Publications by authors named "P F Fennessy"

Background And Objectives: Documentation is important for quality improvement, education, and research. There is currently a lack of recommendations regarding key aspects of documentation in regional anesthesia. The aim of this study was to establish recommendations for documentation in regional anesthesia.

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Article Synopsis
  • In countries like the Netherlands and Norway, point-of-care testing (POCT) is more widely used in general practice compared to countries like England and Australia, prompting a need to understand the healthcare structures and stakeholder interactions involved in POCT integration.
  • The study outlines current value networks for POCT implementation in England, Australia, Norway, and the Netherlands by analyzing governmental guidelines and validating findings with relevant stakeholders.
  • Results indicate that effective communication and support are key challenges for low POCT uptake, with countries having a single national authority for POCT experiencing better implementation and reduced workload for general practitioners.
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Periosteum is a thin membrane covering bone surfaces and consists of two layers: outer fibrous layer and inner cambium layer. Simple appearance of periosteum has belied its own complexity as a composite structure for physical bone protection, mechano-sensor for sensing mechanical loading, reservoir of biochemical molecules for initiating cascade signaling, niche of osteogenic cells for bone formation and repair, and "umbilical cord" for nourishing bone tissue. Periosteum-derived cells (PDCs) have stem cell attributes: self-renewal (no signs of senescence until 80 population doublings) and multipotency (differentiate into fibroblasts, osteoblasts, chondrocytes, adipocytes and skeletal myocytes).

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Background: During performance of emergency front of neck access, the final step in management algorithms for the 'can't intubate, can't oxygenate' scenario, accurate identification of the cricothyroid membrane is crucial. Accurate identification using palpation techniques is low, with highest failure rates occurring in obese females.

Methods: This prospective observational study recruited 28 obese obstetric patients.

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