- Airway Management and Intubation Techniques
- Tracheal and airway disorders
- Sepsis Diagnosis and Treatment
- Respiratory Support and Mechanisms
- Nosocomial Infections in ICU
- Cardiac, Anesthesia and Surgical Outcomes
- Intensive Care Unit Cognitive Disorders
- Trauma Management and Diagnosis
- Pneumonia and Respiratory Infections
- Thyroid and Parathyroid Surgery
- Esophageal and GI Pathology
- Hip and Femur Fractures
- Cardiac Arrest and Resuscitation
- Vascular Anomalies and Treatments
- Antibiotic Use and Resistance
- Frailty in Older Adults
- Botulinum Toxin and Related Neurological Disorders
- Chronic Disease Management Strategies
- Congenital Diaphragmatic Hernia Studies
- Voice and Speech Disorders
- Glaucoma and retinal disorders
- Intraocular Surgery and Lenses
- Patient Safety and Medication Errors
- Antibiotics Pharmacokinetics and Efficacy
- Global Health and Surgery
University of Liverpool
2010-2021
Aintree University Hospital
2004-2021
Assistance Publique – Hôpitaux de Paris
2021
Inserm
2021
Sorbonne Université
2021
Institut Pierre Louis d‘Épidémiologie et de Santé Publique
2021
Aintree University Hospitals NHS Foundation Trust
1997-2020
University College London Hospitals NHS Foundation Trust
2020
University College London
2020
Queen Mary University of London
2019
<h3>Importance</h3> In patients who require mechanical ventilation for acute hypoxemic respiratory failure, further reduction in tidal volumes, compared with conventional low volume ventilation, may improve outcomes. <h3>Objective</h3> To determine whether lower using extracorporeal carbon dioxide removal improves outcomes failure. <h3>Design, Setting, and Participants</h3> This multicenter, randomized, allocation-concealed, open-label, pragmatic clinical trial enrolled 412 adult receiving...
Abstract Background The nature of multiple organ dysfunction syndrome (MODS) after traumatic injury is evolving as resuscitation practices advance and more patients survive their injuries to reach critical care. aim this study was characterize contemporary MODS subtypes in trauma care at a population level. Methods Adult admitted major centre units were enrolled 4-week point-prevalence study. defined by daily total Sequential Organ Failure Assessment (SOFA) score than 5. Hierarchical...
In the absence of clinical governance from a Consultant Physician in Geriatric medicine 2022, Kildare West Wicklow Integrated Care Programme for Older People (KWWICPOP) team developed an altered pathway collaboration with acute and rehabilitation services within Dublin South, Community Healthcare. (DSKWW CH) This service is adults, aged 65 years over care or living community complex needs, who would benefit receiving multidisciplinary coordinated rehabilitation, two more disciplines...
Despite widespread adoption of percutaneous dilatational tracheostomy within the critical care setting, there is still uncertainty regarding long-term complications, particularly in relation to missed or subclinical tracheal stenosis. In this study, all patients underwent using a single tapered dilator ≥ three months prior enrolment and were evaluated magnetic resonance imaging, spirometry questionnaire. Tracheal area was recorded deemed be stenotic if reduction ≥10% found. Fifty imaging 49...
Aggressive surgical treatment of oral and oropharyngeal cancers may be compromised by significant complications. Early identification patients at risk for postoperative complications assist in clinical decision-making. The objective this study was to assess the value Acute Physiology Chronic Health Evaluation (APACHE II) score predicting early complications.There were 510 cases free tissue transfer surgery identified on Liverpool Oncology Head Neck Database 1995 2002. APACHE II data...
Airway management is paramount to patient safety in critical care. Intensive Care Society (ICS) standards state that all care areas should have a designated difficult airway trolley (DAT) equivalent found operating theatres. We conducted national survey determine compliance with this guideline. Adult intensive units (ICUs) were questioned about the presence of DAT, its contents and training for clinicians. Two hundred sixty-two ICUs responded (90%), which 130 (50%) had DAT. In 38 (29%),...
Background Elderly patients (≥ 80 years of age) surviving an episode critical illness suffer long-term morbidity and risk mortality. Identifying high groups could assist in informing discussions with families. Aim To determine factors associated survival following ICU admission. Design A cohort study aged ≥ age admitted to the as emergency. Methods Patients from January 2010 December 2018 were included study. Primary outcome was five year survival. Mortality assessed using a multivariable...
*Department of Anaesthesia and Critical Care †Department Head Neck Surgery/Otolaryngology, University Hospital Aintree NHS Foundation Trust and; ‡Liverpool CR-UK Centre, Institution Translational Medicine, Liverpool, United Kingdom