A5060602656- Airway Management and Intubation Techniques
- Trauma and Emergency Care Studies
- Ultrasound in Clinical Applications
- Tracheal and airway disorders
- Respiratory Support and Mechanisms
- Congenital Diaphragmatic Hernia Studies
- Virtual Reality Applications and Impacts
- Cardiac Arrest and Resuscitation
- Neonatal Respiratory Health Research
- Emergency and Acute Care Studies
- Congenital Heart Disease Studies
- Foreign Body Medical Cases
- Cerebral Palsy and Movement Disorders
- Hemodynamic Monitoring and Therapy
- Delphi Technique in Research
- Central Venous Catheters and Hemodialysis
- Disaster Response and Management
- Chemotherapy-related skin toxicity
- Healthcare Technology and Patient Monitoring
- Human Resource Development and Performance Evaluation
- Persona Design and Applications
- Cleft Lip and Palate Research
- Interprofessional Education and Collaboration
- Craniofacial Disorders and Treatments
- Innovative Human-Technology Interaction
University College London
2017-2022
Great Ormond Street Hospital
2017-2022
Great Ormond Street Hospital for Children NHS Foundation Trust
2016-2021
Goshen College
2020
Abstract Background Morbidity is defined as a state of being unhealthy or experiencing an aspect health that “generally bad for you”, and postoperative morbidity linked to paediatric cardiac surgery encompasses range conditions may impact the patient are potential targets quality assurance. Methods As part wider study, multi-disciplinary group professionals aimed define list morbidities was prioritised by panel reflecting views both from disciplines settings well parents patients. Results We...
In tertiary care PICUs, adverse tracheal intubation-associated events occur frequently (20%; severe in 3-6.5%). However, pediatric patients often present to nonspecialist centers and require intubation by local teams. The rate of is not well studied this setting. We hypothesized that the would be higher centers.Prospective observational study.We conducted a multicenter study covering 47 hospitals North Thames East Anglia region United Kingdom.All intubated children transported Children's...
With survival following paediatric cardiac surgery improving, the attention of quality assurance and improvement initiatives is shifting to long-term outcomes early surgical morbidities. We wanted involve family representatives a range clinicians in selecting morbidities be measured major UK study. Paediatric services UK. convened panel comprising representatives, paediatricians from referring centres, surgeons other centres. Using nominal group technique augmented by robust voting process...
Background Over 5000 paediatric cardiac surgeries are performed in the UK each year and early survival has improved to > 98%. Objectives We aimed identify surgical morbidities that present greatest burden for patients health services develop pilot routine monitoring feedback. Design setting Our multidisciplinary mixed-methods study took place over 52 months across five surgery centres. Participants The participants were children aged < 17 years. Methods reviewed existing literature,...
Aims & Objectives: Aim was to evaluated the presenting complaint, indications, insertion sites, complications associated with Intraosseous needle (IO) insertion. The objective of this study audit use IO’s in paediatric critical care population. Methods: Retrospective case note review all patients who underwent IO between January 2018-June 2020. Results: A documented 271 had insertions over a 30 months. 52% were under 1 year old. 30% respiratory illness. commonest indication for more venous...
Aims & Objectives: Children with mediastinal masses often require interhospital transport to oncology centres for specialist care. The prevalence of patients requiring is not reported in any literature. We described the characteristics a mass transport, reviewed literature and suggested management protocol. Methods: Retrospective review all children admitted Hong Kong Children’s Hospital Paediatric Intensive Care Unit between March 2019 December 2019. Results: Seven were during study period....
Abstract Understanding human behaviour is essential to the successful adoption of new technologies, and for promotion safer care. This requires capturing detail clinical workflows inform design human–technology interactions. We are interested particularly in possibilities touchless technologies that can decipher speech, gesture motion allow interactions free contact. Here, we employ a approach by installing single 360° camera into environment analyse touch patterns human–environment across...
Children with mediastinal masses often present insidious symptoms to nonspecialist centers and require interhospital transport oncology for definitive care. We evaluated clinical characteristics patient outcomes proposed a management protocol.This is retrospective review of all children mass at the pediatric intensive care unit Hong Kong Children's Hospital between April 2019 March 2020.Ten median age 14.5 years (interquartile range, 9.3-17.0 years) were included. Leukemia lymphoma accounted...
Even though the use of videolaryngoscopy is associated with an improved view glottis, process placing a tracheal tube can take longer and be more difficult 1. In context paediatric intubation unchannelled videolaryngscope, we have found that adding lateral curvature distal to proximal anterior using stylet creates S shape, enabling precise manipulation in all three dimensions easier placement (Fig. 1).
<h3>Background</h3> Hospitals referring children to the Children's Acute Transfer Service (CATS) regularly ask for more and better-quality feedback. Mechanisms exist feedback following critical incidents, but no stabilisation- transfer-specific is given routine cases. As part of a project improve hospitals, CATS discharge letter was planned: transporting fellow would enter into database, which after consultant moderation, be included transfer letter. This report relates improving generation....
Aims & Objectives: Acutely ill children often present to community hospitals. Local healthcare providers must provide initial resuscitative care, including airway management. Studies have shown an incidence of Tracheal Intubation Associated Events (TIAEs) 19–54% in the paediatric population at referring hospitals (1,2,3). We sought identify rate TIAEs our referral centres. Methods The Children's Acute Transport Service gathered data prospectively over 15 months on all intubated patients...
Aims & Objectives: Pierre Robin sequence (PRS) is a condition characterised by micrognathia, glossoptosis and cleft palate associated with difficult airway. Both the Airtraq™ GlideScope® have never been directly compared in PRS and, view of this, we chose to evaluate performance these two airway devices manikin for ethical practical reasons. Methods Between April July 2017, 26 paediatric clinical fellows or trainees from tertiary centre were recruited participate. In this prospective...
<h3>Background</h3> Clinical genetics is a small specialty with around 70 trainees nationally. New traditionally have period of observing clinics led by consultants and experienced genetic counsellors before leading their own clinic. This an important time in which they learn practical communication skills respect to approaching consultation, however, the experience can be variable dependent on centre. In light coronavirus pandemic, knowing that many new would not able access this vital...
1Children Acute Transport Service, Boswell Street, Great Ormond Street Hospital, London, United Kingdom 2Department of Anaesthesia,
Aims & Objectives: Inter hospital transport of children in cardiac arrest undergoing cardiopulmonary resuscitation (CPR) is not well documented the literature. We aim to describe incidence, outcome and clinical characteristics paediatric patients requiring during inter by Children’s Acute Transport Service (CATS), London. Methods: Retrospective analysis all transferred CATS between 1st April 2009 October 2019 who received ambulance after leaving referral hospital. Results: During 10 year...
Abstract Understanding human behaviour is essential to the adoption practices for new technologies that promote safer care. This requires capturing detail of clinical workflows inform design interactions including those with touchless decipher human-speech, gesture and motion allow are free contact. Many environments in hospitals sub-optimally designed, a poor layout work surfaces, cumber-some equipment space effort manoeuvre, designs require healthcare staff reach awkwardly medical devices...
The GOSH Clinical Simulation Centre (CSC) delivers an established paediatric aim of the study was to expand applications our pan-trust Over course 18 months, simulation exercises were designed focus on rehearsal and refinement processes systems, towards uncovering latent safety threats or gaps in practice. A reporting tool developed; capture risks identify mitigating actions. In addition this, structure enabled faculty share findings escalate local patient team. COVID-19 pandemic presented...