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  1. Article ; Online: Failure modes and effect analysis to develop transfer protocols in the management of COVID-19 patients.

    Sevastru, Stefan / Curtis, Sam / Emanuel Kole, Lola / Nadarajah, Premala

    British journal of anaesthesia

    2020  Volume 125, Issue 2, Page(s) e251–e253

    MeSH term(s) Anesthesia ; COVID-19 ; Checklist ; Clinical Protocols ; Communication ; Coronavirus Infections/therapy ; Healthcare Failure Mode and Effect Analysis ; Humans ; Pandemics ; Patient Care Management/methods ; Patient Care Team/organization & administration ; Patient Transfer/statistics & numerical data ; Pneumonia, Viral/therapy ; Simulation Training
    Keywords covid19
    Language English
    Publishing date 2020-04-27
    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.2020.04.055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Development of a high fidelity, multidisciplinary, crisis simulation model for robotic surgical teams.

    Patki, Siddhant / Nathan, Arjun / Lyness, Craig / Nadarajah, Premala / Sevastru, Stefan / Mahrous, Ahmed / De-Silva, Pedro / Shoniwa, Angeline / Undre, Shabnam / Patki, Prasad

    Journal of robotic surgery

    2023  Volume 17, Issue 5, Page(s) 2019–2025

    Abstract: Immediate access to the patient in crisis situations, such as cardiac arrest during robotic surgery, can be challenging. We aimed to present a full immersion simulation module to train robotic surgical teams to manage a crisis scenario, enhance teamwork, ...

    Abstract Immediate access to the patient in crisis situations, such as cardiac arrest during robotic surgery, can be challenging. We aimed to present a full immersion simulation module to train robotic surgical teams to manage a crisis scenario, enhance teamwork, establish clear lines of communication, improve coordination and speed of response. Start time of cardiopulmonary resuscitation (CPR), first defibrillator shock and robotic de-docking time from the first 'cardiac arrest call' were recorded. Observational Teamwork Assessment for Surgery (OTAS) scores were used in control and test simulations to assess performance along with a participant survey. Repeat scenarios and assessment were conducted at a 6-month interval for the same team to validate knowledge retention and an additional scenario was run with a new anaesthetic team to validate modular design. OTAS scores improved across all specialty teams after training with emergency algorithm and at retention validity re-test (p = 0.0181; p = 0.0063). There was an overall reduction in time to CPR (101-48 s), first defibrillator shock (> 302 s to 86 s) and robot de dock time (86-25 s) Improvement remained constant at retention validity re-test. Replacing the anaesthetic team showed improvement in time to CPR, first shock and robotic de-dock times and did not affect OTAS scores (p = 0.1588). The module was rated highly for realism and crisis training by all teams. This high-fidelity simulation training module is realistic and feasible to deliver. Its modular design allows for efficient assessment and feedback, optimising staff training time and making it a valuable addition to robotic team training.
    MeSH term(s) Humans ; Robotic Surgical Procedures/methods ; Robotics ; Patient Care Team ; Heart Arrest/surgery ; Simulation Training ; Clinical Competence
    Language English
    Publishing date 2023-05-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-023-01612-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Failure modes and effect analysis to develop transfer protocols in the management of COVID-19 patients

    Sevastru, Stefan / Curtis, Sam / Emanuel Kole, Lola / Nadarajah, Premala

    Br J Anaesth

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #125413
    Database COVID19

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  4. Article ; Online: Failure modes and effect analysis to develop transfer protocols in the management of COVID-19 patients

    Sevastru, Stefan / Curtis, Sam / Emanuel Kole, Lola / Nadarajah, Premala

    British Journal of Anaesthesia

    2020  Volume 125, Issue 2, Page(s) e251–e253

    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.2020.04.055
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Plasma exchange in the management of a case of hypertriglyceridaemic pancreatitis triggered by venlafaxine.

    Sevastru, Stefan / Wakatsuki, Mai / Fennell, Jonathan / Grocott, Michael P W

    BMJ case reports

    2012  Volume 2012

    Abstract: The authors present a case of a young, non-diabetic Caucasian male patient with long-standing depression who had recently been started on venlafaxine. He presented to the emergency department with central abdominal pain, drowsiness and vomiting with a ... ...

    Abstract The authors present a case of a young, non-diabetic Caucasian male patient with long-standing depression who had recently been started on venlafaxine. He presented to the emergency department with central abdominal pain, drowsiness and vomiting with a raised serum amylase. He was diagnosed with acute pancreatitis (AP) that was confirmed following an abdominal ultrasound and CT. His initial biochemistry was immeasurable in the first 12 h of admission due to macroscopically visible hyperlipidaemia. In the absence of any other causes of AP, hyperlipidaemia was the most likely aetiology. He was transferred to the intensive care unit where he was managed by lipidic restriction, fluid resuscitation and 3 consecutive days of plasma exchange. Plasma triglyceride levels were reduced from 42.9 to 2.4 mmol/l following plasma exchange. He made a full recovery and at discharge was investigated for familial hypertriglyceridaemia and referred to a multi-disciplinary team for follow-up. His venlafaxine was stopped on admission.
    MeSH term(s) Adult ; Cyclohexanols/adverse effects ; Depression/drug therapy ; Diagnosis, Differential ; Fluid Therapy ; Humans ; Hypertriglyceridemia/diagnosis ; Hypertriglyceridemia/therapy ; Male ; Pancreatitis, Acute Necrotizing/diagnosis ; Pancreatitis, Acute Necrotizing/therapy ; Plasma Exchange ; Serotonin Uptake Inhibitors/adverse effects ; Tomography, X-Ray Computed ; Venlafaxine Hydrochloride
    Chemical Substances Cyclohexanols ; Serotonin Uptake Inhibitors ; Venlafaxine Hydrochloride (7D7RX5A8MO)
    Language English
    Publishing date 2012-08-14
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr.11.2011.5208
    Database MEDical Literature Analysis and Retrieval System OnLINE

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