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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All publications by 'Yoxall PF'



Mersey and West Lancashire Teaching Hospitals Staff

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St Helens and Knowsley Hospital Staff - Publications pre April 2024

110 - Development of postoperative renal dysfunction and anaemia following an elective total knee replacement

​ The guidelines for the provision of anaesthesia services state that patients undergoing major joint replacement are often elderly, with co-existing medical conditions [1]. Peri-operative acute kidney injury is a leading cause of morbidity and mortality [2].  Methods  We conducted retrospective data collection of 194 patients who underwent an elective primary total knee replacement..

Published: 19/12/2017
Authors: Murray D, Fletcher J, Yoxall PF

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The influence of booking body mass index

​Introduction Obesity is a major public health concern with over half of childbearing aged women overweight or obese in the UK. Maternal obesity carries numerous maternal and fetal complications during pregnancy and is a risk factor for anaesthesia related mortality. The incidence of complications such as caesarean section (CS), preeclampsia,..

Published: 26/10/2016
Authors: Anwar A, Yoxall PF

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A master stroke or recipe for heartache?

​ Background Intra-operative fluid management technologies (FMT) have been identified as a high impact intervention by the Department of Health. This is due to savings from reduced complication rates, improved utilisation of critical care resources and reduced length of stay for patients undergoing major procedures when FMT are used. The trust..

Published: 19/07/2016
Authors: Hughes E, Yoxall PF, Waits R

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Transfusion and haemoglobin changes in primary THR

​ Joint replacement surgery causes a significant burden on national blood stocks accounting for approximately 10% of hospital transfusions [1]. Allogenic blood transfusions are associated with increased morbidity and mortality [2]. There is a wide variation in transfusion rates in UK trusts, for primary total hip replacement (THR), with a reported national average of 25% [3]...

Published: 19/07/2016
Authors: Raftery S, Yoxall PF

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Labour epidural efficacy

​ The aim of our audit was to establish the efficacy of our labour epidurals by assessing the height of the block we achieved whist the epidural was in use and the requirements for ‘top up’ boluses. Following the initial audit we introduced a standardised loading dose to prevent disconnection from..

Published: 19/07/2016
Authors: Yoxall PF

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Epidural bolus requirements

​ Introduction In our department, we use both continuous infusion and programmed intermittent bolus techniques for labour epidural management. As a service evaluation project, we decided to assess the number of additional boluses which were required with each of these techniques. Methods We retrospectively examined the clinical records of 97 women who..

Published: 19/07/2016
Authors: Yoxall PF

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Use of epidural blood patch

​ Background Epidural blood patch (EBP) is viewed as the "gold standard" treatment for headaches caused by accidental dural puncture (ADP), although it is not supported by strong evidence [1]. The mechanism of action is also poorly understood. Moreover, the success of EBP in treating headaches due to labour epidural related ADP..

Published: 19/07/2016
Authors: Yoxall PF

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Red Cell Utilization

​ Yoxall, PF; Mayhew, D. (2012).  Red cell utilization in revision hip surgery and attempting to reduce utilization using a standardized dose of tranexamic acid and appropriate cell salvage . British Journal of Anaesthesia. 109 (3), 475P-476P  

Published: 19/07/2016
Authors: Mayhew D, Yoxall PF

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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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