Publications by authors named "Tim Meek"
Article Synopsis
- The study aimed to create a glossary of terms for better communication in the development of clinical practice guidelines (CPGs) to prevent misunderstandings.
- Researchers conducted a literature review and collaborated with experts to gather and define relevant terms in two rounds of Delphi surveys.
- The final glossary, which reached consensus on 37 terms, is intended to enhance collaboration among organizations, improve communication, and streamline the guideline development process.
Purpose Of Review: Early warning scores, early warning systems and rapid response systems, were established in 1999. In the UK, a National Early Warning Score was launched in 2013 and is now used throughout the National Health Service. In 2007, a firm recommendation was made by the maternal confidential death enquiry that maternity units should incorporate a modified early obstetric warning score chart into clinical practice.
View Article and Find Full Text PDFThe use of intravenous lipid emulsion (ILE) as an antidote has prompted significant academic and clinical interest. Between August 2009 and August 2012, data from cases of ILE use in intoxicated patients in different hospitals on different continents were voluntarily entered into a registry based on the world wide web (www.lipidregistry.
View Article and Find Full Text PDFBackground: Clinical and financial pressures in the United Kingdom's National Health Service have been a stimulus for change from overnight stay to day case surgery for many procedures, including pediatric tonsillectomy. There are no prospective studies to assess whether such a change in practice alters children's experiences of pain and perioperative morbidity. Therefore, we undertook a prospective audit to measure these adverse outcomes during this change of practice in our unit.
View Article and Find Full Text PDFBackground: The authors have previously observed an apparent association between rostral spread of spinal anesthesia and choice of intravenous vasopressor given to maintain maternal systolic arterial pressure during cesarean delivery. This study tested the hypothesis that an intravenous infusion of phenylephrine can reduce rostral spread of spinal anesthesia in pregnancy, compared with ephedrine.
Methods: The study was randomized and double blind.