A5074212082- Neonatal Respiratory Health Research
- Childhood Cancer Survivors' Quality of Life
- Adolescent and Pediatric Healthcare
- Congenital Diaphragmatic Hernia Studies
- Respiratory Support and Mechanisms
- Congenital Heart Disease Studies
- Artificial Intelligence in Healthcare and Education
- Tracheal and airway disorders
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Ethics and Legal Issues in Pediatric Healthcare
- Epilepsy research and treatment
- Emergency and Acute Care Studies
- Child and Adolescent Health
- Traumatic Brain Injury and Neurovascular Disturbances
- Family and Patient Care in Intensive Care Units
- Airway Management and Intubation Techniques
- Pharmacological Effects and Toxicity Studies
- Intensive Care Unit Cognitive Disorders
- Urban Green Space and Health
- Complementary and Alternative Medicine Studies
- Empathy and Medical Education
- Abdominal Trauma and Injuries
- Renal function and acid-base balance
- Ocular and Laser Science Research
Bristol Royal Hospital for Children
2010-2024
University Hospitals Bristol NHS Foundation Trust
2021-2022
Royal Children's Hospital
2018-2021
Ghent University
2018
Doncaster Royal Infirmary
2017
University College London
2013-2016
Great Ormond Street Hospital
2013-2016
University of Cambridge
2010
Nottingham City Hospital
2007
Purpose Tracheostomy is a common intervention for adults admitted to intensive care; many are performed early and most percutaneous. Our study aimed elucidate current practice indications children in the UK paediatric care undergoing tracheostomy. Design A questionnaire covering unit guidelines, practice, advantages disadvantages of tracheostomy was sent all units (PICUs) participating Paediatric Intensive Care Audit Network (PICANet). These results were combined with data from PICANet on...
To explore the trends and changes in transport of children to paediatric intensive care units (PICUs) between 2013 2022.
To describe the case mix, resource use and outcomes for adolescents admitted to intensive care units in UK.Analysis of national prospectively collected data all aged 12-19 years UK adult or paediatric units.There were 37,320 admissions during eight-year study period. Excluding elective surgery, respiratory diagnoses most common reason unit (PICU) admission, with trauma intoxication reasons (AICU) admission. Intensive mortality was 6.0% 5.7% those PICUs AICUs, respectively.Mortality is...
This study describes the baseline clinical characteristics, predictors of successful extubation at referring hospitals and short-term outcomes children intubated for status epilepticus referred to United Kingdom (UK) paediatric critical care transport teams (PCCTs).
<h3>Objectives</h3> Intravenous (IV) salbutamol is a second line treatment for children with acute wheeze or asthma, after initial inhaled nebulised bronchodilators.<sup>1</sup> It can be given as bolus an infusion and effective bronchodilator but has dose dependent side effects including hypokalaemia, nausea, arrhythmia lactic acidosis. In adults, the maximum recommended rate 20micrograms/min.<sup>2</sup> For children, 1–2microgram/kg/min up to 5 microgram/kg/min.<sup>1</sup> Despite their...
Critically ill adolescents are usually treated on intensive care units optimised for much older adults or younger children. The way they access and experience health services may be very different to most adolescent service users, existing quality criteria not apply them. objectives of this pilot study were, firstly, determine whether their families were able articulate experiences critical admission secondly, identify the factors that important them during unit (ICU) high dependency (HDU)...
To find out whether doctors who work with children have a basic knowledge of tissue and organ donation which would allow them to initiate discussions families.Anonymous self-completed questionnaire containing information about administered 56 working in paediatrics, emergency medicine intensive care one district general hospital.89% were aware that could donate solid organs after death although 39.3% thought incorrectly premature babies eligible. Respondents generally less knowledgeable age...
The aim of this study was to investigate the relationship between nursing staff emotions and their surrounding environment, using ancient system feng shui. Two orientations critical care bed spaces (wind water groups, respectively) were mapped a western bagua. Energy or 'chi' scores for nine calculated based on positive negative flow chi in each two groups. During two-week period, allocated work space either wind groups; who not acted as control group. Participating completed questionnaire,...
To quantify use of complementary and alternative medicine (CAM) in children with non-malignant, life-limiting illness.A self-administered questionnaire was sent to families who received care from a community children's nursing psychology team for conditions.A total 32 per cent respondents had used up seven types CAM their child 43.4 themselves or other family members. Most parents enhance general wellbeing rather than treat specific diagnoses. A 58.3 felt the therapy helpful, 50 tried...
Abstract Objective To determine whether artificial intelligence (AI) can generate plausible and engaging titles for potential Christmas research articles in The BMJ . Design Observational study. Setting Europe, Australia, Africa. Participants 1 AI technology (Generative Pre-trained Transformer 3, GPT-3) 25 humans. Main outcome measures Plausibility, attractiveness, enjoyability, educational value of generated by GPT-3 compared with historical controls. Results were rated at least as...
In the United Kingdom, critically ill adolescents are treated in either adult or pediatric intensive care units (AICUs PICUs). This study explores staff perspectives on where and how best to for this distinct group.Semistructured interviews were conducted with 12 members of (3 medical, 6 nursing, 3 allied health professionals) working 4 ICUs; 2 general hospital AICUs tertiary centre-based PICUs England. Interviews audio-recorded, transcribed, analyzed using framework analysis.One overarching...
<h3>Aims</h3> In acutely ill children, weights are often estimated to calculate drug and fluid dosage. Many methods exist, attempting balance complexity accuracy. The most accurate based on physical measurements, but those commonly used in the UK age alone. 2011 Advanced Paediatric Life Support (APLS) recommendations changed from using a single formula three. Meanwhile Resuscitation Council maintains that increases risks of error still advocates formula. To date no studies have assessed...
Objective Estimating weight is essential in order to prepare appropriate sized equipment and doses of resuscitation drugs cases where children are critically ill or injured. Many methods exist with varying degrees complexity accuracy. The most recent version the Advanced Paediatric Life Support (APLS) course has changed their teaching from an age-based calculation method use a reference table. We aimed evaluate potential implications this change. Method Using bespoke online simulation...
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Background and aims: Over recent years, there have been changes in treatment strategies for persistent pulmonary hypertension of the newborn (PPHN). Aims: We looked resulting differences management and/or outcomes. Methods: Retrospective review neonates with PPHN admitted to a single tertiary-referral NICU aged <8 days between 1998–2012. Results: 362 patients met inclusion criteria. Number demographics including: gender, age, gestational birth weight, admission diagnosis, paediatric index...
<h3>Aims</h3> Tracheostomy is a common intervention in adult intensive care. Many are performed early and most percutaneous.1 A recent study found mortality of 8% after tracheostomy hospitalised children.2 There no published guidelines few studies on specifically the Paediatric Intensive Care Unit (PICU). Our aimed to elucidate current practice UK. <h3>Methods</h3> survey was sent lead clinicians all units participating Audit Network (PICANet). The results were combined with data obtained...
Introduction: Over the last 15 years, there have been changes in treatment strategies available for management of persistent pulmonary hypertension newborn (PPHN). Methods: Case-based retrospective review patients admitted to a single tertiary-referral NICU aged 7 days or less between 1998–2012 with diagnosis PPHN. Results: 362 meeting inclusion criteria were over study period. Number and baseline patient demographics including: gender, age, gestational birth weight, admission diagnosis,...
Introduction: To date the focus in paediatric intensive care has been on achieving best clinical outcomes for our patients terms of mortality and physical morbidity. Recently there a recognition significant psychological morbidity survivors their families. Since 2003 we have run support meetings families PICU survivors. Methods: Detailed notes from each meeting last 10 years were analysed with discussion topic given an initial code. These codes then categorized into common themes relative...