A5058906402- Liver Disease and Transplantation
- Organ Transplantation Techniques and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Liver Disease Diagnosis and Treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pancreatic and Hepatic Oncology Research
- Gallbladder and Bile Duct Disorders
- Acute Kidney Injury Research
- Organ Donation and Transplantation
- Cardiac Arrest and Resuscitation
- Central Venous Catheters and Hemodialysis
- Trauma and Emergency Care Studies
- Patient Safety and Medication Errors
- Clinical Nutrition and Gastroenterology
- Hospital Admissions and Outcomes
- Blood transfusion and management
- Blood donation and transfusion practices
- Hip and Femur Fractures
- Nausea and vomiting management
- Disaster Response and Management
The Royal Free Hospital
2009-2024
University College London
2009-2024
Royal Free London NHS Foundation Trust
2022-2023
University College Hospital
2010-2011
Thrombotic complications are more common in liver disease than might be expected because of the coagulopathy described by conventional coagulation tests. Some these may life-threatening. The phenomenon hypercoagulation is associated with many populations, but incidence transplant recipients unclear. We performed a retrospective database review intraoperative thromboelastography (TEG) for 124 recipients. assessed prevalence this group and investigated relative frequency both shortened TEG...
The international normalised ratio is frequently raised in patients who have undergone major liver resection, and assumed to represent a potential bleeding risk. However, these an increased risk of venous thromboembolic events, despite conventional coagulation tests indicating hypocoagulability. This prospective, observational study undergoing hepatic resection analysed the serial changes early postoperative period. Thrombin generation parameters viscoelastic (thromboelastometry) remained...
Complete inferior vena cava clamping in cavalreplacement during livertransplantis associated with substantial physiological derangement and postoperative morbidity. Partial the piggyback technique may be relatively protective, but evidence is lacking. Having observed variation transhepatic pressure gradient piggyback, we hypothesized that causative mechanism extent of caval rather than surgical approach.We used internal jugular femoral catheters to estimate suprahepatic infrahepatic...
Patients undergoing hepato-pancreato-biliary surgery are typically preoperatively assessed using the American Society of Anesthesiologists (ASA) classification, which is also used for case-mix adjustment when comparing centre outcomes. Studies determining inter-rater variability ASA classification within currently lacking. An international survey was collected and a case-vignette study performed (November 2022-April 2023) regarding in patients among anaesthesiologists surgeons from...
s and Programme: EUROANAESTHESIA 2011: The European Anaesthesiology Congress: Transfusion Haemostasis
s and Programme: EUROANAESTHESIA 2011: The European Anaesthesiology Congress: Transfusion Haemostasis
University College London Hospital NHS Trust, Department of Anaesthesiology, London, United Kingdom
An anaesthetic preoperative assessment for all patients is the standard of care in UK hospitals, but guidance from Royal College Anaesthetists (Curran and Rowbotham, 2009) states that a postoperative visit by an anaesthetist only recommended certain circumstances, such as those graded American Society Anesthesiologists (ASA) physical status 3, 4 or 5, discharged recovery with invasive monitoring situ. There are number potential advantages routine anaesthetist, so why this not performed? This...
<h3>Background:</h3> Safety in prehospital practice is a paramount principle. Personal protective equipment (PPE) use intrinsic to safe practice. There varied guidance as what constitutes effective PPE. No evidence available of current provision encompasses. <h3>Methods:</h3> A questionnaire-based study directed all ambulance trusts, British Association for Immediate Care (BASICS) schemes and air operations England, Scotland Wales. <h3>Results:</h3> Total response rate was excess 66%....