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  1. Article: Managing anticoagulation in pregnancy for the anaesthetist on the labour ward.

    Sceales, Penny / Bampoe, Sohail

    British journal of hospital medicine (London, England : 2005)

    2021  Volume 82, Issue 3, Page(s) 1–7

    Abstract: Pregnancy is a hypercoaguable state. As part of the multidisciplinary team on labour ward, the anaesthetist plays a role particularly in advising the women and the obstetric team regarding the timing and even choice of regional analgesia given the ... ...

    Abstract Pregnancy is a hypercoaguable state. As part of the multidisciplinary team on labour ward, the anaesthetist plays a role particularly in advising the women and the obstetric team regarding the timing and even choice of regional analgesia given the potential risk of complications, as this may be affected by the anticoagulation treatment pregnant women may be on. It is important to understand the type of anticoagulation regimens parturients might be on and what sort of risk assessment they must undergo, as this has obstetric and anaesthetic implications. Although a rare presentation, management of women with mechanical prosthetic heart valves who are pregnant requires detailed and highly specialised care in tertiary care centres with a well-developed multidisciplinary team and pathway. Despite their rare presentation, it is important to understand the intricate and complex management that these women require as they have a high morbidity and mortality rate.
    MeSH term(s) Anesthetists ; Anticoagulants/adverse effects ; Female ; Heart Valve Prosthesis ; Humans ; Pregnancy ; Pregnancy Complications, Cardiovascular/drug therapy ; Thrombophilia
    Chemical Substances Anticoagulants
    Language English
    Publishing date 2021-03-31
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2020.0589
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Analgesia for Caesarean section.

    Neall, G / Bampoe, S / Sultan, P

    BJA education

    2022  Volume 22, Issue 5, Page(s) 197–203

    Language English
    Publishing date 2022-03-08
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2888911-3
    ISSN 2058-5357 ; 2058-5349
    ISSN (online) 2058-5357
    ISSN 2058-5349
    DOI 10.1016/j.bjae.2021.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Corrigendum to 'Analgesia for Caesarean section' [BJA Education 22 (2022) 197-203].

    Neall, G / Bampoe, S / Sultan, P

    BJA education

    2022  Volume 22, Issue 11, Page(s) 448

    Abstract: This corrects the article DOI: 10.1016/j.bjae.2021.12.008.]. ...

    Abstract [This corrects the article DOI: 10.1016/j.bjae.2021.12.008.].
    Language English
    Publishing date 2022-05-31
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2888911-3
    ISSN 2058-5357 ; 2058-5349
    ISSN (online) 2058-5357
    ISSN 2058-5349
    DOI 10.1016/j.bjae.2022.05.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Development, implementation and evaluation of high-quality virtual preoperative anaesthetic assessment during COVID-19 and beyond: a quality improvement report.

    Popivanov, Petar / Bampoe, Sohail / Tan, Terry / Rafferty, Paul

    BMJ open quality

    2022  Volume 11, Issue 4

    Abstract: Background: Preoperative risk factor identification and optimisation are widely accepted as the gold standard of care for elective surgery and are essential for reducing morbidity and mortality. COVID-19 public health restrictions required a careful ... ...

    Abstract Background: Preoperative risk factor identification and optimisation are widely accepted as the gold standard of care for elective surgery and are essential for reducing morbidity and mortality. COVID-19 public health restrictions required a careful balance between ensuring best medical practices and maintaining safety by minimising patient face-to-face attendance in the hospital. Based on the successful implementation of telemedicine (TM) in other medical specialties and its feasibility in the preoperative context, this study aimed to develop, implement and evaluate a high-quality virtual preoperative anaesthetic assessment process.
    Methods: The three-step model for improvement was used. The specific, measurable, actionable, relevant, time aim (step 1) and measures for improvement (step 2) were defined at the onset of the project. The plan-do-study-act tool was used for the structured implementation of improvement interventions (step 3) in three phases. Data relating to virtual and in-person referrals, assessments, did-not-attend (DNA) rate, consultation time, day of surgery delays and cancellations, and service-user and provider experience surveys were recorded prospectively.
    Results: A total of 2805 patients were assessed in the preoperative anaesthetic assessment clinic between July 2020 and March 2021. The mean rate of virtual preoperative assessments was 50% (SD ±10) (1390/2805). 0.1% (30/2805) were inappropriately referred on the alternative pathway. The DNA rate was 0.4% (8/1398) and 3% (43/1458) for virtual and in-person pathways, respectively. The mean consultation times for virtual and in-person attendance were 19 (SD ±7) and 31 (SD ±13) min, respectively. There were five same-day surgery cancellations and one delay due to medical reasons. When asked about their experience with the virtual assessment, both service users and providers reported high satisfaction, minimal technical difficulties and shared concerns about limited opportunities for physical examination.
    Conclusion: This is one of the first implementational studies to comprehensively outline the feasibility of TM in preoperative anaesthetic assessment during COVID-19.
    MeSH term(s) Ambulatory Care Facilities ; Anesthetics ; COVID-19 ; Humans ; Quality Improvement ; Telemedicine
    Chemical Substances Anesthetics
    Language English
    Publishing date 2022-10-10
    Publishing country England
    Document type Journal Article
    ISSN 2399-6641
    ISSN (online) 2399-6641
    DOI 10.1136/bmjoq-2022-001959
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Physicians' assistants in anaesthesia: colleagues or competitors?

    Bampoe, Sohail

    British journal of hospital medicine (London, England : 2005)

    2015  Volume 76, Issue 10, Page(s) 610

    MeSH term(s) Anesthesiology ; Cooperative Behavior ; Economic Competition ; Humans ; Physician Assistants ; United Kingdom
    Language English
    Publishing date 2015-10
    Publishing country England
    Document type Journal Article
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2015.76.10.610
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Should remifentanil patient-controlled analgesia be a routine choice for pain relief in labour?

    Bykar, Hannah / Mandour, Yasser / Bampoe, Sam

    British journal of hospital medicine (London, England : 2005)

    2022  Volume 83, Issue 9, Page(s) 1–3

    Abstract: Patient-controlled analgesia with remifentanil is usually reserved for patients for whom other forms of pain relief are contraindicated. However, remifentanil patient-controlled analgesia reduces the likelihood of needing an epidural and therefore the ... ...

    Abstract Patient-controlled analgesia with remifentanil is usually reserved for patients for whom other forms of pain relief are contraindicated. However, remifentanil patient-controlled analgesia reduces the likelihood of needing an epidural and therefore the risk associated with it, provides good pain relief compared to other options, and the risks can be mitigated with appropriate management.
    MeSH term(s) Analgesia, Epidural ; Analgesia, Obstetrical ; Analgesia, Patient-Controlled ; Analgesics, Opioid/therapeutic use ; Female ; Humans ; Labor Pain/drug therapy ; Pain Measurement ; Patient Satisfaction ; Pregnancy ; Remifentanil/therapeutic use
    Chemical Substances Analgesics, Opioid ; Remifentanil (P10582JYYK)
    Language English
    Publishing date 2022-09-07
    Publishing country England
    Document type Journal Article
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2020.0500
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Novel coronavirus SARS-CoV-2 and COVID-19. Practice recommendations for obstetric anaesthesia: what we have learned thus far.

    Bampoe, S / Odor, P M / Lucas, D N

    International journal of obstetric anesthesia

    2020  Volume 43, Page(s) 1–8

    Abstract: SARS-CoV-2 is a novel coronavirus causing a global pandemic of a severe respiratory illness known as COVID-19. To date, globally, over 30,000 people have died from this emerging disease. As clinicians and healthcare systems around the world are rapidly ... ...

    Abstract SARS-CoV-2 is a novel coronavirus causing a global pandemic of a severe respiratory illness known as COVID-19. To date, globally, over 30,000 people have died from this emerging disease. As clinicians and healthcare systems around the world are rapidly adapting to manage patients with COVID-19, limited data are emerging from different patient populations to support best-practice and improve outcomes. In this review, we present a summary of emerging data in the obstetric population and offer obstetric and anaesthetic clinicians around the world a set of evidence-driven, practice-based recommendations for the anaesthetic management of pregnant women with suspected or confirmed COVID-19.
    MeSH term(s) Adult ; Analgesia, Obstetrical ; Anesthesia, Obstetrical ; Betacoronavirus ; COVID-19 ; Cesarean Section ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Female ; Humans ; Intraoperative Care ; Pandemics/prevention & control ; Personal Protective Equipment ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Postoperative Care ; Pregnancy ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-23
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1086024-1
    ISSN 1532-3374 ; 0959-289X
    ISSN (online) 1532-3374
    ISSN 0959-289X
    DOI 10.1016/j.ijoa.2020.04.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: What is the impact of dexamethasone on postoperative pain in adults undergoing general anaesthesia for elective abdominal surgery: a systematic review and meta-analysis.

    Mitchell, C / Cheuk, S J / O'Donnell, C M / Bampoe, S / Walker, D

    Perioperative medicine (London, England)

    2022  Volume 11, Issue 1, Page(s) 13

    Abstract: Background: Previous meta-analysis of heterogeneous surgical cohorts demonstrated reduction in postoperative pain with perioperative intravenous dexamethasone, but none have addressed adults undergoing elective abdominal surgery. The aim of this study ... ...

    Abstract Background: Previous meta-analysis of heterogeneous surgical cohorts demonstrated reduction in postoperative pain with perioperative intravenous dexamethasone, but none have addressed adults undergoing elective abdominal surgery. The aim of this study was to determine the impact of intravenous perioperative dexamethasone on postoperative pain in adults undergoing elective abdominal surgery under general anaesthesia.
    Methods: This review was prospectively registered on the international prospective register of systematic reviews (CRD42020176202). Electronic databases Medical Analysis and Retrieval System Online (MEDLINE), Exerpta Medica Database (EMBASE), (CINAHL) Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science and trial registries were searched to January 28 2021 for randomised controlled trials, comparing dexamethasone to placebo or alternative antiemetic, that reported pain. The primary outcome was pain score, and secondary outcomes were time to first analgesia, opioid requirements and time to post-anaesthesia care unit (PACU) discharge.
    Results: Fifty-two studies (5768 participants) were included in the meta-analysis. Pain scores ≤ 4 hour (h) were reduced in patients who received dexamethasone at rest (mean difference (MD), - 0.54, 95% confidence interval (CI) - 0.72 to - 0.35, I
    Conclusions: Patients receiving dexamethasone had reduced pain scores, postoperative opioid requirements and longer time to first analgesia. Dexamethasone is an effective analgesic adjunct for patients undergoing abdominal surgery.
    Language English
    Publishing date 2022-03-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2683800-X
    ISSN 2047-0525
    ISSN 2047-0525
    DOI 10.1186/s13741-022-00243-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Clarifying appropriate personal protective equipment for obstetric anaesthetists amongst controversy and confusion in COVID-19. Comment on Br J Anaesth 2020; 124: 670-5.

    Lucas, Nuala / Bampoe, Sohail / Odor, Peter M

    British journal of anaesthesia

    2020  Volume 125, Issue 2, Page(s) e241–e242

    MeSH term(s) Anesthesia, Spinal ; Anesthetists ; Betacoronavirus ; COVID-19 ; Cohort Studies ; Coronavirus ; Coronavirus Infections ; Female ; Humans ; Pandemics ; Personal Protective Equipment ; Pneumonia, Viral ; Pregnancy ; Retrospective Studies ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-18
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 80074-0
    ISSN 1471-6771 ; 0007-0912
    ISSN (online) 1471-6771
    ISSN 0007-0912
    DOI 10.1016/j.bja.2020.04.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The importance of SDG 17 and equitable partnerships in maximising participation of persons with communication disabilities and their families.

    Dada, Shakila / Wylie, Karen / Marshall, Julie / Rochus, David / Bampoe, Josephine Ohenewa

    International journal of speech-language pathology

    2022  Volume 25, Issue 1, Page(s) 183–187

    Abstract: Background: Equitable partnerships across borders, sectors and communities are integral in creating shared understanding, novel solutions and sustainable development. Sustainable development goal (SDG) 17: Partnerships for goals, focuses on ... ...

    Abstract Background: Equitable partnerships across borders, sectors and communities are integral in creating shared understanding, novel solutions and sustainable development. Sustainable development goal (SDG) 17: Partnerships for goals, focuses on strengthening global partnerships. This highlights the importance of partnership as a tool to support the achievement of all SDGs. Partnerships are particularly vital to creating sustainable and appropriate services to support people who experience communication or swallowing disability and their families, in under-served communities, where services and expert personnel may be limited and where innovative strategies are required for working with families and communities to improve service accessibility.
    Purpose: To reflect on key principles underpinning the creation of a speech-language pathologists' (SLPs') community of practice, designed to support SLPs from high-, low- and middle-income countries to develop equitable partnerships, aimed at supporting people who experience communication or swallowing disability their families.
    Result: We draw on the authors' experiences of building partnerships to enhance participation for people who experience communication or swallowing disability. We discuss the need for global partnerships and challenges with current funding mechanisms.
    Conclusion: We use the principles of the speech-language pathology community of practice and concepts from the Partnership Accelerator 2030 Agenda to frame reflections and recommendations. This commentary paper focuses on partnerships for the goals (SDG 17).
    MeSH term(s) Humans ; Sustainable Development ; Communication Disorders ; Communication ; Global Health ; Goals
    Language English
    Publishing date 2022-12-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2402483-1
    ISSN 1754-9515 ; 1754-9507
    ISSN (online) 1754-9515
    ISSN 1754-9507
    DOI 10.1080/17549507.2022.2150310
    Database MEDical Literature Analysis and Retrieval System OnLINE

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