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  1. Article ; Online: Emergency front of neck access in the management of acute airway obstruction secondary to postoperative neck haematoma.

    Penston, V / White, S / Safar, M / Groom, P

    Anaesthesia reports

    2024  Volume 12, Issue 1, Page(s) e12273

    Abstract: Airway compromise is the most significant complication of a postoperative neck haematoma. Here, we report the management of a case of complete airway obstruction secondary to an acute neck haematoma arising after radical neck dissection, partial ... ...

    Abstract Airway compromise is the most significant complication of a postoperative neck haematoma. Here, we report the management of a case of complete airway obstruction secondary to an acute neck haematoma arising after radical neck dissection, partial glossectomy and a free flap reconstruction. The patient deteriorated precipitously and required immediate emergency surgical front of neck access to secure the airway. Drawing on our experience of this case, we propose a mental model to inform the emergency airway management of postoperative neck haematoma following all types of surgery.
    Language English
    Publishing date 2024-01-11
    Publishing country England
    Document type Case Reports
    ISSN 2637-3726
    ISSN (online) 2637-3726
    DOI 10.1002/anr3.12273
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Clinician perception of long-term survival at the point of critical care discharge: a prospective cohort study.

    Morton, B / Penston, V / McHale, P / Hungerford, D / Dempsey, G

    Anaesthesia

    2020  Volume 75, Issue 7, Page(s) 896–903

    Abstract: Critical care survivors suffer persistent morbidity and increased risk of mortality as compared with the general population. Nevertheless, there are no standardised tools to identify at-risk patients. Our aim was to establish whether the Sabadell score, ... ...

    Abstract Critical care survivors suffer persistent morbidity and increased risk of mortality as compared with the general population. Nevertheless, there are no standardised tools to identify at-risk patients. Our aim was to establish whether the Sabadell score, a simple tool applied by the treating clinician upon critical care discharge, was independently associated with 5-year mortality through a prospective observational cohort study of adults admitted to a general critical care unit. The Sabadell score, which is a measure of clinician-assigned survival perception, was applied to all patients from September 2011 to December 2017. The primary outcome was 5-year mortality, assessed using a multivariable flexible parametric survival analysis adjusted for baseline characteristics and clinically relevant covariates. We studied 5954 patients with a minimum of 18 months follow-up. Mean (SD) age was 59.5 (17.0) years and 3397 (57.1%) patients were men. We categorised 2287 (38.4%) patients as Sadabell 0; 2854 (47.9%) as Sadabell 1; 629 (10.5%) as Sadabell 2; and 183 (3.1%) as Sadabell 3. Adjusted hazard ratios for mortality were 2.1 (95%CI 1.9-2.4); 4.0 (95%CI 3.4-4.6); and 21.0 (95%CI 17.2-25.7), respectively. Sabadell 3 patients had 99.9%, 99.5%, 98.5% and 87.4% mortality at 5 years for patients in the age brackets ≥ 80, 60-79, 40-59 and 16-39 years, respectively. Sabadell 2 patients had 71.0%, 52.7%, 44.8% and 23.7% 5-year mortality for these same age categories. The Sabadell score was independently associated with 5-year survival after critical care discharge. These findings can be used to guide provision of increased support for patients after critical care discharge and/or informed discussions with patients and relatives about dying to ascertain their future wishes.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Attitude of Health Personnel ; Cohort Studies ; Critical Care ; Critical Illness/mortality ; Critical Illness/rehabilitation ; England/epidemiology ; Female ; Follow-Up Studies ; Health Status Indicators ; Hospital Mortality ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Patient Discharge ; Postoperative Period ; Prognosis ; Prospective Studies ; Risk Assessment/methods ; Survival Analysis ; Young Adult
    Language English
    Publishing date 2020-05-04
    Publishing country England
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 80033-8
    ISSN 1365-2044 ; 0003-2409
    ISSN (online) 1365-2044
    ISSN 0003-2409
    DOI 10.1111/anae.15040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 388: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
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  3. Article ; Online: Gastric lipoma: a rare cause of iron-deficiency anaemia.

    Penston, James / Penston, Victoria

    BMJ case reports

    2009  Volume 2009

    Abstract: A 60-year-old man presented with asymptomatic iron deficiency anaemia. Gastroscopy revealed a large submucosal mass involving the antrum and duodenal bulb with a deep ulcer in the gastric component. Computed tomography scan showed the lesion to be a rare ...

    Abstract A 60-year-old man presented with asymptomatic iron deficiency anaemia. Gastroscopy revealed a large submucosal mass involving the antrum and duodenal bulb with a deep ulcer in the gastric component. Computed tomography scan showed the lesion to be a rare gastric lipoma.
    Language English
    Publishing date 2009-03-24
    Publishing country England
    Document type Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr.09.2008.0954
    Database MEDical Literature Analysis and Retrieval System OnLINE

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