Publications by authors named "M Homsy"
Approximately 320 million surgeries occur annually worldwide, increasingly performed on an ageing, comorbid population in whom postoperative complications contribute significantly to mortality. While anesthesiologists have led advances in perioperative care, the optimal structure of the provision of postoperative care has lacked discourse. In this article, we describe the implementation, structure, role, and benefits of an Anesthesiology Perioperative Outreach Service (APOS) at a Canadian tertiary hospital, providing proactive daily review and management of high-risk surgical patients.
View Article and Find Full Text PDFDuring the COVID-19 pandemic, long development timelines typically associated with vaccines were challenged. The urgent need for a vaccine provided a strong driver to reevaluate existing vaccine development approaches. Innovative approaches to regulatory approval were realized, including the use of platform-based technology.
View Article and Find Full Text PDFWe present the case of a diver who experienced an uncontrolled ascent from 55 m and presented with a severe decompression illness. She was clinically shocked and in multi organ failure due to massive fluid shifts. She demonstrated bilateral lower limb loss of power and sensation and required multiple hyperbaric therapy sessions.
View Article and Find Full Text PDFArticle Synopsis
- The study examines the need for permanent pacemaker implantation (PPI) after transcatheter aortic valve implantation (TAVI), particularly using the Lotus valve, highlighting PPI rates being affected by various factors.
- It analyzed data from 101 patients, finding that out of 80 patients evaluated post-TAVI, 35% (28 patients) required PPI, but there were no significant differences in certain heart conduction metrics between those needing PPI and those who didn't.
- The results suggest that patients with specific PR interval ranges on the first two days after TAVI have a low risk for PPI and can be safely discharged without extensive monitoring.
Impact of ethnicity on adverse perinatal outcome in women with chronic hypertension: a cohort study.
Ultrasound Obstet Gynecol
July 2019
Objective: To assess the impact of maternal ethnicity on the risk of adverse perinatal outcome in pregnant women with chronic hypertension.
Methods: Demographic and delivery data were collated of women with chronic hypertension and singleton pregnancy who delivered at one of three UK obstetric units between 2000 and 2014. Multivariable logistic regression models were used to calculate risk ratios (RR), according to ethnic group, for adverse perinatal outcome, adjusted for other maternal characteristics including age, parity, body mass index, smoking status, deprivation index and year of delivery.