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  1. Article: Supraglottic airway devices: current and future uses.

    Kwanten, Lloyd E / Madhivathanan, Pradeep

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

    2018  Volume 79, Issue 1, Page(s) 31–35

    Abstract: Supraglottic airway devices have increasingly been used in anaesthesia since their invention in 1982. Now over half of general anaesthetic cases in the UK use them, and they have vital roles in difficult airway algorithms, pre-hospital use and emergency ... ...

    Abstract Supraglottic airway devices have increasingly been used in anaesthesia since their invention in 1982. Now over half of general anaesthetic cases in the UK use them, and they have vital roles in difficult airway algorithms, pre-hospital use and emergency medicine. This article presents the current evidence regarding the complications of these devices, and compares these devices and endotracheal intubation. The technology of the newer generation devices has improved the safety profile, and they may be considered a better choice than endotracheal tubes in some cases. There may be a case for using these devices in a wider range of surgical and non-surgical cases.
    MeSH term(s) Airway Management/instrumentation ; Airway Management/methods ; Anesthesia, General/instrumentation ; Anesthesia, General/methods ; Humans ; Intubation, Intratracheal ; Laryngeal Masks/adverse effects
    Language English
    Publishing date 2018-01-03
    Publishing country England
    Document type Journal Article ; Review
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2018.79.1.31
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  2. Article: Should we be using extracorporeal cardiopulmonary resuscitation?

    Shenouda, John Ea / Madhivathanan, Pradeep R

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

    2018  Volume 79, Issue 12, Page(s) 718

    MeSH term(s) Cardiopulmonary Resuscitation/methods ; Extracorporeal Membrane Oxygenation/methods ; Heart Arrest/therapy ; Humans
    Language English
    Publishing date 2018-08-27
    Publishing country England
    Document type Journal Article
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2018.79.12.718
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  3. Article: The use of critical care echocardiography in peri-arrest and cardiac arrest scenarios: Pros, cons and what the future holds.

    Flower, Luke / Olusanya, Olusegun / Madhivathanan, Pradeep R

    Journal of the Intensive Care Society

    2020  Volume 22, Issue 3, Page(s) 230–240

    Abstract: Echocardiography is being increasingly deployed as a diagnostic and monitoring tool in the critically ill. This rise in popularity has led to its recommendation as a core competence in intensive care, with several training routes available. In the peri- ... ...

    Abstract Echocardiography is being increasingly deployed as a diagnostic and monitoring tool in the critically ill. This rise in popularity has led to its recommendation as a core competence in intensive care, with several training routes available. In the peri-arrest and cardiac arrest population, point of care focused echocardiography has the potential to transform patient care and improve outcomes. Be it via diagnosis of shock aetiology and reversibility or assessing response to treatment and prognostication. This narrative review discusses current and future applications of echocardiography in this patient group and provides a structure with which one can approach such patients.
    Language English
    Publishing date 2020-06-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 2701626-2
    ISSN 1751-1437 ; 1751-1437
    ISSN (online) 1751-1437
    ISSN 1751-1437
    DOI 10.1177/1751143720936998
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  4. Article ; Online: The Use of Point-of-Care Lung Ultrasound and Echocardiography in the Management of Coronavirus Disease 2019 (COVID-19).

    Flower, Luke / Olusanya, Olusegun / Madhivathanan, Pradeep R

    Journal of cardiothoracic and vascular anesthesia

    2020  Volume 34, Issue 10, Page(s) 2861–2863

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/diagnostic imaging ; Coronavirus Infections/therapy ; Disease Management ; Echocardiography/methods ; Echocardiography/standards ; Humans ; Lung/diagnostic imaging ; Pandemics ; Pneumonia, Viral/diagnostic imaging ; Pneumonia, Viral/therapy ; Point-of-Care Systems/standards ; SARS-CoV-2 ; Ultrasonography, Interventional/methods ; Ultrasonography, Interventional/standards
    Keywords covid19
    Language English
    Publishing date 2020-05-15
    Publishing country United States
    Document type Letter
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2020.05.009
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  5. Article ; Online: The value of subcostal echocardiographic assessment, and directions for future research.

    Sanfilippo, Filippo / La Via, Luigi / Flower, Luke / Madhivathanan, Pradeep / Astuto, Marinella

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2022  Volume 69, Issue 5, Page(s) 676–677

    MeSH term(s) Echocardiography ; Heart Ventricles/diagnostic imaging ; Humans ; Ventricular Function, Right
    Language English
    Publishing date 2022-02-22
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-022-02225-0
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  6. Article: Management of acute aortic dissection in critical care.

    Flower, Luke / Arrowsmith, Joseph E / Bewley, Jeremy / Cook, Samantha / Cooper, Graham / Flower, Jake / Greco, Renata / Sadeque, Syed / Madhivathanan, Pradeep R

    Journal of the Intensive Care Society

    2023  Volume 24, Issue 4, Page(s) 409–418

    Abstract: Aortic dissections are associated with significant mortality and morbidity, with rapid treatment paramount. They are caused by a tear in the intimal lining of the aorta that extends into the media of the wall. Blood flow through this tear leads to the ... ...

    Abstract Aortic dissections are associated with significant mortality and morbidity, with rapid treatment paramount. They are caused by a tear in the intimal lining of the aorta that extends into the media of the wall. Blood flow through this tear leads to the formation of a false passage bordered by the inner and outer layers of the media. Their diagnosis is challenging, with most deaths caused by aortic dissection diagnosed at post-mortem. Aortic dissections are classified by location and chronicity, with management strategies depending on the nature of the dissection. The Stanford method splits aortic dissections into type A and B, with type A dissections involving the ascending aorta. De Bakey classifies dissections into I, II or III depending on their origin and involvement and degree of extension. The key to diagnosis is early suspicion, appropriate imaging and rapid initiation of treatment. Treatment focuses on initial resuscitation, transfer (if possible and required) to a suitable specialist centre, strict blood pressure and heart rate control and potentially surgical intervention depending on the type and complexity of the dissection. Effective post-operative care is extremely important, with awareness of potential post-operative complications and a multi-disciplinary rehabilitation approach required. In this review article we will discuss the aetiology and classifications of aortic dissection, their diagnosis and treatment principles relevant to critical care. Critical care clinicians play a key part in all these steps, from diagnosis through to post-operative care, and thus a thorough understanding is vital.
    Language English
    Publishing date 2023-03-29
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2701626-2
    ISSN 1751-1437 ; 1751-1437
    ISSN (online) 1751-1437
    ISSN 1751-1437
    DOI 10.1177/17511437231162219
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  7. Article: The Use of Point-of-Care Lung Ultrasound and Echocardiography in the Management of Coronavirus Disease 2019 (COVID-19)

    Flower, Luke / Olusanya, Olusegun / Madhivathanan, Pradeep R

    J Cardiothorac Vasc Anesth

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #276731
    Database COVID19

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  8. Article ; Online: The Use of Point-of-Care Lung Ultrasound and Echocardiography in the Management of Coronavirus Disease 2019 (COVID-19)

    Flower, Luke / Olusanya, Olusegun / Madhivathanan, Pradeep R.

    Journal of Cardiothoracic and Vascular Anesthesia

    2020  Volume 34, Issue 10, Page(s) 2861–2863

    Keywords Anesthesiology and Pain Medicine ; Cardiology and Cardiovascular Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2020.05.009
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  9. Article ; Online: Training and Accreditation Pathways in Critical Care and Perioperative Echocardiography.

    Flower, Luke / Dempsey, Martin / White, Alexander / Sanfilippo, Filippo / Olusanya, Olusegun / Madhivathanan, Pradeep R

    Journal of cardiothoracic and vascular anesthesia

    2020  Volume 35, Issue 1, Page(s) 235–247

    Abstract: In recent years, there has been a dramatic rise in the use of echocardiography in perioperative and critical care medicine. It is now recommended widely as a first-line diagnostic tool when approaching patients in shock, due to its ability to identify ... ...

    Abstract In recent years, there has been a dramatic rise in the use of echocardiography in perioperative and critical care medicine. It is now recommended widely as a first-line diagnostic tool when approaching patients in shock, due to its ability to identify shock etiology and response to treatment noninvasively. To match the increasing training demand, and to ensure maintenance of high-quality and reproducible scanning, several accreditation pathways have been developed worldwide. Critical care echocardiography training pathways can include both transthoracic and transesophageal scanning and range from basic focused protocols to advanced comprehensive scans. The complexity of each individual training program is reflected in its accreditation process. While basic accreditations may require only course attendance and a relatively brief logbook, comprehensive accreditations often require extensive logbooks and written and practical examinations. Currently, the use of transoesophageal echocardiography remains restricted largely to cardiothoracic anesthesia and critical care; however, its use in the general intensive care setting is growing. This narrative review summarizes the most common training pathways, their curricula, and accreditation requirements. The authors initially focus on echocardiography training in the United Kingdom, and then go on to describe similar international accreditations available in Europe, North America, and Australasia.
    MeSH term(s) Accreditation ; Critical Care ; Echocardiography ; Europe ; Humans ; North America ; Perioperative Care ; United Kingdom
    Language English
    Publishing date 2020-07-17
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2020.07.046
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  10. Article ; Online: Getting the most from the subcostal view: The rescue window for intensivists.

    Flower, Luke / Madhivathanan, Pradeep R / Andorka, Matyas / Olusanya, Olusegun / Roshdy, Ashraf / Sanfilippo, Filippo

    Journal of critical care

    2020  Volume 63, Page(s) 202–210

    MeSH term(s) Echocardiography ; Humans ; Stroke Volume
    Language English
    Publishing date 2020-09-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632818-0
    ISSN 1557-8615 ; 0883-9441
    ISSN (online) 1557-8615
    ISSN 0883-9441
    DOI 10.1016/j.jcrc.2020.09.003
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