (Assist) - p. Page g678.e1 85. Procedure 73 : Arterial Puncture - p. Page g687 86. Procedure 74 : Central Venous Catheter Insertion (Perform) - p. Page g694 87. Procedure 75 : Central Venous Catheter Insertion (Assist), Nursing Care and Removal - p. Page g712 88. Procedure 76 : Implantable Venous Access Device: Access, Deaccess, and Care - p. Page 723 89. Procedure 77 : Peripherally Inserted Central Catheter and Midline Catheters - p. Page 726 90. Procedure 78 : Use of a Massive Infusion Device and a Pressure Infuser Bag - p. Page 742 91. Procedure 79 : Intraosseous Access - p. Page 754 92. Procedure 80 : Peripheral Nerve Stimulation: Train-of-Four Monitoring - p. Page g763 93. Procedure 81 : Noninvasive Brain Tissue Monitoring: Near-Infrared Cerebral Spectroscopy - p. Page 772.e1 94. Procedure 82 : EEG Monitoring Assist and Nursing Care - p. Page g778.e1 95. Procedure 83 : Signal Processed Electroencephalography - p. Page 786 96. Procedure 84 : Brain Tissue Oxygen Monitoring: Insertion (Assist), Nursing Care, and Troubleshooting - p. Page 794.e1 97. Procedure 85 : Cerebral Blood Flow Monitoring - p. Page g814.e1 98. Procedure 86 : Cerebral Microdialysis - p. Page g826.e1 99. Procedure 87 : Intracranial Pressure Monitoring, Nursing Care, Troubleshooting, and Removal - p. Page g830 100. Procedure 88 : Lumbar Puncture (Perform) - p. Page g837 101. Procedure 89 : Lumbar Puncture (Assist) and Nursing Care - p. Page g855.e1 102. Procedure 90 : Pupillometer - p. Page g865.e1 103. Procedure 91 : Cervical Traction and Stabilization: Assist and Nursing Care - p. Page g870.e1 104. Procedure 92 : Pin Site and Vest Care - p. Page g879.e1 105. Procedure 93 : Epidural Catheters: Insertion (Assist) and Pain Management - p. Page 888 106. CHAPTER 94 : Patient-Controlled Analgesia - p. Page g898.e1 107. Procedure 95 : Esophagogastric Tamponade Tube - p. Page g905.e1 108. Procedure 96 : - p. Page 919 109. Procedure 97 : Gastric Lavage in Hemorrhage and Overdose - p. Page g929.e1 110. Procedure 98 : Endoscopic Therapy - p. Page g936 111. Procedure 99 : Intraabdominal Pressure Monitoring - p. Page g946.e1 112. Procedure 100 : Nasogastric and Orogastric Tube Insertion, Nursing Care, and Removal - p. Page g956.e1 113. Procedure 101 : Fecal Microbiota Transplant (Perform) - p. Page g966.e1 114. Procedure 102 : Molecular Adsorbent Recirculating System (MARS) - p. Page g971.e1 115. Procedure 103 : - p. Page 984 116. Procedure 104 : Paracentesis (Assist) - p. Page g989 117. Procedure 105 : Continuous Renal Replacement Therapies - p. Page g995.e1 118. Procedure 106 : Hemodialysis - p. Page g1009.e1 119. Procedure 107 : Peritoneal Dialysis - p. Page g1026.e1 120. Procedure 108 : Apheresis and Therapeutic Plasma Exchange (Assist) - p. Page g1039.e1 121. Procedure 109 : - p. Page g1050.e1 122. Procedure 110 : Bone Marrow Biopsy and Aspiration (Assist) - p. Page g1060.e1 123. Procedure 111 : Burn Wound Care - p. Page g1066.e1 124. Procedure 112 : Donor-Site Care - p. Page g1080 125. Procedure 113 : Skin-Graft Care - p. Page g1086 126. Procedure 114 : Intracompartmental Pressure Monitoring - p. Page g1094 127. Procedure 115 : Wound Closure (Perform) - p. Page g1100 128. Procedure 116 : Cleansing, Irrigating, Culturing, and Dressing an Open Wound - p. Page g1111 129. Procedure 117 : Débridement: Pressure Ulcers, Burns, and Wounds - p. Page g1121 130. Procedure 118 : Negative-Pressure Wound Therapy - p. Page g1128 131. Procedure 119 : Wound Management With Excessive Drainage - p. Page g1138 132. Procedure 120 : Fecal Containment Devices and Bowel Management Systems - p. Page g1144 133. Procedure 121 : Percutaneous Endoscopic Gastrostomy, Gastrostomy, and Jejunostomy Tube Care - p. Page g1151 134. Procedure 122 : Small-Bore Feeding Tube Insertion and Nursing Care - p. Page g1156.e1 135. Procedure 123 : Small-Bore Feeding Tube Insertion Using Guidance Systems - p. Page g1162.e1 136. Procedure 124 : Thermoregulation: Heating, Cooling, and Targeted Temperature Management - p. Page g1171.e1 137. Procedure 125 : Prevention of Immobility-Related Complications: Kinetic Therapy (Continuous Lateral Rotation Therapy and Lateral Rotation Therapy) and Ambulation of Acute and Critically Ill Patients - p. Page g1183.e1 138. Procedure 126 : Intrahospital Transport of Critically Ill Patients - p. Page g1199 139. Index - p. Page g1205.e1
