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| http://dx.doi.org/10.1136/heart.87.4.375 | DOI Listing |
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Epidemiology of hypophosphatemia in critical illness: A multicentre, retrospective cohort study.
Anaesth Crit Care Pain Med
October 2024
Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia; Adult Intensive Care Services, the Prince Charles Hospital, Brisbane, Queensland, Australia; Intensive Care Unit, Caboolture Hospital, Caboolture, Queensland, Australia; Critical Care Division, The George Institute for Global Health, University of New South Wales, Sydney, Australia.
Article Synopsis
- Hypophosphatemia is frequently observed in critically ill patients admitted to Intensive Care Units (ICUs), with a study examining its prevalence and outcomes in Queensland, Australia between 2015 and 2021.
- Out of 89,776 patients, 68,699 were included, and 34.2% experienced hypophosphatemia, typically identified on the second day of ICU stay and resolved within three days.
- The severity of hypophosphatemia correlated with increased 90-day mortality rates, with moderate and severe cases showing significantly higher fatality risks compared to those without hypophosphatemia.
Lack of regional pathways impact on surgical delay: Analysis of the Orthopaedic Trauma Hospital Outcomes-Patient Operative Delays (ORTHOPOD) study.
Injury
December 2023
James Cook University Hospital, Marton Road, Middlesborough, TS4 3BW, United Kingdom.
Introduction: Current practice following injury within the United Kingdom is to receive surgery, at the institution of first contact regardless of ability to provide timely intervention and inconsiderate of neighbouring hospital resource and capacity. This can lead to a mismatch of demand and capacity, delayed surgery and stress within hospital systems, particularly with regards to elective services. We demonstrate through a multicentre, multinational study, the impact of this at scale.
View Article and Find Full Text PDFThe MAGIC trial: a pragmatic, multicentre, parallel, noninferiority, randomised trial of melatonin versus midazolam in the premedication of anxious children attending for elective surgery under general anaesthesia.
Br J Anaesth
January 2024
School of Clinical Dentistry, University of Sheffield, Sheffield, UK. Electronic address:
Background: Child anxiety before general anaesthesia and surgery is common. Midazolam is a commonly used premedication to address this. Melatonin is an alternative anxiolytic, however trials evaluating its efficacy in children have delivered conflicting results.
View Article and Find Full Text PDFImproving Orthopedic Documentation Using Post-Operative Note Proformas: A Quality Improvement Study.
Cureus
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Trauma and Orthopaedics, Altnagelvin Area Hospital, Londonderry, GBR.
Introduction: Accurate medical documentation is important in the perioperative period, ensuring the safe transfer of information between teams involved in the surgical patient's care. This has been highlighted by multiple standards of care guidelines within the United Kingdom. The use of standardized pre-templated documents has displayed significant success in minimizing errors during the admission and operative stages.
View Article and Find Full Text PDFCardiac arrest with retropharyngeal hematoma caused by minor facial injuries from a ground level fall.
Trauma Case Rep
October 2023
Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, Japan.
Background: Traumatic retropharyngeal hematoma followed by airway obstruction is extremely rare. In this report, we show unique images from two cases of out-of-hospital cardiac arrest due to airway obstruction caused by massive retropharyngeal hematoma after a minor facial injury.
Case Presentation: Case 1: A 78-year-old man was transferred to our emergency department due to cardiac arrest.
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