A5024970050- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Safety and Medication Errors
- Palliative Care and End-of-Life Issues
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Trauma and Emergency Care Studies
- Hemodynamic Monitoring and Therapy
- Family and Patient Care in Intensive Care Units
- Disaster Response and Management
- Mechanical Circulatory Support Devices
- Clinical Reasoning and Diagnostic Skills
- Healthcare Technology and Patient Monitoring
- Simulation-Based Education in Healthcare
- Hospital Admissions and Outcomes
- Vascular Procedures and Complications
- Frailty in Older Adults
- Organ Transplantation Techniques and Outcomes
- Organ Donation and Transplantation
- Healthcare cost, quality, practices
- Cardiac Structural Anomalies and Repair
- Hip and Femur Fractures
- Trauma, Hemostasis, Coagulopathy, Resuscitation
Austin Hospital
2016-2025
Austin Health
2015-2024
Monash University
2015-2024
The University of Melbourne
2013-2024
Australian and New Zealand Intensive Care Society
2007-2024
National University of Singapore
2024
Canberra Hospital
2024
Frankston Hospital
2024
Monash Health
2023
Australasian Society for Infectious Diseases
2023
The novel influenza A(H1N1) pandemic affected Australia and New Zealand during the 2009 southern hemisphere winter. It caused an epidemic of critical illness some patients developed severe acute respiratory distress syndrome (ARDS) were treated with extracorporeal membrane oxygenation (ECMO).To describe characteristics all A(H1N1)-associated ARDS ECMO to report incidence, resource utilization, patient outcomes.An observational study (n = 68) in 15 intensive care units (ICUs) between June 1...
<h3>Importance</h3> In patients who undergo mechanical ventilation during surgery, the ideal tidal volume is unclear. <h3>Objective</h3> To determine whether low-tidal-volume compared with conventional major surgery decreases postoperative pulmonary complications. <h3>Design, Setting, and Participants</h3> Single-center, assessor-blinded, randomized clinical trial of 1236 older than 40 years undergoing noncardiothoracic, nonintracranial under general anesthesia lasting more 2 hours in a...
It is unknown whether the reported short-term reduction in cardiac arrests associated with introduction of medical emergency team (MET) system can be sustained. We conducted a prospective, controlled before-and-after examination effect MET on long-term incidence arrests. included consecutive patients admitted during three study periods: before MET; education phase preceding implementation and period four years from system. Cardiac were identified log book arrest calls cross-referenced case...
Up to 17% of hospital admissions are complicated by serious adverse events unrelated the patients presenting medical condition. Rapid Response Teams (RRTs) review during early phase deterioration reduce patient morbidity and mortality. However, reports efficacy these teams varied. The aims this article were explore concept RRT dose, assess whether dose improves outcomes, there is evidence that inclusion a physician in team impacts on effectiveness team. A available literature suggested...
To investigate the role of medical emergency teams in end-of-life care planning.One month prospective audit team calls.Seven university-affiliated hospitals Australia, Canada, and Sweden.Five hundred eighteen patients who received a call over 1 month.None.There were 652 calls 518 patients, with multiple 99 (19.1%) patients. There 161 (31.1%) limitations therapy during study period. The limitation was instituted 105 (20.3%) 56 (10.8%) before after call, respectively. In 78 died place, last...
Abstract Zinc inhibits replication of the SARS‐CoV virus. We aimed to evaluate safety, feasibility, and biological effect administering high‐dose intravenous zinc (HDIVZn) patients with COVID‐19. performed a Phase IIa double‐blind, randomized controlled trial compare HDIVZn placebo in hospitalized administered treatment per day for maximum 7 days until either death or hospital discharge. measured concentration at baseline during observed any significant side effects. For eligible patients,...
RATIONALE: Clinical deterioration of patients hospitalized outside the ICU is a source potentially reversible morbidity and mortality. To address this, some acute care hospitals have implemented systems aimed at detecting responding to such patients. OBJECTIVES: provide evidence-based recommendations for hospital clinicians administrators optimize recognition response clinical in non-ICU PANEL DESIGN: The 25-member panel included representatives from medicine, nursing, respiratory therapy,...
Cultural barriers including allegiance to traditional models of ward care and fear criticism may restrict use a medical emergency team (MET) service, particularly by nursing staff. A 1-year preparation education programme was undertaken before implementing the MET at Austin Hospital, Melbourne, Australia. During 4 years after introduction MET, has continued inform staff benefits overcome restricting its use.To assess whether nurses value service determine calling exist in 400-bed teaching...
Nurses are the primary activators of medical emergency team (MET). Although MET system can empower nurses to seek help in managing acutely ill patients, few data on nurses' beliefs about available.To evaluate and behaviors system.Nurses from a large academic hospital Canada were surveyed (2 demography-related questions 17 Likert-scale questions).Of 614 employed units participating system, 293 (47.7%) approached 275 completed survey (response rate, 93.9%). Most respondents (84.2%) believed...
Objective: To describe the characteristics and outcomes of patients receiving a medical emergency team (MET) review for MET syndromes acute change in conscious state or arrhythmia to assess effect delayed activation on their outcomes. Design: Retrospective analysis records. Setting: University teaching hospital. Patients: Two cohorts 100 each arrhythmia. Interventions: None. Measurements Main Results: We collected information patient demographics, comorbidities, presence sepsis, hypovolemia,...
To test the ability of a novel super high-flux (SHF) membrane with larger pore size to clear myoglobin from serum.The intensive care unit university teaching hospital.A patient serotonin syndrome complicated by severe rhabodomyolysis and oliguric acute renal failure.Initially continuous veno-venous hemofiltration was performed at 2 l/hour ultrafiltration (UF) standard polysulphone 1.4 m2 (cutoff point, 20 kDa), followed SHF 100 kDa) UF, then 3 UF 4 in an attempt myoglobin.The concentration...
Information about Medical Emergency Teams (METs) in Australia and New Zealand (ANZ) is limited to local studies a cluster randomised controlled trial (the Response Intervention Trial [MERIT]). Thus, we sought describe the timing of introduction METs into ANZ hospitals relative relevant publications assess changes incidence rate intensive care unit (ICU) admissions due ward cardiac arrest (CA) ICU readmissions. We used Australian Intensive Care Society database obtain study data. related MET...
Objective: To describe the quality of postoperative documentation vital signs and medical nursing review to identify patient hospital factors associated with incomplete documentation. Design, setting participants: Retrospective audit records 211 adult patients following major surgery in five Australian hospitals, August 2003 – July 2005. Main outcome measures: Proportion complete (each day) (heart rate, blood pressure, respiratory temperature oxygen saturation) shift), proportion available...
Frailty is a state of vulnerability to poor resolution homeostasis after stressor event and strongly associated with adverse outcomes. Therefore, the assessment frailty may be an essential part evaluation in any healthcare encounter that might result escalation care. The purpose study was assess frequency association clinical outcomes patients subject rapid response team (RRT) review. In this multi-national prospective observational cohort study, centres existing RRTs collected data over...
Studies in critically ill patients suggest a relationship between mechanical power (an index of the energy delivered by ventilator, which includes driving pressure, respiratory rate, tidal volume and inspiratory pressure) complications.We aimed to assess association intra-operative postoperative pulmonary complications (PPCs).Post hoc analysis large randomised clinical trial.University-affiliated academic tertiary hospital Melbourne, Australia, from February 2015 2019.Adult undergoing major...