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  1. Article ; Online: Special considerations for the management of COVID-19 pediatric patients in the operating room and pediatric intensive care unit in a tertiary hospital in Singapore.

    Thampi, Swapna / Yap, Andrea / Fan, Lijia / Ong, Jacqueline

    Paediatric anaesthesia

    2020  Volume 30, Issue 6, Page(s) 642–646

    Abstract: COVID-19 was first identified in Wuhan, China and is caused by the novel coronavirus SARS-CoV 2. It has now spread rapidly to over 190 countries and territories around the world and has been declared a global pandemic by the World Health Organization. ... ...

    Abstract COVID-19 was first identified in Wuhan, China and is caused by the novel coronavirus SARS-CoV 2. It has now spread rapidly to over 190 countries and territories around the world and has been declared a global pandemic by the World Health Organization. The virus is spread through droplet transmission and currently has a mortality rate of over 4% globally. The pediatric population has been found to be less susceptible to the disease with the majority of children having milder symptoms and only one pediatric death being reported globally so far. Despite this, strategies need to be put in place to prevent further spread of the virus. We present a summary of the general measures implemented at a large adult and pediatric tertiary hospital in Singapore (National University Hospital) as well as the specific strategies in place for the operating room and pediatric intensive care unit.
    MeSH term(s) Anesthesiology/methods ; COVID-19/prevention & control ; COVID-19/therapy ; Child ; Humans ; Intensive Care Units, Pediatric ; Operating Rooms ; Pediatrics/methods ; Singapore ; Tertiary Care Centers
    Keywords covid19
    Language English
    Publishing date 2020-04-22
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 1086049-6
    ISSN 1460-9592 ; 1155-5645
    ISSN (online) 1460-9592
    ISSN 1155-5645
    DOI 10.1111/pan.13863
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Special considerations for the management of COVID‐19 pediatric patients in the operating room and pediatric intensive care unit in a tertiary hospital in Singapore

    Thampi, Swapna / Yap, Andrea / Fan, Lijia / Ong, Jacqueline

    Pediatric Anesthesia

    2020  Volume 30, Issue 6, Page(s) 642–646

    Keywords Anesthesiology and Pain Medicine ; Pediatrics, Perinatology, and Child Health ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1086049-6
    ISSN 1460-9592 ; 1155-5645
    ISSN (online) 1460-9592
    ISSN 1155-5645
    DOI 10.1111/pan.13863
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Anesthesia for pulmonary veno-occlusive disease: the dilemma and what we should know as anesthesiologists: A case report.

    Foong, Theng Wai / Tan, Pei Shan / Thampi, Swapna / Balakrishnan, Ashokka

    Medicine

    2020  Volume 99, Issue 30, Page(s) e21517

    Abstract: Introduction: Pulmonary veno-occlusive disease (PVOD) is a rare form of pulmonary hypertension. It is often underdiagnosed or misdiagnosed as idiopathic pulmonary arterial hypertension (PAH). Inappropriate treatment may cause worsening of symptoms which ...

    Abstract Introduction: Pulmonary veno-occlusive disease (PVOD) is a rare form of pulmonary hypertension. It is often underdiagnosed or misdiagnosed as idiopathic pulmonary arterial hypertension (PAH). Inappropriate treatment may cause worsening of symptoms which may lead to fatal outcomes. Anesthetic considerations and management for pulmonary hypertension are well described, but few anesthesiologists are aware of the entity of PVOD and its management.
    Patient concerns: We report a case of PVOD in a 73-year-old female who was on concurrent aspirin and anagrelide, requiring emergent open femoral hernia repair.
    Diagnosis: PVOD and incarcerated femoral hernia INTERVENTION:: Combined spinal-epidural (CSE) was performed to enable the surgery.
    Outcome: Surgery was completed successfully under central neuraxial anesthesia and the patient remained stable and comfortable throughout, avoiding the need for general anesthesia. Due to the concurrent aspirin and anagrelide therapy, significant bleeding from the CSE puncture site was observed immediately post-operatively. This was resolved with external manual compression and withholding the aspirin and anagrelide. Patient remained well without neurological deficit and was discharged postoperative day seven.
    Lessons: It is important to differentiate PVOD from PAH due to the controversial use of pulmonary vasodilators in PVOD. Pulmonary vasodilator is commonly used to treat acute pulmonary hypertension in PAH but its usage may lead to pulmonary edema in patients with PVOD. Hence, with no ideal treatment available, the avoidance of general anesthesia is crucial to prevent acute pulmonary hypertensive crisis in patient with PVOD. However, this needs to be weighed against the elevated risk of central neuraxial bleeding when performing a CSE in a patient on concurrent aspirin and anagrelide therapy. Calculated decision-making considering the risks and benefits of all alternatives should be carried out in such a scenario, and measures should be taken in anticipation of the potential consequences of the eventual decision.
    Conclusion: It is important to differentiate PVOD from PAH. PVOD has unique anesthetic considerations due to the controversial use of pulmonary vasodilators. This case also emphasizes the importance of active anticipation of potential issues and adequate follow up.
    MeSH term(s) Aged ; Anesthesia, Epidural ; Anesthesia, Spinal ; Female ; Hernia, Femoral/surgery ; Herniorrhaphy ; Humans ; Intraoperative Complications/etiology ; Intraoperative Complications/prevention & control ; Pulmonary Veno-Occlusive Disease/complications
    Language English
    Publishing date 2020-09-12
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000021517
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Considerations for resuscitation and transfer of paediatric patients with COVID-19.

    Thampi, Swapna / Lee, Chang C M / Ng, Beatrice H Z / Yap, Andrea P A

    British journal of anaesthesia

    2020  Volume 125, Issue 1, Page(s) e183–e185

    MeSH term(s) Anesthesia ; Betacoronavirus ; COVID-19 ; Child ; Coronavirus Infections ; Humans ; Infection Control ; Pandemics ; Pneumonia, Viral ; Resuscitation ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-27
    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.2020.04.063
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Special considerations for the management of COVID-19 pediatric patients in the operating room and pediatric intensive care unit in a tertiary hospital in Singapore

    Thampi, Swapna / Yap, Andrea / Fan, Lijia / Ong, Jacqueline

    Paediatr. anaesth

    Abstract: COVID-19 was first identified in Wuhan, China and is caused by the novel coronavirus SARS-CoV 2. It has now spread rapidly to over 190 countries and territories around the world and has been declared a global pandemic by the World Health Organization. ... ...

    Abstract COVID-19 was first identified in Wuhan, China and is caused by the novel coronavirus SARS-CoV 2. It has now spread rapidly to over 190 countries and territories around the world and has been declared a global pandemic by the World Health Organization. The virus is spread through droplet transmission and currently has a mortality rate of over 4% globally. The pediatric population has been found to be less susceptible to the disease with the majority of children having milder symptoms and only one pediatric death being reported globally so far. Despite this, strategies need to be put in place to prevent further spread of the virus. We present a summary of the general measures implemented at a large adult and pediatric tertiary hospital in Singapore (National University Hospital) as well as the specific strategies in place for the operating room and pediatric intensive care unit.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #42042
    Database COVID19

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  6. Article ; Online: Considerations for resuscitation and transfer of paediatric patients with COVID-19

    Thampi, Swapna / Lee, Chang C.M. / Ng, Beatrice H.Z. / Yap, Andrea P.A.

    British Journal of Anaesthesia

    2020  Volume 125, Issue 1, Page(s) e183–e185

    Keywords Anesthesiology and Pain Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 80074-0
    ISSN 1471-6771 ; 0007-0912
    ISSN (online) 1471-6771
    ISSN 0007-0912
    DOI 10.1016/j.bja.2020.04.063
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Psychological distress during the COVID-19 pandemic amongst anaesthesiologists and nurses.

    Lee, Melvin C C / Thampi, Swapna / Chan, Hean P / Khoo, Deborah / Chin, Benjamin Z B / Foo, Donald P X / Lua, Chong B / Lewin, Barnaby / Jacob, Rajesh

    British journal of anaesthesia

    2020  Volume 125, Issue 4, Page(s) e384–e386

    MeSH term(s) Adult ; Anesthesiologists/psychology ; Burnout, Professional/prevention & control ; Burnout, Professional/psychology ; COVID-19 ; Coronavirus Infections ; Cross-Sectional Studies ; Female ; Humans ; Male ; Nurses/psychology ; Pandemics ; Pneumonia, Viral ; Psychological Distress ; Quarantine
    Keywords covid19
    Language English
    Publishing date 2020-07-22
    Publishing country England
    Document type Letter
    ZDB-ID 80074-0
    ISSN 1471-6771 ; 0007-0912
    ISSN (online) 1471-6771
    ISSN 0007-0912
    DOI 10.1016/j.bja.2020.07.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Ideal Sequence of Didactic Lectures and Simulation in Teaching Transesophageal Echocardiography Among Anesthesiologists.

    Thampi, Swapna / Lee, Chang Chuan Melvin / Agrawal, Rohit Vijay / Ashokka, Balakrishnan / Ti, Lian Kah / Paranjothy, Suresh / Ponnamperuma, Gominda G

    Journal of cardiothoracic and vascular anesthesia

    2019  Volume 34, Issue 5, Page(s) 1244–1249

    Abstract: Objective: Performing a basic perioperative transesophageal echocardiography (TEE) requires 3-dimensional knowledge of cardiac anatomy, psychomotor skills, and image interpretation. Commonly, lectures followed by simulation sequence is used for teaching ...

    Abstract Objective: Performing a basic perioperative transesophageal echocardiography (TEE) requires 3-dimensional knowledge of cardiac anatomy, psychomotor skills, and image interpretation. Commonly, lectures followed by simulation sequence is used for teaching TEE. Differences may occur among learners when this sequencing of instructional components is altered. The authors investigated the ideal sequence of lectures and simulation in teaching basic perioperative TEE.
    Design: Prospective randomized comparative study.
    Setting: Simulation room in a large academy tertiary care center.
    Participants: Noncardiac anesthesiologists in Singapore with no prior knowledge of TEE.
    Intervention: Comparison of acquisition and retention of knowledge and skills between the lecture followed by simulation group (LS) and the simulation followed by lecture (SL) group.
    Measurements and main results: Knowledge was assessed using multiple-choice questions (MCQs) and skills using a skill test. The primary outcome measured was the MCQ scores (post-course and retest) and the skill test scores (post-course and retest). Of the 43 anesthesiologists who were recruited, 22 were randomized into the LS group and 21 to the SL group. All participants took pre-course and post-course MCQs and post-course skill tests. Post-tests were repeated 1 month after the course to assess retention. There was no significant difference in the post-course MCQ (85.87% v 81.82%) and skill test scores (85.78% v 81.55%) between the SL and LS groups, respectively. The SL group demonstrated significantly better retention of knowledge at 1 month (MCQ score 83.5% v 72.73%; p = 0.003) and skills (skill test score 85.32% v 1.90%; p = 0.016) than the other.
    Conclusion: This study showed that, for retention (at 1 month) of both knowledge and skills, it is preferable to teach practical skills followed by theoretical knowledge to anesthesiologists who are complete novices to TEE.
    MeSH term(s) Anesthesiologists ; Clinical Competence ; Echocardiography, Transesophageal ; Humans ; Prospective Studies ; Singapore ; Teaching
    Language English
    Publishing date 2019-12-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2019.12.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Evaluation of a smartphone camera system to enable visualization and image transmission to aid tracheal intubation with the Airtraq(®) laryngoscope.

    Lee, Delice Weishan / Thampi, Swapna / Yap, Eric Peng Huat / Liu, Eugene Hern Choon

    Journal of anesthesia

    2016  Volume 30, Issue 3, Page(s) 514–517

    Abstract: Using three-dimensional printing, we produced adaptors to attach a smartphone with camera to the eyepiece of the Airtraq(®) laryngoscope. This low-cost system enabled a team to simultaneously view the laryngoscopy process on the smartphone screen, and ... ...

    Abstract Using three-dimensional printing, we produced adaptors to attach a smartphone with camera to the eyepiece of the Airtraq(®) laryngoscope. This low-cost system enabled a team to simultaneously view the laryngoscopy process on the smartphone screen, and also enabled image transmission. We compared the Airtraq(®) with the smartphone Airtraq(®) system in a crossover study of trainee anesthesiologists performing tracheal intubation in a manikin. We also evaluated the smartphone Airtraq(®) system for laryngoscopy and tracheal intubation in 30 patients, including image transmission to and communication with a remote instructor. In the manikin study, the smartphone Airtraq(®) system enabled instruction where both trainee and instructor could view the larynx simultaneously, and did not substantially increase the time required for intubation. In the patient study, we were able to view the larynx in all 30 patients, and the remote instructor was able to receive the images and to respond on correctness of laryngoscopy and tracheal tube placement. Tracheal intubation was successful within 90s in 19 (63 %) patients. In conclusion, use of a smartphone with the Airtraq(®) may facilitate instruction and communication of laryngoscopy with the Airtraq(®), overcoming some of its limitations.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Cross-Over Studies ; Equipment Design ; Humans ; Intubation, Intratracheal/methods ; Laryngoscopes ; Laryngoscopy/methods ; Larynx ; Manikins ; Middle Aged ; Smartphone ; Trachea ; Young Adult
    Language English
    Publishing date 2016
    Publishing country Japan
    Document type Comparative Study ; Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 1107821-2
    ISSN 1438-8359 ; 0913-8668
    ISSN (online) 1438-8359
    ISSN 0913-8668
    DOI 10.1007/s00540-016-2141-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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