A5066728327- Ultrasound in Clinical Applications
- COVID-19 and healthcare impacts
- Infection Control and Ventilation
- Radiology practices and education
- Sepsis Diagnosis and Treatment
- Hemodynamic Monitoring and Therapy
- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Disaster Response and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Healthcare Decision-Making and Restraints
- Clinical practice guidelines implementation
- Intensive Care Unit Cognitive Disorders
- Clinical Nutrition and Gastroenterology
- Radiation Dose and Imaging
- Healthcare cost, quality, practices
- Grief, Bereavement, and Mental Health
- Drug-Induced Hepatotoxicity and Protection
- Anesthesia and Neurotoxicity Research
- Genetic Associations and Epidemiology
- Chronic Disease Management Strategies
- Anesthesia and Sedative Agents
- Poisoning and overdose treatments
- Cognitive Abilities and Testing
The University of Sydney
2018-2024
Nepean Hospital
2014-2024
University of Minnesota
2024
University of Nottingham
2024
King's College Hospital
2015-2020
Competence in point-of-care ultrasound is recommended/mandated by several critical care specialties. Although doctors commonly attend short-courses for introductory training, there little follow-up data on whether they eventually attain competence. This study was done to determine the impact of competence.Web-based survey.Follow-up after Asia-Pacific region.Doctors who attended a short-course between December 2015 and February 2018.Each subject emailed questionnaire or 6 months following...
Background: Optimal personal protective equipment (PPE) preparedness is key to minimize healthcare workers (HCW) infection with COVID-19.This two-phase survey evaluated PPE (adherence Ministry of Health India (MoH) PPE-recommendations; HCW-training; PPE-inventory; PPE-breach management) in Indian intensive care units (ICU). Materials and methods:The phase 1 was distributed electronically intensivists from 481 hospitals between March 25, 2020, April 06, as part a multinational survey.Phase 2...
Importance Leveraging real-world clinical biobanks to investigate the associations between genetic and environmental risk factors for mental illness may help direct screening efforts evaluate portability of polygenic scores across contexts. Objective To examine sexual trauma, liability health outcomes, diagnoses schizophrenia, bipolar disorder, major depressive disorder in a biobank setting. Design, Setting, Participants This association study was conducted using genotyping data from 96 002...
Measurement of cardiac output is an integral part patient management in the intensive care unit. FloTrac/Vigileo a continuous monitoring device that does not need re-calibration. However, its reliability has been questioned some studies, especially involving surgical patients. In this study, we evaluated comparability and transthoracic Doppler echocardiography 53 critically ill patients requiring monitoring. Most these had septic or cardiogenic shock. Cardiac was measured by both...
International literature on end-of-life care in intensive units (ICUs) supports the use of 'protocol bundles', which is not common practice our 18-bed adult general ICU Sydney, New South Wales. We conducted a prospective observational study to identify problems related practices and determine whether there was need develop protocol bundles. Any patient who had 'withdrawal' life-sustaining treatment facilitate comfortable death eligible. Exclusion criteria included organ donors, unsuitable...
In 2014, basic critical care echocardiography (BCCE) competence became a mandatory requirement for trainees registered with the College of Intensive Care Medicine (CICM). To determine proportion CICM intensive units (ICUs) that conduct BCCE program and to learn about barriers/challenges successful strategies, we conducted survey intensivists working in ICUs accredited by basic/advanced training Australia, New Zealand, Hong Kong, Singapore, Ireland India. Following consultations content...
Background: Medication errors can be dangerous and are an intensive care unit quality indicator. Few studies have assessed interventions aimed at improving prescription practice. Anecdotal reports in our ICU indicated a high incidence of errors, including illegible handwriting, lack prescriber identity antibiotic indications. Knowledge translation (KT) is emerging tool that uses collaborative stakeholder participation focuses on education inclusiveness rather than punitive audits. Objective:...
About 5% of hospitalized coronavirus disease 2019 (COVID-19) patients will need intensive care unit (ICU) admission for hypoxemic respiratory failure requiring oxygen support. The choice between early mechanical ventilation and noninvasive therapies, such as, high-flow nasal (HFNO) and/or positive-pressure (NPPV) has to balance the contradictory priorities protecting healthcare workers by minimizing aerosol-generation optimizing resource management. This survey over two timeframes aimed...
Lung ultrasonic B-lines have high accuracy in diagnosing extravascular lung water (ELW) but not been systematically subcategorized to differentiate the varied etiologies of ELW. This brief communication describes subcategories into "inflammatory" and "transudative" patterns, based on their location, pleural morphology associated subpleural pathologies. subcategorization was derived using information from trainees undergoing ultrasound training
Abstract Objectives To evaluate PPE-preparedness across intensive care units (ICUs) in 6 Asia-Pacific countries. was defined as the adherence to guidelines, training HCWs, procuring PPE stocks and responding appropriately a suspected case (transportation admission hospital). Design Cross-sectional web-based survey. Setting ICUs Australia, New Zealand (NZ), Singapore, Hong Kong (HK), India Philippines with 24/7 Emergency/Casualty Department, capable of mechanically ventilating patients for...
Personal-protective equipment (PPE)-preparedness, defined as adherence to guidelines, healthcare worker (HCW) training, procuring PPE stocks and responding appropriately suspected cases, is crucial prevent HCW-infections.To perform a follow-up survey assess changes in PPE-preparedness across six Asia-Pacific countries during the COVID-19 pandemic.A prospective cross-sectional, web-based was conducted between 10/08/2020 01/09/ 2020, five months after initial Phase 1 survey. The sent same 231...
Patients with terminal illnesses hospitalized acute deteriorations often suffer from unnecessary/inappropriate therapies at the end of their lives. Appropriate advance care planning (ACP) practices aligned to patients' goals may mitigate this.To explore rationale for clinical decision-making in patients and formulate a practice pathway streamline care. Between May December 2018, questionnaire survey three case vignettes derived intensive unit (ICU) was emailed ICU, respiratory renal doctors,...