Publications by authors named "Lia Paton"

Background: Survivors of burn injuries may be at risk of early death. This study describes the mortality of burn survivors in comparison with two matched cohorts.

Methods: This retrospective cohort study compared adults admitted with a burn injury from 2009 to 2019 with two matched cohorts; one from the general population and one with a diagnosis of acute pancreatitis.

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Article Synopsis
  • - The study investigates similarities and differences among global burn registries to assess the potential for data comparison and sharing, which could enhance burn prevention and care.
  • - Thirteen burn registries contributed, revealing variations in inclusion criteria and a wide range of collected variables, with some common themes identified in data collection practices.
  • - While there are shared aspects that could facilitate future data pooling, significant discrepancies exist that could lead to biases, highlighting the need for standardized data elements for effective collaboration.
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Patients with severe burns are at high risk of thermoregulatory failure. Yet, there is a lack of consensus regarding the optimum approach to temperature dysregulation in patients with severe burns. Intravascular temperature management catheters may offer a superior method of temperature control, but robust data are lacking.

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Article Synopsis
  • Pruritus (itching) is a common and troubling issue after burn injuries, and this review explores how certain neuropathic pain medications can help manage this condition.
  • A systematic search of medical studies focused on the effectiveness of gabapentinoids, doxepin, and local anesthetic agents for treating pruritus post-burn injury.
  • The findings indicate that gabapentinoids significantly improve itching, while doxepin's effectiveness is questionable due to biased studies; more research is needed on local anesthetics.
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The PREdiction of DELIRium for Intensive Care (PRE-DELIRIC) model reliably predicts at 24 h the development of delirium during intensive care admission. However, the model does not take account of alcohol misuse, which has a high prevalence in Scottish intensive care patients. We used the PRE-DELIRIC model to calculate the risk of delirium for patients in our ICU from May to July 2013.

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In this case report, we describe the utilisation of two recently developed technologies for the successful management of a persistent air leak (PAL) in a critically ill patient in whom cardiothoracic surgical intervention was not possible. We report the case of a young leukaemic woman with a PAL complicating Invasive Pulmonary Aspergillosis (IPA), who was effectively managed using an Endobronchial Valve, supplemented by objective, digital air leak data provided by a Thopaz(®) device (Medela, Switzerland).

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