A5011653699- Cardiac Structural Anomalies and Repair
- Congenital Heart Disease Studies
- Aortic Disease and Treatment Approaches
- Cardiac Valve Diseases and Treatments
- Mechanical Circulatory Support Devices
- Cardiac, Anesthesia and Surgical Outcomes
- Transplantation: Methods and Outcomes
- Tracheal and airway disorders
- Dysphagia Assessment and Management
- Organ Transplantation Techniques and Outcomes
- Diverticular Disease and Complications
- Surgical Simulation and Training
- Cardiovascular Issues in Pregnancy
- Renal Transplantation Outcomes and Treatments
- Aortic aneurysm repair treatments
- Skin Diseases and Diabetes
- Bone and Joint Diseases
- Musculoskeletal synovial abnormalities and treatments
- Pituitary Gland Disorders and Treatments
- Cardiac and Coronary Surgery Techniques
- Vascular Procedures and Complications
- Adrenal and Paraganglionic Tumors
- Medical Education and Admissions
- Enhanced Recovery After Surgery
- Body Contouring and Surgery
Freeman Hospital
2013-2025
Newcastle University
2016-2025
Newcastle upon Tyne Hospitals NHS Foundation Trust
2016-2024
Queensland Children’s Hospital
2021-2022
The University of Queensland
2021-2022
Waikato Hospital
2022
St George's Hospital
2019
Sunderland Royal Hospital
2011-2017
South Tees Hospitals NHS Foundation Trust
2016
James Cook University Hospital
2016
The single ventricle patient population comprises the most complex cohort presenting to cardiac transplant team, in terms of demographics, anatomic substrate, and unique physiology. It is also rapidly growing diagnostic group for heart transplantation. In this manuscript, we aim describe changing landscape transplantation conditions through reflection on our own institution's practice experience, alongside contemporary literature review. Single patients are heterogeneous age, diagnosis...
To determine the incidence, outcomes, and evaluate diagnostic modalities for postoperative vocal cord dysfunction (VCD) following cardiothoracic surgery in children.A prospective mixed-methods study using principles of implementation science was completed. All patients undergoing involving aortic arch, ductus, or ligamentum arteriosum vascular rings from September 2019 to December 2020 were enrolled. Patients underwent speech pathology assessment, laryngeal ultrasound, flexible direct...
We examine the influence of variations in provision cardiac surgery UK at hospital level on patient outcomes and also to assess whether there is an inequality access delivery healthcare. Cardiothoracic has pioneered reporting surgeon-specific outcomes, which other specialties have followed. set out identify factors than individual surgeon, can affect enable surgical adopt a similar model.
Thoracocentesis is a simple procedure with high potential to be life-saving, but associated complications if performed incorrectly. The aim of this study was determine both the ability and confidence practitioners who would expected deal tension pneumothorax in out hospital. If any shortfall identified between theoretical practical knowledge goal develop techniques overcome that shortfall.A total 51 consenting medical were recruited participate prospective single-subject crossover applied...
Surgical treatment of symptomatic occlusive lesions the proximal subclavian artery is infrequently necessary. Carotid bypass has gained popularity and now considered standard when stenting not possible. Exposure grafting onto it difficult, as vessel delicate, thin-walled located deep in supraclavicular fossa. The thoracic duct brachial plexus are close proximity to left therefore susceptible damage. Distal axillary instead potential avoiding some these risks. Infraclavicular exposure more...
Every year in Australia over a thousand children who are born with congenital heart disease require surgical intervention. Vocal cord dysfunction (VCD) can be an unavoidable and potentially devastating complication of surgery for disease. Structured, multidisciplinary care pathways help to guide clinical reduce mortality morbidity. An implementation study was conducted embed novel, management pathway into practice using the consolidated framework research (CFIR). The goal prepare...
A 77-year-old man was admitted for aortic valve replacement and combined coronary bypass grafting. Grossly, labile arterial pressures were demonstrated on anesthetic induction prompting cancellation Intensive Care Unit transfer. Urine analysis identified high normetadrenaline/creatinine ratio, plasma metanephrine, normetanephrine. left adrenal lesion computed tomography scan collectively indicated pheochromocytoma. Laparoscopic adrenalectomy prioritized at multidisciplinary team before...
Background Enhanced recovery programmes (ERP) reduce hospital stay and improve outcomes through a structured approach to perioperative care. We present our tailored protocol results for first time AVR CABG patients enrolled on ERP. Key elements are optimising co-morbidities, discharge planning, reduced starvation with carbohydrate loading. Intra-op focus is minimally invasive techniques analgesic planning. Post-op aims extubate early, opiate analgesia using other agents, rapid mobilisation...