Publications by authors named "Nathaniel T G Tighe"
Article Synopsis
- Paediatric patients often show respiratory illness symptoms before surgery, which can heighten the risk of respiratory complications during the perioperative period.
- A quality improvement initiative was launched to standardize documentation of preoperative respiratory illnesses, aiming to boost accurate documentation from 0% to 90% by March 1, 2023.
- The introduction of a standardized preoperative illness questionnaire proved successful, achieving a documentation rate of 95% and was adopted by nurses, with plans for electronic implementation across all operating room locations.
Background: COVID-19 forced healthcare systems to make unprecedented changes in clinical care processes. The authors hypothesized that the COVID-19 pandemic adversely impacted timely access to care, perioperative processes, and clinical outcomes for pediatric patients undergoing primary appendectomy.
Methods: A retrospective, international, multicenter study was conducted using matched cohorts within participating centers of the international PEdiatric Anesthesia COVID-19 Collaborative (PEACOC).
Objectives: Electroconvulsive therapy (ECT) is frequently associated with significant hemodynamic changes that increase myocardial oxygen demand including significant hypertension poststimulus. This raises concern about the cumulative effect of repetitive stress from ECT. Historically, various agents have been used to blunt this response and reduce hemodynamic fluctuations in these patients with varying degrees of efficacy.
View Article and Find Full Text PDFBackground: The onset of the COVID19 pandemic drove the rapid development and adoption of physical barriers intended to protect providers from aerosols generated during airway management. We report our initial experience with aerosol barrier devices in pediatric patients and raise concerns that they may increase risk to patients.
Methods: In March 2020, we developed and implemented simulation training and use of plastic aerosol barrier devices as a component of our perioperative COVID-19 workflow.