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Research Development

Staff Publications

 Small purple icon of a book with a magnifying glass on top  Staff Publications

Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.

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Mersey and West Lancashire Teaching Hospitals Staff

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St Helens and Knowsley Hospital Staff - Publications pre April 2024

0058: Ventilator associated pneumonia: A Cheshire & Mersey critical care network pilot audit

INTRODUCTION Ventilator associated pneumonia (VAP) is an important Intensive Care Unit (ICU) associated infection. VAP is associated with increased mortality, length of stay & cost. ICUs should have standardised systems in place to monitor VAP rates1 . Currently there is no unifying definition of VAP & many of the current definitions in use..

Published: 03/01/2018
Authors:

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0063: Development of a clinical criteria for diagnosing and monitoring

INTRODUCTION It is estimated that ventilator-associated pneumonia (VAP) occurs in 10-20% of patients in intensive care1 . Despite advances in prevention strategies, there remains a lack of consensus on standard criteria for clinical diagnosis of VAP. Although surveillance programmes are available, questions remain about their suitability as a clinical diagnostic tool2 ...

Published: 03/01/2018
Authors:

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Communication within an intensive care setting

​Introduction The ability to communicate well with patients and their relatives is a fundamental clinical skill in intensive care medicine and central to good medical practice. Communication at the bedside, even when the patient is unconscious or sedated, may often be recalled by critical care survivors and can impact upon..

Published: 07/10/2016
Authors: , Fuller A

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Reduction in tidal volumes for ventilated patients

​ Introductions Over 60 % of patients admitted to an Intensive Care Unit (ICU) will require Endotracheal Tube (ETT) intubation and mechanical ventilation. The aim was to perform an audit of ventilation regimes in critically ill patients admitted to Whiston Hospital. Its main objectives were to evaluate the current management of ventilated patients..

Published: 10/08/2016
Authors: Fuller A,

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Critical care in the emergency department: acute kidney injury

​ Abstract Acute kidney injury (AKI) is common among emergency department patients admitted to hospital. There is evidence of inadequate management of the condition leading to adverse outcomes. We present an illustrative case of AKI complicating a gastrointestinal disorder in an older adult. We discuss the clinical presentation, assessment and management..

Published: 19/07/2016
Authors: Bailey DJ, Nee PA, , Todd V

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Effective ventilation during cardiac arrest

​ INTRODUCTION Despite ALS training, management of the airway during in-hospital cardiac arrests often appears poorly performed by the non-anaesthetist. OBJECTIVES To assess the competency of junior doctors airway skills in the cardiac arrest scenario. METHODS We conducted an assessment of foundation year 1 (FY1) doctors´ management of the airway in a..

Published: 19/07/2016
Authors: Young S, Bolton N,

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Setting up the ventilator

​ Background We aimed to see if patients were being set up on the ventilator appropriately, with a tailored ventilation strategy including evidence based tidal volumes. Methods A quality improvement project of patients receiving mechanical ventilation (MV) on the ICU over a 6 month period. Patients admitted for organ donation and those..

Published: 19/07/2016
Authors: , McBeath K,

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Calcium Replacement in Hypocalcaemia

​ Introduction The aim of the study is to examine the efficacy of calcium replacement in patients with hypocalcaemia in the ICU. Hypocalcaemia affects between 15 and 50% of admissions to the ICU. Methods Adjusted calcium results

Published: 19/07/2016
Authors: Chatha H,

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Out of Hours Admission

​ INTRODUCTION.  Recent evidence suggests that patients admitted to hospitals in the UK over the weekend have an increased risk of death when compared to those admitted during the week[1]. Likewise, for intensive care admissions, studies suggest that mortality seems to be worse for patients admitted both out of hours[2] and..

Published: 19/07/2016
Authors: , Harvey E, Downes C,

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Decontamination

​ Introduction An audit to assess the compliance of decontamination of bedside computer keyboards by medical staff on an ICU. The topic was used for audit as previously identified by the hospital infection control department as the worst-performing area on 'clean trace' scoring, and had been a regular topic of discussion..

Published: 19/07/2016
Authors: Disney A,

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St Helens Community Staff

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Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

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