A5063746974- Congenital Diaphragmatic Hernia Studies
- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Tracheal and airway disorders
- Renal function and acid-base balance
- Clinical Laboratory Practices and Quality Control
- Lymphatic Disorders and Treatments
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Hemodynamic Monitoring and Therapy
- Child and Adolescent Health
- Neonatal and fetal brain pathology
- Nursing Roles and Practices
- Cleft Lip and Palate Research
- Esophageal and GI Pathology
- Clinical practice guidelines implementation
St Mary's Hospital
2017-2023
St. Mary's Hospital
2018-2023
Manchester University NHS Foundation Trust
2018-2023
University of Manchester
2018
Princess Royal Maternity Hospital
2011
Bronchopulmonary dysplasia (BPD) is a major respiratory complication of extreme prematurity. Dexamethasone effective in reducing ventilation requirements babies with BPD, but follow-up studies have raised concerns about long-term neurological sequelae. Few investigated the lowest dose for weaning from mechanical ventilation.Between January 2004 and December 2008 practice tertiary neonatal unit was to use extremely low doses dexamethasone severe commencing at 0.05 mg/kg/day decreasing over 9...
This case report describes a baby who was diagnosed antenatally with significant left-sided congenital cystic adenomatoid malformation.Following diagnosis of fluid-filled, macrocystic structure on the left side chest, mother referred at 27 weeks' gestation to her regional fetal medicine unit for assessment and ongoing management.Fetal MRI demonstrated cyst measuring 6.7 mm × 4.3 mm, associated mediastinal shift affecting cardiac contractility.Scalp oedema ascites noted this time indicated...
Abstract Aim To determine agreement between neonatal capillary blood gases taken with plastic and glass tubes. Methods An study was carried out in a regional tertiary unit. Inpatient babies ≥1 kg were recruited to the when parents gave consent. After taking routine tube sample, sample run if heel continued bleed. Successful pairs recorded analysed against pre‐defined acceptable differences. Assessment also made of differences failure rates types for each parameter. Results Twenty‐eight...
<h3>Aims</h3> NICU babies often require frequent blood gases. This unit processes 3000–4000 gases monthly. Most are done by heel-prick with glass capillary tubes, potential for needlestick injury. Some units have switched to a safer plastic tube, despite little evidence confirming reliability of results. Locally there were concerns that tubes unreliable, or would result in increasing sample failures. In recent QI project, I endeavoured review our gas practices and facilitate change if...
<h3>Aim</h3> The aim of this quality improvement project was to enhance communication in our unit by formulating a picture book for use with families limited English language or other barriers communication. <h3>Method</h3> This multi-disciplinary based large tertiary NICU serving diverse population, range parental abilities and related understanding language. A qualitative survey, conducted as cross-sectional sample staff available on single shift, used explore a) conceptions the value...
We review the literature on incidence of such events and conclude that these are likely to be under-recognised under-reported.We subsequently make a case why cases should reclassified as 'never events'.Finally we recommendations on, what procedures can followed minimise events.
<h3>Background and aims</h3> This report describes a 30 week baby girl born growth-restricted at 703 grams with Pierre Robin Sequence. We wish to raise awareness of the possibility tracheostomy placement in extremely low birth weight babies, describe use bespoke tubes, tell story one smallest ever babies have emergency for undiagnosed airway malformation. <h3>Methods</h3> Baby was prematurely by C-section IUGR absent end diastolic flow. She required inflation ventilation breaths birth, then...
A term baby was admitted to the neonatal intensive care unit with respiratory distress. presumed diagnosis of oesophageal atresia made following failure pass an orogastric tube. A thoracic ultrasound performed, due persistent right lower lobe changes on chest x-ray and worsening distress without abdominal distention. This identified a soft-tissue mass within thorax, prompting CT (figure 1). demonstrated …