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Introduction
Current institution
Publications
Publications (14)
Objective: This study aims to assess the safety and efficacy of the use of popliteal nerve block (PNB) in the endovascular management of patients with critical limb threatening ischaemia.
Design: Single-centre retrospective observational study.
Methods: All patients with rest pain who received PNB from March 2018 to August 2021 were included. Pai...
Introduction
Radial artery occlusion is one of the significant (but thankfully rare) complications of Trans-radial access (TRA). Though it is usually asymptomatic, radial artery occlusion hinders it being used in the future for interventional procedures. Hence, attempts should be made to avoid this by ensuring patent haemostasis post procedure.
Ob...
Introduction
Since the introduction of major trauma centres and regional trauma networks in 2012, management of splenic injury has shifted, with non-operative management now favoured. For those requiring intervention, splenic artery embolisation is well established as a first-line treatment in all but the most severely injured. Follow-up is variabl...
A 75 year old woman had a computed tomography scan of the
abdomen to investigate weight loss (fig 1). The scan found no
abnormality. Two years later, she had a computed tomography
scan of the chest for persistent cough, in which no thoracic
abnormality was identified, but a heterogeneously enhancing
mass adjacent to the liver was found (fig 2).
The...
Background:
Electronic prescribing (EP) systems are online technology platforms by which medicines can be prescribed, administered, and stock controlled. The actual impact of EP on patient safety is not truly understood. This study seeks to assess the impact of the implementation of an EP system on safety culture, as well as assessing differences...
Catheter-directed thrombolysis is becoming increasingly considered in the treatment of acute ileofemoral deep vein thrombosis. By targeting occlusive thrombi early, it is possible to mitigate the symptoms of post-thrombotic syndrome, which include oedema, pain, and ulceration. NICE guidelines recommend the use of catheter-directed thrombolysis in t...
A 70-year-old male presented with groin pain and swelling 11 days following a pulmonary vein isolation procedure via an unguided femoral venous puncture for atrial fibrillation. On the fourth visit, his haemoglobin level had dropped from 14.2 g l –1 to 10.7 g l –1. Repeat duplex imaging revealed a large haematoma with deep flow. A CT angiogram reve...
The ICE-man (or -woman) cometh, and why we should take heed.
Metastatic non-colorectal cancer of the anal canal is a rare entity. To date, only four cases have been described in the literature. We present a 76-year-old man who was referred with an unusual perianal lesion. He had a history of renal cell carcinoma 7 years previously. Histologically, the lesion revealed clear cell carcinoma in keeping with meta...
Results: 16 of 183 (8.7%) patients had increased LOS. Mean age was 74 y (SD+-15y). Total LOS for the cohort was 366d (mean LOS 22d, SD+-20d) and corrected LOS was 245d (mean 15.4d, SD+-18.8d). Surgical Sepsis accounted for 143d, social service delays for 83d and intervention services delays for 18d. There was no significant difference for age betwe...
