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  1. Article: Quality improvement in Respiratory Medicine: Designing and implementing a bronchoscopy checklist at Southend University Hospital.

    Thillai, Muhunthan / Powrie, Duncan

    BMJ quality improvement reports

    2013  Volume 2, Issue 1

    Abstract: There is currently no standardised procedure checklist for bronchoscopies in the United Kingdom. Furthermore, very few hospitals appear to routinely use any form of checklist for these procedures. Conversely, the World Health Organisation surgical ... ...

    Abstract There is currently no standardised procedure checklist for bronchoscopies in the United Kingdom. Furthermore, very few hospitals appear to routinely use any form of checklist for these procedures. Conversely, the World Health Organisation surgical checklist has become standard practice in most hospitals, our own included, for all surgical procedures. Based on our own needs, we decided to create a bronchoscopy checklist which could be used at our hospital with the primary emphasis on ensuring patient safety and improving clinical outcomes. We surveyed local surgical checklists as well as endoscopic checklists used in hospitals around the world. We then created an initial draft which was sent out to consultation to all Respiratory Physicians in our hospital. Comments were also taken from the endoscopy nursing staff. After a series of consultations, a checklist was trialled over the course of two weeks. Feedback from use in the endoscopy suite resulted in further modifications and a final version of the checklist came into use in May 2013. It is now used for all bronchoscopic procedures carried out by Respiratory Physicians in the hospital. An audit is planned for later this year to monitor uptake of the checklist and to determine if it has changed outcomes.
    Language English
    Publishing date 2013-08-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2677829-4
    ISSN 2050-1315
    ISSN 2050-1315
    DOI 10.1136/bmjquality.u201878.w997
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Predictors of CPAP outcome in hospitalized COVID-19 patients.

    Noeman-Ahmed, Yasser / Gokaraju, Sriya / Powrie, Duncan J / Amran, Dora A / El Sayed, Iman / Roshdy, Ashraf

    Respirology (Carlton, Vic.)

    2020  Volume 25, Issue 12, Page(s) 1316–1319

    Keywords covid19
    Language English
    Publishing date 2020-11-02
    Publishing country Australia
    Document type Letter
    ZDB-ID 1435849-9
    ISSN 1440-1843 ; 1323-7799
    ISSN (online) 1440-1843
    ISSN 1323-7799
    DOI 10.1111/resp.13964
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Predictors of CPAP outcome in hospitalised COVID-19 patients

    Ahmed, Yasser Noeman / Gokaraju, Sriya / Powrie, Duncan / Amran, Dora / El Sayed, Iman / Roshdy, Ashraf

    medRxiv

    Abstract: Introduction: Throughout March - April 2020, many patients with COVID-19 presented to Southend University Hospital with Acute Hypoxaemic Respiratory Failure (AHRF). Patients were managed in a Specialist Respiratory High Dependency Unit. We present our ... ...

    Abstract Introduction: Throughout March - April 2020, many patients with COVID-19 presented to Southend University Hospital with Acute Hypoxaemic Respiratory Failure (AHRF). Patients were managed in a Specialist Respiratory High Dependency Unit. We present our experience on the usage of continuous positive airway pressure (CPAP) therapy and possible indicators of its success in this patient group. Methods: Data from patients (n=89) requiring mechanical ventilation during the months of March to April 2020, were retrospectively collected and analysed. 37 patients received IMV (Invasive Mechanical Ventilation) without a CPAP trial beforehand. 52 patients underwent a CPAP trial, of which 21 patients successfully avoided intubation and ITU admission. Results: The 52 patients, prior to receiving CPAP had significant respiratory failure as evidenced by a low PaO2: FiO2 (PFR) (mean +/- SD 123 +/- 60 mmHg) and mean SpO2:FiO2 (SFR) (mean +/- SD: 140+/- 50). The main indicators of CPAP success were: higher SFR before and after CPAP, lower respiratory rate (RR) , lower Neutrophil to Lymphocyte ratio (NLR) and higher PFR prior to CPAP. Discussion: CPAP proved successful in 40% of COVID-19 patients presenting with AHRF. SFR, PFR, RR and NLR are predictors of such success. SFR can be used for effective real time monitoring of patients before and after CPAP to identify likelihood of success. Based on our results, we have suggested a modified CPAP management protocol in COVID-19. These findings can guide future studies and will allow improved triage of patients to either CPAP or IMV, in the event of a future COVID peak.
    Keywords covid19
    Language English
    Publishing date 2020-06-16
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2020.06.14.20130880
    Database COVID19

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  4. Article ; Online: Children must be protected from the tobacco industry's marketing tactics.

    Hopkinson, Nicholas / Wallis, Colin / Higgins, Bernard / Gaduzo, Stephen / Sherrington, Rebecca / Keilty, Sarah / Stern, Myra / Britton, John / Bush, Andrew / Moxham, John / Sylvester, Karl / Griffiths, Valerie / Sutherland, Tim / Crossingham, Iain / Raju, Raghu / Spencer, Charlotte / Safavi, Shahideh / Deegan, Paul / Seymour, John /
    Hickman, Katherine / Hughes, John / Wieboldt, Jason / Shaheen, Fizah / Peedell, Clive / Mackenzie, Nesta / Nicholl, David / Jolley, Caroline / Crooks, Gillian / Dow, Claire / Deveson, Pete / Bintcliffe, Oliver / Gray, Barry / Kumar, Sanjay / Haney, Sarah / Docherty, Marianne / Thomas, Angela / Chua, Felix / Dwarakanath, Akshay / Summers, Geoffrey / Prowse, Keith / Lytton, Stephen / Ong, Yee Ean / Graves, Jennifer / Banerjee, Tushar / English, Peter / Leonard, Andrew / Brunet, Martin / Chaudhry, Nauman / Ketchell, Robert Ian / Cummings, Natalie / Lebus, Jenny / Sharp, Charles / Meadows, Chris / Harle, Amelie / Stewart, Tara / Parry, Diane / Templeton-Wright, Suzanne / Moore-Gillon, John / Stratford- Martin, James / Saini, Sarvesh / Matusiewicz, Simon / Merritt, Simon / Dowson, Lee / Satkunam, Karnan / Hodgson, Luke / Suh, Eui-Sik / Durrington, Hannah / Browne, Emma / Walters, Nicola / Steier, Joerg / Barry, Simon / Griffiths, Mark / Hart, Nicholas / Nikolic, Marko / Berry, Matthew / Thomas, Ajit / Miller, Joy / McNicholl, Diarmuid / Marsden, Paul / Warwick, Geoffrey / Barr, Laura / Adeboyeku, David / Mohd Noh, Mohd Shahrin / Griffiths, Paul / Davies, Lisa / Quint, Jennifer / Lyall, Rebecca / Shribman, Jonathan / Collins, Andrea / Goldman, Jon / Bloch, Susannah / Gill, Alison / Man, William / Christopher, Anne / Yasso, Razouqi / Rajhan, Ashwin / Shrikrishna, Dinesh / Moore, Caroline / Absalom, Gareth / Booton, Richard / Fowler, Robert William / Mackinlay, Carolyn / Sapey, Elizabeth / Lock, Sara / Walker, Paul / Jha, Akhilesh / Satia, Imran / Bradley, Bethia / Mustfa, Naveed / Haqqee, Raana / Thomas, Matt / Patel, Anant / Redington, Anthony / Pillai, Anilkumar / Keaney, Niall / Fowler, Stephen / Lowe, Lesley / Brennan, Amanda / Morrison, Douglas / Murray, Clare / Hankinson, Jenny / Dutta, P / Maddocks, Matthew / Pengo, Martino / Curtis, Katrina / Rafferty, Gerrard / Hutchinson, John / Whitfield, Ruth / Turner, Steve / Breen, Ronan / Naveed, Shams-un-nisa / Goode, Chris / Esterbrook, Georgina / Ahmed, Liju / Walker, Woolf / Ford, David / Connett, Gary / Davidson, Philip / Elston, Will / Stanton, Andrew / Morgan, David / Myerson, James / Maxwell, David / Harrris, Ann / Parmar, Sonia / Houghton, Catherine / Winter, Robert / Puthucheary, Zudin / Thomson, Fiona / Sturney, Sharon / Harvey, John / Haslam, Patricia L / Patel, Irem / Jennings, David / Range, Simon / Mallia-Milanes, Brendan / Collett, Anne / Tate, Paul / Russell, Richard / Feary, Johanna / O'Driscoll, Ronan / Eaden, James / Round, Jonathan / Sharkey, Emma / Montgomery, Mary / Vaughan, Sophie / Scheele, Kate / Lithgow, Anna / Partridge, Samuel / Chavasse, Richard / Restrick, Louise / Agrawal, Sanjay / Abdallah, Said / Lacy-Colson, Amruta / Adams, Nick / Mitchell, Sally / Haja Mydin, Helmy / Ward, Ann / Denniston, Sarah / Steel, Mark / Ghosh, Dipansu / Connellan, Stephen / Rigge, Lucy / Williams, Ruth / Grove, Alison / Anwar, Sadia / Dobson, Lee / Hosker, Harold / Stableforth, David / Greening, Neil / Howell, Tim / Casswell, Georgina / Davies, Sarah / Tunnicliffe, Georgia / Mitchelmore, Philip / Phitidis, Elpida / Robinson, Louise / Bafadhel, Mona / Robinson, Grace / Boland, Alison / Lipman, Marc / Bourke, Stephen / Kaul, Sundeep / Cowie, Calvin / Forrest, Ian / Starren, Elizabeth / Burke, Hannah / Furness, John / Bhowmik, Angshu / Everett, Caroline / Seaton, Douglas / Holmes, Steve / Doe, Simon / Parker, Samuel / Graham, Annika / Paterson, Ian / Maqsood, Usman / Ohri, Chandra / Iles, Peter / Kemp, Samuel / Iftikhar, Ahsan / Carlin, Chris / Fletcher, Tim / Emerson, Peter / Beasley, Victoria / Ramsay, Michelle / Buttery, Robert / Mungall, Sarah / Crooks, Stephen / Ridyard, John / Ross, David / Guadagno, Alison / Holden, Emma / Coutts, Ian / Cullen, Kathy / O'Connor, Sally / Barker, Jack / Sloper, Katherine / Watson, John / Smith, Peter / Anderson, Paul / Brown, Louise / Nyman, Cyril / Milburn, Heather / Clive, Amelia / Serlin, Matthew / Bolton, Charlotte / Fuld, Jonathan / Powell, Helen / Dayer, Mark / Woolhouse, Ian / Georgiadi, Adamantia / Leonard, Helen / Dodd, James / Campbell, Ian / Ruiz, Gary / Zurek, Andrew / Paton, James Y / Malin, Adam / Wood, Fraser / Hynes, Gareth / Connell, David / Spencer, David / Brown, Sarah / Smith, David / Cooper, David / O'Kane, Cecilia / Hicks, Alex / Creagh-Brown, Ben / Lordan, James / Nickol, Annabel / Primhak, Robert / Fleming, Louise / Powrie, Duncan / Brown, Joanna / Zoumot, Zaid / Elkin, Sarah / Szram, Joanna / Scaffardi, Anthony / Marshall, Robert / Macdonald, Ian / Lightbody, Darren / Farmer, Ray / Wheatley, Iain / Radnan, Paul / Lane, Ian / Booth, Andrew / Tilbrook, Sean / Capstick, Toby / Hewitt, Lee / McHugh, Martin / Nelson, Christopher / Wilson, Patrick / Padmanaban, Vijay / White, John / Davison, John / O'Callaghan, Una / Hodson, Matthew / Edwards, John / Campbell, Colin / Ward, Simon / Wooler, Edwina / Ringrose, Elizabeth / Bridges, Diana / Matthew Hodson / John Edwards / Colin Campbell / Simon Ward / Edwina Wooler / Elizabeth Ringrose / Diana Bridges / Rosalind Backham / Kim Randall / Tracey Mathieson / Long, Alex / Parkes, Marilyn / Clarke, Sarah / Allen, Bev / Connelly, Carol / Forster, Georgia / Hoadley, Jacky / Martin, Katharine / Barnham, Kate / Khan, Katie / Munday, Maureen / Edwards, Catherine / O'Hara, Doreen / Turner, Sally / Pieri-Davies, Sue / Ford, Kate / Daniels, Tracey / Wright, Joanne / Towns, Rebecca / Fern, Karen / Butcher, Jane / Burgin, Karen / Winter, Barbara / Freeman, Debbie / Olive, Sandra / Gray, Linda / Pye, Kathy / Roots, Debbie / Cox, Nicola / Davies, Carol-Anne / Wicker, Jacquelyne / Hilton, Kay / Lloyd, Jananee / MacBean, Vicky / Wood, Marion / Kowal, Julia / Downs, Janis / Ryan, Helen / Guyatt, Fran / Nicoll, Debby / Lyons, Elizabeth / Narasimhan, Divya / Rodman, Anne / Walmsley, Sandy / Newey, Alison / Buxton, Maria / Dewar, Maria / Cooper, Angela / Reilly, Jacqui / Lloyd, Julie / Macmillan, Alison Bennett / Olley, Amy / Voase, Nia / Martin, Sarah / McCarvill, Iona / Christensen, Anne / Agate, Rowan / Heslop, Karen / Timlett, Amber / Hailes, Karen / Davey, Claire / Pawulska, Barbara / Lane, Amber / Ioakim, Shona / Hough, Alexandra / Treharne, Jo / Jones, Helen / Winter-Burke, Alice / Miller, Lauren / Connolly, Bronwen / Bingham, Lyn / Fraser, Una / Bott, Julia / Johnston, Carol / Graham, Alison / Curry, Denise / Sumner, Helen / Costello, Carol Ann / Bartoszewicz, Charlotte / Badman, Ros / Williamson, Kathryn / Taylor, Amy / Purcell, Helen / Barnett, Emma / Molloy, Alanna / Crawfurd, Laura / Collins, Nicola / Monaghan, Valerie / Mir, Misbah / Lord, Victoria / Stocks, Janet / Edwards, Adrian / Greenhalgh, Trish / Lenney, Warren / McKee, Martin / McAuley, Danny / Majeed, Azeem / Cookson, John / Baker, Emma / Janes, Sam / Wedzicha, Wisia / Lomas Dean, David / Harrison, Brian / Davison, Tony / Calverley, Peter / Wilson, Robert / Stockley, Robert / Ayres, Jon / Gibson, John / Simpson, John / Burge, Sherwood / Warner, John / Thomson, Neil / Davies, Peter / Woodcock, Ashley / Woodhead, Mark / Spiro, Stephen / Ormerod, Lawrence / Bothamley, Graham / Partridge, Martyn / Shields, Michael / Montgomery, Hugh / Simonds, Anita / Barnes, Peter / Durham, Stephen / Malone, Sarah / Arabnia, Gilda / Olivier, Sharon / Gardiner, Karen / Edwards, Sheila

    BMJ (Clinical research ed.)

    2013  Volume 347, Page(s) f7358

    MeSH term(s) Adolescent ; Child ; Humans ; Marketing/legislation & jurisprudence ; Marketing/standards ; Product Packaging/legislation & jurisprudence ; Product Packaging/standards ; Tobacco Industry/legislation & jurisprudence ; Tobacco Industry/standards ; Tobacco Products ; United Kingdom
    Language English
    Publishing date 2013-12-09
    Publishing country England
    Document type Letter
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.f7358
    Database MEDical Literature Analysis and Retrieval System OnLINE

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