- Airway Management and Intubation Techniques
- Respiratory Support and Mechanisms
- Nosocomial Infections in ICU
- Tracheal and airway disorders
- Patient Safety and Medication Errors
- Central Venous Catheters and Hemodialysis
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Intensive Care Unit Cognitive Disorders
- Infection Control in Healthcare
- Infection Control and Ventilation
- Anesthesia and Pain Management
- Healthcare Technology and Patient Monitoring
- Restless Legs Syndrome Research
- Obstructive Sleep Apnea Research
- Medical Device Sterilization and Disinfection
- Sleep and Wakefulness Research
- Fluid Dynamics and Vibration Analysis
- Anesthesia and Sedative Agents
- Healthcare Decision-Making and Restraints
- Pneumonia and Respiratory Infections
- Spine and Intervertebral Disc Pathology
- Hemodynamic Monitoring and Therapy
- Sepsis Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
Simon Fraser University
2024
Queen Elizabeth Hospital
2013-2023
The University of Texas Medical Branch at Galveston
2023
Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
2007-2022
Queen Elizabeth Hospital
2001-2022
Defence Research and Development Canada
2022
Canadian Armed Forces
2022
University Hospital Münster
2012-2019
King's College Hospital
2008-2018
Istituti Clinici Scientifici Maugeri
2018
Summary This guideline updates and replaces the 5th edition of Standards Monitoring published in 2015. The aim this document is to provide guidance on minimum standards for monitoring any patient undergoing anaesthesia or sedation under care an anaesthetist. recommendations are primarily aimed at anaesthetists practising UK Ireland, but it recognised that these guidelines may also be use other areas world. Minimum patients during recovery phase included. There transfer. new sections...
Leakage of fluid from the subglottic space to lungs occurs along longitudinal folds within wall an inflated high-volume, low-pressure (HVLP) cuff. The low-volume, (LVLP) cuff does not have these yet allows for convenient and reliable control tracheal pressure. Pulmonary aspiration during anesthesia has been linked with postoperative pneumonia critical illness causes ventilator-associated pneumonia.Prospective, blinded, randomized controlled trial; prospective observational study; benchtop...
The Critical Care National Cost Block Programme collects annual cost data for staff, consumables, and clinical support services. We postulated that larger critical care units reduce the overall running costs (independent of capital expenditure) compared with their smaller counterparts.
Tracheostomy is a common procedure in intensive care patient management. The aim of this study was to capture the practice tracheostomy Intensive Care Units United Kingdom. A postal survey sent lead clinicians 228 general units (ICUs) throughout Kingdom excluding specialist units. We aimed identify current tracheostomy, including timing insertion, equipment used and post-operative follow-up.A response rate 86.84% achieved. Percutaneous continues be favoured over surgical with less than 8%...
Sleep-related breathing disorders occur frequently after stroke. We assessed the feasibility of continuous positive airway pressure (CPAP) treatment initiated in first night stroke.In this open-label, parallel-group trial, 50 patients were randomly assigned to CPAP therapy or control group. All underwent polysomnography fourth night. Intervention received for 3 nights starting stroke onset and an additional 4 when revealed apnea-hypopnea index >10/hour. The primary end point was defined as...
Background Leakage of fluid occurs along the longitudinal folds within wall an inflated high-volume, low-pressure cuff. Theoretically, lubrication cuff with a water-soluble gel might prevent aspiration by plugging channels in wall. Pulmonary during anesthesia has been linked postoperative pneumonia and critical illness causes ventilator-associated pneumonia. Methods Lubricated cuffs were compared nonlubricated for leakage dye placed subglottic space to tracheobronchial tree benchtop model (n...
Summary Peri‐operative medication safety is complex. Avoidance of errors both system‐ and practitioner‐based, many departments within the hospital contribute to safe effective systems. For individual anaesthetist, drawing up, labelling then correct administration medications are key components in a patient's peri‐operative journey. These guidelines aim provide pragmatic steps for practitioner other individuals operative environment, as well short‐ long‐term goals development collaborative...
Summary Confidential Enquiries into Stillbirths and Deaths in Infancy (CESDI) have pointed to a high frequency of suboptimal intrapartum fetal care kind that, the event an adverse outcome, is hard defend court. In effort minimize liability, various strategies were applied district hospital labour ward—guidelines, cyclical audit, monthly feedback meetings training sessions cardiotocography (CTG). The effects these interventions on quality was assessed by use CESDI system all babies born with...
ADVERTISEMENT RETURN TO ISSUEPREVArticleNEXTLeaching of cadmium from pigmented plastics in a landfill siteDavid C. Wilson, Peter J. Young, Brinley Hudson, and Grant. BaldwinCite this: Environ. Sci. Technol. 1982, 16, 9, 560–566Publication Date (Print):September 1, 1982Publication History Published online1 May 2002Published inissue 1 September 1982https://pubs.acs.org/doi/10.1021/es00103a005https://doi.org/10.1021/es00103a005research-articleACS PublicationsRequest reuse permissionsArticle...
Background and aims Sleep related breathing disorders (SRBD) are common in patients with ischemic stroke associated poor outcome. SRBD after were assumed to be a direct consequence of injury specific central nervous system structures. However, whether locations infarcts cause is yet unknown. We therefore investigated the association lesion location SRBD. Methods Patients acute treated on our unit included prospective observational study. All underwent magnetic resonance imaging (MRI)...
<i>Background:</i> Of late, obstructive sleep apnea (OSA) has been suggested to be a risk factor for atherosclerotic artery disease. In the present study, we analyzed prevalence of atherosclerosis in stroke patients with and without OSA. <i>Patients Methods:</i> Two hundred fourteen consecutive ischemic were included this study. Patients screened classical cerebrovascular factors. All received cardiorespiratory polygraphy determine apnea-hypopnea index. Duplex...
To define the prevalence, time course, and associated factors of periodic limb movements during sleep (PLMS) in patients with ischemic stroke or TIA.Patients enrolled prospective Sleep-Disordered Breathing Transient Ischemia Attack (TIA)/Ischemic Stroke Continuous Positive Airway Pressure (CPAP) Treatment Efficacy (SAS-CARE) study underwent a double polysomnographic investigation acute chronic phases after stroke/TIA, together MRI brain scan 24-hour blood pressure evaluation. The prevalence...
A new design of tracheal tube cuff, the pressure‐limited used with a constant‐pressure inflation system, was compared high‐volume low‐pressure cuffed for leakage dye placed in subglottic space into trachea. Patients requiring ventilation on intensive care unit were randomly allocated two groups, one each type and blue food instilled daily via fine catheter above cuff space. There eight patients group seven group. Dye leaked trachea (87%) none (0%) (p < 0.01). This study demonstrates that...
Abstract Background Retained central venous catheter guidewires are never events. Currently, preventative techniques rely on clinicians remembering to remove the guidewire. However, solutions solely relying upon humans prevent error inevitably fail. A novel locked procedure pack was designed contain equipment required for completing after guidewire should have been removed: suture, suture holder, and antimicrobial dressings. The is used as a key unlock access contents; thereby, clinician...