Airway trauma Conway, Deirdre; Urquhart, Craig S
Anaesthesia and intensive care medicine,
04/2017, Letnik:
18, Številka:
4
Journal Article
Recenzirano
Abstract Airway trauma should be considered according to location and mechanism of injury. Mechanism of airway trauma can be broadly classified as blunt, penetrating and thermal/chemical. Airway ...strategy and planning is key to safe management. These patients may be challenging to manage and complicated by polytrauma. It is essential to remember that the patient's airway may deteriorate rapidly and contingency planning for this should be in place. A structured approach to the patient is essential and delayed diagnosis may worsen outcome.
Airway trauma Urquhart, Craig S.; Airlie, Michael
Anaesthesia and intensive care medicine,
March 2023, 2023-03-00, Letnik:
24, Številka:
3
Journal Article
Recenzirano
Trauma to the airway should be considered according to its anatomical location and the mechanism of injury, which can broadly be classified as blunt, penetrating and thermal/chemical. Patient ...management may be clinically challenging, and is often complicated by polytrauma. A comprehensive airway management strategy is key to safe patient care. Patients’ airway control may deteriorate rapidly, such that contingency planning must be in place. A structured approach to patient assessment is essential to avoid delayed diagnosis, which may worsen patient outcome.
Airway trauma Conway, Deirdre; Urquhart, Craig
Anaesthesia and intensive care medicine,
April 2020, 2020-04-00, Letnik:
21, Številka:
4
Journal Article
Recenzirano
Airway trauma should be considered according to location and mechanism of injury. Mechanisms of airway trauma can be broadly classified as blunt, penetrating and thermal/chemical. Airway strategy and ...planning is key to safe management. These patients may be challenging to manage and complicated by polytrauma. It is essential to remember that the patient's airway may deteriorate rapidly and contingency planning for this should be in place. A structured approach to the patient is essential and delayed diagnosis may worsen outcome.
Regional anaesthesia for eye surgery Fulton, Rachel; Urquhart, Craig
Anaesthesia and intensive care medicine,
December 2019, 2019-12-00, Letnik:
20, Številka:
12
Journal Article
Recenzirano
Many ophthalmic procedures are conducted under a range of local anaesthetic techniques. These range from topical drops through to sharp needle blocks with local anaesthetic. The most commonly used ...block is the sub-Tenon block; it provides excellent operating conditions while reducing complications and risks.
Background In the context of clinical research, investigators have historically selected the outcomes that they consider to be important, but these are often discordant with patients’ priorities. ...Efforts to define and report patient-centered outcomes are gaining momentum, though little work has been done in nephrology. We aimed to identify patient and caregiver priorities for outcomes in hemodialysis. Study Design Nominal group technique. Setting & Participants Patients on hemodialysis therapy and their caregivers were purposively sampled from 4 dialysis units in Australia (Sydney and Melbourne) and 7 dialysis units in Canada (Calgary). Methodology Identification and ranking of outcomes. Analytical Approach Mean rank score (of 10) for top 10 outcomes and thematic analysis. Results 82 participants (58 patients, 24 caregivers) aged 24 to 87 (mean, 58.4) years in 12 nominal groups identified 68 outcomes. The 10 top-ranked outcomes were fatigue/energy (mean rank score, 4.5), survival (defined by patients as resilience and coping; 3.7), ability to travel (3.6), dialysis-free time (3.3), impact on family (3.2), ability to work (2.5), sleep (2.3), anxiety/stress (2.1), decrease in blood pressure (2.0), and lack of appetite/taste (1.9). Mortality ranked only 14th and was not regarded as the complement of survival. Caregivers ranked mortality, anxiety, and depression higher than patients, whereas patients ranked ability to work higher. Four themes underpinned their rankings: living well, ability to control outcomes, tangible and experiential relevance, and severity and intrusiveness. Limitations Only English-speaking participants were eligible. Conclusions Although trials in hemodialysis have typically focused on outcomes such as death, adverse events, and biological markers, patients tend to prioritize outcomes that are more relevant to their daily living and well-being. Researchers need to consider interventions that are likely to improve these outcomes and measure and report patient-relevant outcomes in trials, and clinicians may become more patient-orientated by using these outcomes in their clinical encounters.
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