- Neonatal Health and Biochemistry
- Neonatal Respiratory Health Research
- Emergency and Acute Care Studies
- Elbow and Forearm Trauma Treatment
- Streptococcal Infections and Treatments
- Central Venous Catheters and Hemodialysis
- Shoulder Injury and Treatment
- Assisted Reproductive Technology and Twin Pregnancy
- Neonatal and Maternal Infections
- Orthopedic Surgery and Rehabilitation
- Platelet Disorders and Treatments
- Retinopathy of Prematurity Studies
- Infections and bacterial resistance
- Cardiovascular Issues in Pregnancy
- Pharmaceutical studies and practices
- Sepsis Diagnosis and Treatment
- Hemoglobinopathies and Related Disorders
- Congenital Diaphragmatic Hernia Studies
- Pressure Ulcer Prevention and Management
- Child Abuse and Related Trauma
- Neonatal skin health care
- Autopsy Techniques and Outcomes
- Blood disorders and treatments
- Blood groups and transfusion
Norfolk and Norwich University Hospitals NHS Foundation Trust
2011-2023
Government Rajaji Hospital
2017
University Hospital Foundation
2014
Norfolk and Norwich University Hospital
2014
Cambridge University Hospitals NHS Foundation Trust
2010
SUMMARY Objective To describe patterns of clinical bleeding in neonates with severe thrombocytopenia ( ST and platelet count <60 × 10 9 L −1 ), to investigate the factors related bleeding. Study design Seven tertiary‐level neonatal units enrolled n = 169) . Data were collected prospectively on all clinically apparent haemorrhages. Relationships between bleeding, baseline characteristics explored through regression analysis. Results Bleeding was recorded most (138/169; 82%), including 123...
<h3>Background</h3> Bleeding assessment tools have been developed in other specialties to standardise the recording of bleeding for clinical haemostatic outcomes transfusion trials, but such not routine use neonatology. <h3>Aim</h3> The objective this study was develop, refine and evaluate a neonatal tool (NeoBAT) premature term neonates an intensive care setting. <h3>Methods</h3> This prospective international multicentre included all episodes infants admitted intensive/high dependency...
Objective Catheter-related sepsis (CRS) is a major complication with significant morbidity and mortality. Evidence lacking regarding the most appropriate antiseptic for skin disinfection before percutaneous central venous catheter (PCVC) insertion in preterm neonates. To inform feasibility design of definitive randomised controlled trial (RCT) two formulations, we conducted Antiseptic Randomised Controlled Trial Insertion Catheters (ARCTIC) study to assess colonisation, sepsis, morbidity....
We report a term infant born by emergency C-section for fetal bradycardia. Active labour was established at the time of section, resulting in fetus being deeply impacted and difficult to extract. Baby pale floppy but responded inflation breaths. Antenatal scans were unremarkable. She noted have depression measuring 4×4 cm right parietal area. Skull x-ray (figure 1) showed depressed fracture bone. There no …
An ex 27-week baby, corrected to 34 weeks, was administered phenylephrine 2.5% and cyclopentolate 0.5%, one drop per eye, 5 min apart for retinopathy of prematurity (ROP) screening. Within 20 min, the baby developed bilateral periorbital pallor. Blood pressure, heart rate oxygen saturations remained unchanged. The pallor resolved completely with no …
<h3>Background</h3> The East of England (EoE) perinatal networks have 18 neonatal units including three network intensive care units. Different historically used different drug infusion policies. For transferred babies this increases stabilisation time, costs and risks from infection medication error. <h3>Aims</h3> (1) Survey the concentrations across region. (2) Agree implement regional unified prescribing. <h3>Method</h3> Between June October 2009 an email questionnaire was sent to...
BACKGROUNDElbow is a highly stable synovial hinge joint between humerus of arm and radius ulna forearm.It relies more on bony anatomy for stability rather than ligament.Anterior dislocation very rare when compared to posterolateral dislocation.Anterior commonly associated with neurovascular injury hence early diagnosis proper reduction important good functional outcome the elbow.In this case report, we report anterior injury.
A 23+0 week gestation twin girl weighing 465 g was born via spontaneous vaginal delivery. On postnatal day 4, a small area of broken skin noted on her back. Flucloxacillin and gentamicin were commenced Cavilon cream applied. Vancomycin substituted after blood culture grew Staphylococcus epidermidis . swab isolated flora only. By 10, the lesion had worsened with haemorrhagic petechial appearance …