A continuous quality improvement approach to improving clinical practice in the areas of sedation, analgesia, and neuromuscular blockadeRichard Arbour
Medical Intensive Care Unit, Albert Einstein Healthcare Network, Philadelphia, Pennsylvania 19141-3211, USA
J Contin Educ Nurs 34:64-71; quiz 90-1. 2003
..CONCLUSION: The continuous quality improvement approach offers a model for improving patient care using individualized needs assessment, focused educational interventions, and program evaluation strategies...
Continuous nervous system monitoring, EEG, the bispectral index, and neuromuscular transmissionRichard Arbour
Albert Einstein Healthcare Network, Philadelphia, PA, USA
AACN Clin Issues 14:185-207. 2003
..This article explores utilization and differentiates technologies such as EEG, BIS, and NMT monitoring. Monitoring parameters are illustrated using a case study approach...
Using bispectral index monitoring to detect potential breakthrough awareness and limit duration of neuromuscular blockadeRichard Arbour
Medical Intensive Care Unit, Albert Einstein Healthcare Network, Philadelphia, PA, USA
Am J Crit Care 13:66-73. 2004
Intracranial hypertension: monitoring and nursing assessmentRichard Arbour
Medical Intensive Care Unit at Albert Einstein Healthcare Network, Philadelphia, PA, USA
Crit Care Nurse 24:19-20, 22-6, 28-32; quiz 33-4. 2004
Clinical management of the organ donorRichard Arbour
Medical Intensive Care Unit, Albert Einstein Healthcare Network, Philadelphia, PA 19141 3211, USA
AACN Clin Issues 16:551-80; quiz 600-1. 2005
..Effective family communication, astute clinical assessment, and optimal clinical management of the organ donor are illustrated using a case study approach, highlighting the role of the advanced practice nurse in donor management...
Early metabolic/cellular-level resuscitation following terminal brain stem herniation: implications for organ transplantationRichard B Arbour
La Salle University and Holy Family University, 5928 N 11th St, Philadelphia, PA 19141, USA
AACN Adv Crit Care 24:59-78. 2013
..As such, aggressive, mechanism-based care, including hormonal replacement therapy, becomes clinically appropriate before formal brain death declaration to support cardiopulmonary stability following terminal brain stem herniation...
Islam, brain death, and transplantation: culture, faith, and jurisprudenceRichard Arbour
La Salle University, 5928 N 11th St, Philadelphia, PA 1914, USA
AACN Adv Crit Care 23:381-94. 2012
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Confounding factors in brain death: Cardiogenic ventilator autotriggering and implications for organ transplantationRichard B Arbour
Former Critical Care Clinical Nurse Specialist, Albert Einstein Healthcare Network, 5501 Old York Road, Philadelphia, PA 19141 3211, USA Electronic address
Intensive Crit Care Nurs 28:321-8. 2012
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Impact of bispectral index monitoring on sedation and outcomes in critically ill adults: a case seriesRichard Arbour
Albert Einstein Healthcare Network, 5501 Old York Road, Philadelphia, PA 19141 3211, USA
Crit Care Nurs Clin North Am 18:227-41, xi. 2006
..BIS monitoring was decisive in ICU care in 9 of 15 patients in this series. The most significant potential benefit was obtained in the subset of patients receiving NMB...
Correlation between the Sedation-Agitation Scale and the Bispectral Index in ventilated patients in the intensive care unitRichard Arbour
Albert Einstein Healthcare Network, Philadelphia, PA, USA
Heart Lung 38:336-45. 2009
..Determining the correlation between clinical and BIS measures of sedation will help to determine the correct role of BIS in intensive care unit (ICU) practice settings...
Refractory increased intracranial pressure in severe traumatic brain injury: barbiturate coma and bispectral index monitoringMary Kay Bader
Mission Hospital, Mission Viejo, CA, USA
AACN Clin Issues 16:526-41. 2005
..This technology is now being considered for targeting appropriate levels of barbiturate coma...
Cardiogenic oscillation and ventilator autotriggering in brain-dead patients: a case seriesRichard Arbour
Critical care at Albert Einstein Medical Center, Philadelphia, Pennsylvania 19141 3211, USA
Am J Crit Care 18:496, 488-95. 2009
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Seven evidence-based practice habits: putting some sacred cows out to pastureCarol A Rauen
Crit Care Nurse 28:98-124. 2008
Propylene glycol toxicity occurs during low-dose infusions of lorazepamRichard Arbour
Crit Care Med 31:664-5; author reply 665. 2003