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The Canadian Journal of Critical Care Nursing is the journal of the Canadian Association of Critical Care Nurses.

The Canadian Journal of Critical Care Nursing is the only peer-reviewed critical care nursing journal in Canada.

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Includes all articles in the Canadian Journal of Critical Care Nursing (CJCCN).

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The CJCCN invites submissions on the following critical nursing topics: Clinical, Education, Management, Research and Professional Issues. Original articles on any aspect of critical care nursing are welcome.

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Oxygen consumption as a physiologic parameter to differentiate between critically ill patients with and without sepsis

September 28, 2021

Julie K. Graham, PhD, APRN, ACCNS-AG and Ann Mayo, DNSc, RN, FAAN

Abstract

Objective: Measuring oxygen consumption can be accomplished easily in the clinical setting by nurses and respiratory therapists, by way of indirect calorimetry. Our objective for this pilot study was to investigate the relationships between select demographics’ resting energy expenditure (REE), serum lactate, SOFA score, oxygen consumption [by way of measuring net oxygen consumed (VO2) and net carbon dioxide produced (VCO2)], and sepsis in an attempt to yield a set of physiologic parameters to differentiate between patients with and without sepsis.

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A call for standardized national guidelines on QT/QTc monitoring in Canada

June 28, 2021

Kathleen Hutton, MA, and Darlene Hutton, MSN, RN

Background: With QT-prolonging drugs being trialed for the treatment of COVID-19, national health associations allude to the importance of proficient QT interval assessment, however in Canada, there is no policy in place that clearly identifies a single method for routine QT monitoring.

Aim: To demonstrate the need for a clear Canadian guideline for the measurement of the QT/QTc interval and to advocate for a standardized approach to education.

Methods: This paper uses a medical anthropological approach to scale this practice gap from the individual provider to the institutions which govern practice and education.Nurses and emergency medical personnel from hospitals across Canada were polled with questionnaires on their confidence and knowledge of assessing the QT/QTc interval.

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