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Showing results for tags 'Medicine - Respiratory'.
Found 108 results
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Content ArticleAcute respiratory distress syndrome (ARDS) and respiratory failure are characterised by hypoxemia (i.e., low levels of blood oxygen). Infections such as influenza and COVID-19 can lead to ARDS or respiratory failure. Treatment is through supportive measures. In severe cases, patients receive oxygen through a ventilator and, when appropriate, are placed in a prone position for an extended period. A retrospective review of events submitted to the Pennsylvania Patient Safety Reporting System (PA-PSRS) identified 98 prone position–related events in patients with ARDS, respiratory failure, distress, and pneumonia from 1 January 2010, through 30 June 2020; 30 events were associated with COVID-19. Skin integrity injuries accounted for 83.7% (82 of 98) of the events. The remaining events, 16.3% (16 of 98), involved unplanned extubations, cardiac arrests, displaced lines, enteral feedings, medication errors, a dental issue, and posterior ischemic optic neuropathy.
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Content Article
Capnography: No Trace = Wrong Place
Patient Safety Learning posted an article in Patient management
The Royal College of Anaesthetists (RCoA) and the Difficult Airway Society (DAS) have collaborated to create the video resource Capnography: No Trace = Wrong Place. Presented by Professor Tim Cook, the video shares the important message that during cardiac arrest, if a capnography trace is completely flat, oesophogeal intubation should be assumed until proven otherwise. -
Content ArticleA National Patient Safety Alert has been issued on the risk of foreign body aspiration during intubation, advanced airway management or ventilation. Foreign body aspiration can occur if loose items are unintentionally introduced into the airway during intubation, ventilation or advanced airway management. This can lead to partial or complete airway blockage or obstruction, and if the cause is not suspected, can be fatal. The most common types of foreign bodies identified in incident reports were transparent backing plastic from electrocardiogram (ECG) electrodes and plastic caps of unclear origin. The alert asks providers to reduce this risk by purchasing safer alternative equipment without loose and transparent parts. Providers are also asked to develop or amend local protocols to ensure pre-prepared intubation and advanced airway management devices are covered or protected until use; and that the ends of reusable breathing system hoses are closed between patient cases.
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Content ArticleIn this webinar, Dr Matt Inada-Kim, Consultant Acute Physician, presents his idea for a COVID-19 virtual ward. Matt talks about using tools and information to empower people to monitor themselves at home so that they know when to ask for help. Early recognition would improve the chances of survival, particularly where symptoms are less obvious but very serious with the potential for rapid deterioration, for example low oxygen levels. Matt uses a Remote Community Oximetry Care (RECOxCARE) model to frame his thinking.
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Content ArticleThis investigation, published in Anesthesiology, was specifically designed to determine whether errors at low saturation correlate with skin colour.
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Content Article
NHS: Your COVID Recovery
PatientSafetyLearning Team posted an article in Resources for patients
When recovering from COVID-19 people may still be coming to terms with the impact the virus has had on both their body and mind. Your COVID Recovery is a digital resource that has been developed by the NHS to help people understand what has happened and what they might expect as part of their recovery. Content includes: Managing the effects Wellbeing Exercises When to seek help Information for family, friends and carers. -
Content Article
Out-patient Parenteral Antibiotic Therapy (OPAT) is now a routine part of care in the UK following demonstration that it is safe and effective for patients and OPAT is now being actively promoted as part of the UK government’s stewardship initiatives. NHS North Tees and Hartlepool share their experience of redesigning their OPAT services. See the attachment below for details on the project. -
Content Article
HMP pulmonary rehabilitation project (February 2015)
Claire Cox posted an article in Prison setting
Here Nina Turner, Healthcare Manager at Rochester Prison discusses how she spotted a gap in healthcare for those in prison. She set up a pulmonary rehabilitation and screening programme for those who smoke in prison. This video sets out how they implemented the project. -
Content Article
Community Acquired Pneumonia: Enhancing Quality Poster
Claire Cox posted an article in Respiratory conditions
The Kent Surrey Sussex Academic Health Science Network Respiratory Network was formed in 2010 to improve the quality, availability and accessibility of respiratory services, and reducing unwarranted variation in the management of pathways, such as community acquired pneumonia (CAP) and chronic obstructive pulmonary disease (COPD). This poster was a winner at the Patient Safety Congress 2019. -
Content ArticleThis decision tree, used at the Brighton and Sussex University Hospitals NHS Trust, was developed as a ‘quick reference’ aid for nurses setting up non-invasive ventilation (NIV). It highlights key settings and signposts users to the full trust policy for more detailed explanation. It is adapted from the British Thoracic Society guidelines for acute NIV.
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Content ArticleThe Healthcare Safety Investigation Branch (HSIB) launched an investigation following the referral of a case from an acute trust involving failure of oxygen delivery during a resuscitation. The case highlighted several issues related to the safe delivery of oxygen from portable systems.
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Content ArticleCOVID-19 rehabilitation will improve exercise tolerance, muscle strength, and help patients manage breathlessness, and potentially allow someone to be discharged earlier. The treatments in this guide, produced by Liverpool Heart and Chest Hospital, focus on breathing, functional and physical exercises. Only complete exercises at home and in hospital that have been discussed with a clinician.
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Content ArticleAs COVID-19 spread throughout the world, clinicians and researchers rapidly published guidance and data and shared their experiences in the hope of understanding the virus better. Their shared purpose was to keep more patients safe from becoming acutely unwell or dying. While the initial focus was on treating the hospitalised, one Trust was also thinking ahead to the challenging recovery many would face.
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Content ArticleThis patient information pack has been produced by staff at Homerton University Hospital. It is designed to help people recover and manage their symptoms following COVID-19.
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Content ArticleThis statement outlines the UK's four nations’ collective strategic priorities and approach to Allied Health Professional (AHP) rehabilitation leadership during and after COVID-19. Rehabilitation is critical to ensuring our population’s recovery from the impacts of the pandemic and the long-term sustainability of the health and social care system. AHPs are at the centre in shaping the rehabilitation agenda while working as part of the wider multidisciplinary and multiagency teams across all sectors.
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Content ArticleThis document from the British Thoracic Society provides a list of resources that are available free of charge and can be used by people with chronic lung disease (and pulmonary rehabilitation professionals) while face-to-face pulmonary rehabilitation is not possible. For example, during the COVID-19 pandemic.
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Content ArticleThis document from the British Thoracic Society is intended to be used as a resource for pulmonary rehabilitation healthcare professionals conducting assessments remotely during the COVID-19 pandemic.
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Content ArticleThis document from the British Thoracic Society is designed to provide brief guidance for the management of non-invasive ventilation in the context of the current COVID-19 pandemic, if the patient was suspected or confirmed as being COVID positive. They are not intended to be prescriptive, and close liaison with the hospital based long-term ventilation teams is still required.
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Content ArticleAsthma UK and British Lung Foundation have created a post-COVID hub. This part of the hub provides healthcare professionals with the latest guidelines on supporting people with post-COVID breathlessness.
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Content ArticleAsthma UK and British Lung Foundation have created a post-COVID hub. This part of their hub provides support for patients who have breathing difficulties after having COVID-19.
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Content ArticleSingle-use N95 respirators are critical to protect staff and patients from airborne infections, but shortages may occur during disease outbreaks and other crisis situations. Wearing an N95 respirator for hours at a time (i.e. extended wear) or reusing a respirator several times (i.e., donning and doffing between uses) are practices used to ease shortages. The potential risks and benefits of these practices may vary greatly across locations and may evolve rapidly during a crisis. This report’s conclusions are not intended as a practice endorsement or call to action. Rather, this report is intended to provide practical guidance on the potential risks and benefits that clinical centers should consider during decision making about N95 respirator reuse or extended use. ECRI is a US-based organisation.
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Content ArticleNovel coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 threatens healthcare resources throughout the world. This is particularly true for the patients who develop moderate to severe respiratory failure and require oxygen supplementation devices such as high-flow nasal cannula (HFNC). The HFNC uses humidification to allow the delivery of up to 100% oxygen at flow rates of up to 60 Lmin-1 ; however, there is a concern this may aerosolize respiratory tract pathogens. This report states that patient requiring HFNC are at least used in single occupancy rooms or negative pressure airborne isolation rooms. Healthcare workers caring for those using HFNC should be wearing full airborne personal protective equipment (i.e., N95 mask or equivalent, gown, gloves, goggles, hair covers, and face shield or hoods).
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Content ArticleThis is a specification of the minimally (and some preferred options) clinically acceptable ventilator to be used in UK hospitals during the current SARS-CoV2 outbreak. It sets out the clinical requirements based on the consensus of what is ‘minimally acceptable’ performance in the opinion of the anaesthesia and intensive care medicine professionals and medical device regulators.
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Content ArticleThis webpage from Asthma UK explains how to cut the risk of getting coronavirus and what happens to your usual asthma care.
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Content ArticlePaediatric cardiac arrest is unlikely to be caused by a cardiac problem and is more likely to be a respiratory one, making ventilations crucial to the child’s chances of survival. However, for those not trained in paediatric resuscitation, the most important thing is to act quickly to ensure the child gets the treatment they need in the critical situation. This page contains:an EPALS algorithm for paediatric COVID-19 patients.a flowchart on the resuscitation of paediatric COVID-19 patients in hospital.
