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Cabrini Library Bulletin: Library Update April 2024

monthly bulletin featuring latest studies, news and featured resources

Welcome to Cabrini Library Bulletin

Library News

This section will highlight any new resources, services, guides and training.  As well as any updated information on resource updates provided by vendors or relevant health societies.

Latest Research

All recent research under relevant topics are listed with links to either the fulltext or the abstract.  Always remember that the library can provide a fulltext of an article not available by open access or subscribed links.

Latest Research

Knee Osteoarthritis

Somaiya K J, Samal S, Boob M A (February 25, 2024) Effectiveness of Recent Physiotherapy Techniques Along With Conventional Physiotherapy Techniques in a Patient With Knee Osteoarthritis: A Case Report. Cureus 16(2): e54872. DOI 10.7759/cureus.54872 . Read Full Text

Treating a 47 year old women with bilateral osteoarthritis in both knees using advanced (modern) physiotherapy techniques as opposed to "traditional" techniques, provided a favourable outcome and quality of life for the patient.

 

COPD treatment and management

Markussen, D. L., Serigstad, S., Ritz, C., Knoop, S. T., Ebbesen, M. H., Faurholt-Jepsen, D., [et.al.]  (2024). Diagnostic Stewardship in Community-Acquired Pneumonia With Syndromic Molecular Testing: A Randomized Clinical Trial. JAMA network open7(3), e240830. https://doi.org/10.1001/jamanetworkopen.2024.0830. Read Full Text  

Findings from this trial showed that routine deployment of PCR testing for lower respiratory tract pathogens enables faster and more targeted microbial treatment for patients with suspected CAP, suggesting that this tool could replace selected standard, time-consuming, laboratory-based diagnostics.

 

Perioperative Emergencies

Almoite, Simon and Foran, Paula (2024) Barriers to and facilitators of using cognitive aids in perioperative emergencies: An integrative review, Journal of Perioperative Nursing: Vol. 37 : Iss. 1 , Article 6.  Read Full Text 

Perioperative emergencies, although infrequent, may lead to significant morbidity and mortality associated with anaesthesia and/or surgery.  Cognitive aids were introduced to reduce a user’s cognitive workload and assist in adherence to key interventions during emergencies.

14 studies were included and strong design and staff education were identified as facilitators of cognitive aid implementation while poor design and lack of organisational support were identified as barriers to cognitive aid implementation.

 

Pressure Injuries Prediction in ICU

Tao, H., Zhang, H., Ma, Y., Lv, L., Pei, J., Jiao, Y., & Han, L. (2023). Comparison of the predictive validity of the Braden and Waterlow scales in intensive care unit patients: A multicentre studyJournal of Clinical Nursing.. Read Fulltext

This study compared the two scales in identifying pressure injuries (PI) in the ICU environment. The low specificity of the Braden scale and low sensitivity of the Waterlow scale remind medical staff to use them in combination with clinical judgement and other objective indicators.

 

Hospital Accreditation

Scanlan, R., Flenady, T., & Judd, J. (2024). Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture—A scoping review: A scoping review of the current literature to understand the impact of short‐notice accreditation processes on health service organizations patient safety and quality cultureJournal of Advanced NursingRead Full Text

To explore the published evidence describing the impact of short-notice accreditation assessments on hospitals' patient safety and quality culture.  Limited evidence exists to report on the effectiveness of hospital short-notice accreditation models. No study has been undertaken to understand the impact of short-notice accreditation on patient safety and quality cultures within hospital settings.

 

Exercise for cancer patients

The Effect of Exercise on Pain in People with Cancer: A Systematic Review with Meta-analysis.The Effect of Exercise on Pain in People with Cancer: A Systematic Review with Meta-analysis. Read Full Text

This comprehensive analysis showed a reduction of cancer-pain however the overall strength of evidence for the effect of exercise on cancer-related pain was very low. The findings provide support that exercise participation does not worsen cancer-related pain and that it may be beneficial. Better pain categorisation and inclusion of more diverse cancer populations in future research would improve understanding of the extent of benefit and to whom.

 

Patient mobility after cardiothoracic surgery

Fagevik Olsén, M., Sehlin, M., Westerdahl, E., Schandl, A., Block, L., Nygren-Bonnier, M., & Svensson-Raskh, A. (2024, February 29). First mobilisation after abdominal and cardiothoracic surgery: When is it actually performed? A national, multicentre, cross-sectional study. BMJ open14(2), e082239. https://doi.org/10.1136/bmjopen-2023-082239  Read Full Text

This study therefore aimed to reveal current mobilisation routines after abdominal and cardiothoracic surgery and to identify factors associated with mobilisation within 6 hours postoperatively.  In total, 96% if the patients were mobilised within 24 hours after surgery and 52% within 6 hours. Daytime arrival at the postoperative recovery unit, low ASA classification and shorter duration of anaesthesia were associated with a shorter time to mobilisation.

 

Ventilator Withdrawal

Campbell, M. L., & Yarandi, H. N. (2024). Effectiveness of an Algorithmic Approach to Ventilator Withdrawal at the End of Life: A Stepped Wedge Cluster Randomized Trial. Journal of Palliative Medicine27(2), 185-191. Read Abstract

Few studies have compared the two main approaches used to withdraw ventilatory support at the end of life: gradual weaning and one-step weaning.   This randomized study in 168 patients compared one-step weaning with a nurse-led gradual weaning algorithm.  Despite receiving less opioids and benzodiazepines, the 48 patients in the gradual weaning group experienced less respiratory distress. This study supports our practice of gradual weaning for most patients undergoing withdrawal of life support. However, one-step weaning may be suitable for select patients (eg, severe neurological injuries and minimal ventilatory support needs).

Library News

Medication Safety

Read the latest Table of Contents from these well known drug journals published by Springer for the latest drug therapy treatments and alerts.

Remember you can set up a personal alert to receive TOC's to your email direct from the publisher's site.

Drug Safety

Drugs

Drugs & Aging

Pharmaceutical Medicine

Reactions Weekly

Clinical Guidelines

MAGICapp is a platform that hosts Australian and international guidelines.  These are "living guidelines" and are updated regularly based on the latest studies that have been reviewed using rigorous evidence based principles.

The latest guideline updates from Australia include

Juvenile Arthritis

Cancer Council of Australia 

Stroke Foundation

Diabetes

National Blood Authority

New editions