A5074089176- Ultrasound in Clinical Applications
- Mechanical Circulatory Support Devices
- Cardiac Structural Anomalies and Repair
- Cardiac Arrest and Resuscitation
- Cardiovascular Function and Risk Factors
- Hemodynamic Monitoring and Therapy
- Cardiac Imaging and Diagnostics
- Radiology practices and education
- Respiratory Support and Mechanisms
- Radiation Dose and Imaging
- Atrial Fibrillation Management and Outcomes
- Cardiac Arrhythmias and Treatments
- Venous Thromboembolism Diagnosis and Management
- Cardiac pacing and defibrillation studies
- Cardiac Valve Diseases and Treatments
- Congenital Heart Disease Studies
- COVID-19 Clinical Research Studies
- Intensive Care Unit Cognitive Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Pulmonary Hypertension Research and Treatments
- COVID-19 and healthcare impacts
- Cardiovascular and Diving-Related Complications
- Cardiovascular Effects of Exercise
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Traumatic Brain Injury and Neurovascular Disturbances
Harefield Hospital
2020-2025
Guy's and St Thomas' NHS Foundation Trust
2021-2025
King's College London
2021-2025
Royal Brompton Hospital
2023-2025
St Thomas' Hospital
2025
Royal Brompton & Harefield NHS Foundation Trust
2019-2024
King's College School
2021-2024
John Radcliffe Hospital
2020
University of Oxford
2020
University of Utah
2020
Congestion, marked by elevated cardiac filling pressures and their repercussions, is a contributing factor to morbidity mortality in heart failure critical illness. Relying on traditional methods for bedside evaluation often leads inadequate decongestion increased hospital readmissions. Point-of-care ultrasound (POCUS), particularly multi-organ POCUS, including the Venous Excess Ultrasound (VExUS) score, offers promising approach this scenario. VExUS enables quantification of systemic venous...
Background Survival for cardiac arrest remains poor, and the use of extracorporeal cardiopulmonary resuscitation (ECPR) has been suggested as a potential therapy to improve outcomes. Harefield Hospital performing ECPR over decade; however outcomes have historically poor. Methods A retrospective analysis was performed all cases at between April 2018 2023. new structured system including systematic screening process, strict exclusion criteria, assessment adequacy through physiological stop...
Mechanical ventilation (MV) has played a crucial role in the medical field, particularly anesthesia and critical care medicine (CCM) settings. MV evolved significantly since its inception over 70 years ago future promises even more advanced technology. In past, was provided manually, intermittently, it primarily used for resuscitation or as last resort patients with severe respiratory cardiovascular failure. The earliest machines prolonged ventilatory support oxygenation were large...
Abstract Background The use of Point-of-Care Ultrasound (POCUS) has become prevalent across a variety clinical settings. Many healthcare professionals have started getting hands-on training. To evaluate the effectiveness such training programs, this study aimed to assess 4 day POCUS course on providers’ skills and knowledge acquisition. A secondary objective is gain valuable insights into degree perception, attitude, interest levels perceived barriers medical providers performing POCUS....
Sodium-glucose cotransporter 2 inhibitors were shown to reduce morbidity and mortality in patients with heart failure. This study aims assess potential effects of dapagliflozin nondiabetic failure reduced ejection fraction (HFrEF) mildly (HFmrEF) on cardiac function assessed by speckle tracking echocardiography (STE). randomized, prospective, single-center, open-label trial compared consecutive outpatients HFrEF or HFmrEF receiving treated optimal medical therapy (OMT) except sodium-glucose...
Objectives: Bronchoscopy in the mechanically ventilated patient is an important skill for critical-care physicians. However, training opportunity heterogenous and limited by infrequent caseload or inadequate instructor feedback satisfactory competencies. A new artificial intelligence (AI) navigational system using augmented reality – Ambu Broncho Simulator can guide bronchoscopy training. Is with AI comparable to bedside, expert tutor instruction improving performance? Design: nonblinded,...
Abstract Aims Patients presenting with cardiogenic shock (CS) related to acute, severe mitral regurgitation (MR) are often considered too ill for immediate surgical intervention. Therefore, other less invasive techniques haemodynamic stabilization should be explored. The purpose of this exploratory study was investigate the feasibility and outcomes in patients CS due MR by using a novel approach combining left Impella-support plus MR-reduction MitraClip®. Methods results We analysed whether...
Harlequin Syndrome (also known as North-South Syndrome) is a complication of veno-arterial extracorporeal membrane oxygenation (V-A ECMO) that can occur when left ventricular function starts to recover. While most commonly due continued impaired gas exchange in the lungs, we present case caused by right dysfunction, successfully managed conversion ECMO circuit veno-veno-arterial (VV-A) configuration.
Left ventricular assist devices (LVADs) are gaining increasing importance as therapeutic strategy in advanced heart failure (HF), not only bridge to recovery or transplant but also destination therapy. Even though long-term LVADs considered a precious resource expand the treatment options and improve clinical outcome of these patients, limited by peri-operative post-operative complications, such device-related infections, haemocompatibility-related events, device mis-positioning, right...
The European Association of Cardiovascular Imaging (EACVI) Scientific Initiatives Committee performed a global survey to evaluate the use different cardiac imaging modalities for evaluation right heart.
Right ventricular failure (RVF) after left assist device (LVAD) implant is associated with increasing morbidity and mortality. The aim of this study was to identify the best predictors RVF post LVAD-implant among biochemical, haemodynamic echocardiographic parameters. From 2009 2019, 38 patients who underwent LVAD implantation at our centre were prospectively enrolled. Preoperative clinical, laboratory, parameters reported. Overall, eight (21%) developed over time, which revealed be strongly...
Focus cardiac ultrasound (FoCUS) provides vital information at the bedside which has potential of improving outcomes in acute settings. FoCUS could help clinicians their daily clinical decision-making while applied within context as an extension examination. practitioners should be aware own limitations with importance timely referral for comprehensive Echocardiography whenever required.
Abstract Aims The European Association of Cardiovascular Imaging (EACVI) Scientific Initiatives Committee performed a global survey to evaluate the current practice for assessment and management patients with suspected patent foramen ovale (PFO) cryptogenic stroke. Methods results In total, 79 imaging centres from 34 countries across world responded survey, which comprised 17 questions. Most non-invasive investigations PFO were widely available in responding centres, exception transcranial...
Coronavirus disease-2019 (COVID-19) outbreak has become a worldwide healthcare emergency, with continuously growing number of infected subjects. Considering the easy virus spread through respiratory droplets produced cough, sneezes or spit close contact people surfaces, workers are further exposed to COVID-19. Particularly, echocardiography remains an essential diagnostic service which, due patients during exam, provides echocardiographers high-risk contagion. Therefore, common modalities...
The European Association of Cardiovascular Imaging (EACVI) Scientific Initiatives Committee performed a global survey on radiation exposure in interventional echocardiography. aimed to collect data local practices for radioprotection echocardiography and assess the awareness operators about radiation-related risks. A total 258 echocardiographers from 52 different countries (48% European) responded survey. One hundred twenty-two (47%) participants were women. Two-thirds (76%) worked tertiary...