scholarly journals Comparing success rates of anesthesia providers versus trauma surgeons in their use of palpation to identify the cricothyroid membrane in female subjects: a prospective observational study

2016 ◽  
Vol 63 (7) ◽  
pp. 807-817 ◽  
Author(s):  
Kenneth N. Hiller ◽  
Ron J. Karni ◽  
Chunyun Cai ◽  
John B. Holcomb ◽  
Carin A. Hagberg
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Cricothyroid Membrane ◽  
Success Rates ◽  
Anesthesia Providers ◽  
Trauma Surgeons ◽  
Female Subjects

scholarly journals Safety and Success of Lumbar Puncture in Young Infants: A Prospective Observational Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Luca Bedetti ◽  
Licia Lugli ◽  
Lucia Marrozzini ◽  
Alessandro Baraldi ◽  
Federica Leone ◽  
...  
Keyword(s):  
Body Weight ◽  
Adverse Events ◽  
Observational Study ◽  
Lumbar Puncture ◽  
Intraventricular Hemorrhage ◽  
Prospective Observational Study ◽  
Respiratory Support ◽  
Success Rates ◽  
Non Invasive ◽  
Young Infants

Objective: This study aims to evaluate safety and success rates of lumbar puncture (LP) and to identify factors associated with adverse events or failure of LP in infants.Methods: This two-center prospective observational study investigated infants younger than 90 days of age who underwent LP. Need for resuscitation oxygen desaturation (SpO2 < 90%), bradycardia and intraventricular hemorrhage were considered adverse events. LP failed if cerebrospinal spinal fluid was not collected or had traces of blood. Logistic regression analysis was used to evaluate whether corrected gestational age (GA), body weight at LP, position, and any respiratory support during LP affected SpO2 desaturation or failure of LP.Results: Among 204 LPs, 134 were performed in full-term and 70 in pre-term born infants. SpO2 desaturations occurred during 45 (22.4%) LPs. At multivariate analysis, lower GA at LP (p < 0.001), non-invasive respiratory support (p 0.007) and mechanical ventilation (p 0.004) were associated with SpO2 desaturations. Transient, self-resolving bradycardia occurred in 7 (3.4%) infants. Two infants had intraventricular hemorrhage detected within 72 h of LP. No further adverse events were registered. Failure of LP occurred in 38.2% of cases and was not associated with any of the factors evaluated.Conclusions: LP was safe in most infants. Body weight or GA at LP did not affect LP failure. These data are useful to clinicians, providing information on the safety of the procedure.

Ultrasound-Guided Cannulation of the Brachiocephalic Vein in Neonates and Preterm Infants: A Prospective Observational Study

2017 ◽  
Vol 35 (05) ◽  
pp. 503-508 ◽  
Author(s):  
Paula Alonso-Quintela ◽  
Sandra Terroba-Seara ◽  
Aquilina Jiménez-González ◽  
Silvia Rodríguez-Blanco ◽  
José Vázquez-Martínez ◽  
...  
Keyword(s):  
Observational Study ◽  
Success Rate ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Prospective Observational Study ◽  
Venous Catheter ◽  
Late Complications ◽  
Brachiocephalic Vein ◽  
Success Rates ◽  
Low Weight

Introduction Percutaneous central venous catheter (CVC) insertion is a challenging procedure in neonates, especially in preterm infants. Objective This study aims to describe the technical success and safety profile of ultrasound (US)-guided brachiocephalic vein (BCV) cannulation in neonates. Methods Prospective observational study. Neonates admitted to the neonatal intensive care unit (NICU) in whom US-guided cannulation of the BCV was attempted were eligible. Outcomes included first attempt success rate, the overall success rate, the number of attempts, the cannulation time, immediate mechanical complications, catheter indwelling days, and late complications. Results A total of 40 procedures in 37 patients were included. Median weight and age at the time of cannulation were 1.85 kg (0.76–4.8) and 13 days (3–31), respectively. First attempt and overall success rates were 29 (72.5%) and 38 (95%), respectively. No major complications were observed. Catheter-associated infection rate was 2.4/1,000 catheter days. There were no difference in outcomes between low weight preterm infants (<1.5 kg) and the rest of the cohort. There was no linear relationship between weight at time of insertion and the number of puncture attempts (r = 0.250; p = 0.154) or cannulation time (r = 0.257; p = 0.142). Conclusion US-guided cannulation of the BCV may be considered in acutely ill neonates, including small preterm infants, who need a large bore CVC.

scholarly journals Prospective observational study of gender and ethnicity biases in respiratory protective equipment for healthcare workers in the COVID-19 pandemic

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047716
Author(s):  
Clarissa Y M Carvalho ◽  
Jan Schumacher ◽  
Paul Robert Greig ◽  
Danny J N Wong ◽  
Kariem El-Boghdadly
Keyword(s):  
Observational Study ◽  
Healthcare Workers ◽  
Prospective Observational Study ◽  
Healthcare Facility ◽  
Healthcare Services ◽  
Large Female ◽  
Protective Equipment ◽  
Minority Ethnic Group ◽  
Success Rates ◽  
Fit Testing

ObjectiveTo describe success rates of respiratory protective equipment (RPE) fit testing and factors associated with achieving suitable fit.DesignProspective observational study of RPE fit testing according to health and safety, and occupational health requirements.SettingA large tertiary referral UK healthcare facility.Population1443 healthcare workers undergoing quantitative fit testing.Main outcome measuresQuantitative fit test success (pass/fail) and the count of tests each participant required before successful fit.ResultsHealthcare workers were fit tested a median (IQR) 2 (1–3) times before successful fit was obtained. Males were tested a median 1 (1–2) times, while females were tested a median 2 (1–2) times before a successful fit was found. This difference was statistically significant (p<0.001). Modelling each fit test as its own independent trial (n=2359) using multivariable logistic regression, male healthcare workers were significantly more likely to find a well-fitting respirator and achieve a successful fit on first attempt in comparison to females, after adjusting for other factors (adjusted OR=2.07, 95% CI): 1.66 to 2.60, p<0.001). Staff who described their ethnicity as White were also more likely to achieve a successful fit compared with staff who described their ethnicity as Asian (OR=0.47, 95% CI: 0.38 to 0.58, p<0.001), Black (OR=0.54, 95% CI: 0.41 to 0.71, p<0.001), mixed (OR=0.50 95% CI: 0.31 to 0.80, p=0.004) or other (OR=0.53, 95% CI: 0.29 to 0.99, p=0.043).ConclusionsMale and White ethnicity healthcare workers are more likely to achieve RPE fit test success. This has broad operational implications to healthcare services with a large female and Black, Asian and minority ethnic group population. Fit testing is imperative in ensuring RPE effectiveness in protecting healthcare workers during the COVID-19 pandemic and beyond.

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