Echis coloratus envenomation in children: a retrospective case series

Background Critically ill children presenting to district general hospitals (DGH) are admitted to adult intensive care units (AICUs) for stabilisation prior to transfer to paediatric intensive care units (PICUs). Current training in PICU for adult intensive care physicians is only three months. This single centre retrospective case series examines the case mix of children presenting to a DGH AICU and a multidisciplinary survey assesses confidence and previous experience, highlighting continued training needs for DGH AICU staff. Methods all paediatric admissions to AICU and paediatric retrievals were reviewed over a 6-year period (2014-2019). Cases were identified from the Electronic Patient Record (EPR) and from data provided by the regional paediatric retrieval service. A questionnaire survey was sent to AICU doctors and nurses to assess confidence and competence in paediatric critical care. Results Between 2014-2019, 284 children were managed by AICU. In total 35% of cases were <1 y, 48% of cases were <2 y and 64% of cases were <5 y, and 166/284 (58%) children were retrieved. Retrieval reduced with increasing age (OR 0.49 [0.40-0.60], p < 0.0001). The survey had an 82% response rate, and highlighted that only 13% of AICU nurses and 50% of doctors had received prior PICU training. Conclusion At least one critically unwell child presents to the AICU each week. Assessment, stabilisation and management of critically unwell children are vital skills for DGH AICU staff, but confidence and competence are lacking. Formalised strategies are required to develop and maintain paediatric competencies for AICU doctors and nurses.

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Neoplasia within the equine foot: A retrospective case series of four horses

Equine Veterinary Education ◽

10.1111/eve.13523 ◽

2021 ◽

Author(s):

C. Osborne ◽

Y. A. Elce ◽

L. Meehan ◽

A. J. Davern ◽

T. B. Lescun

Keyword(s):

Case Series ◽

Retrospective Case ◽

Retrospective Case Series

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Outcomes of combined gonioscopy-assisted transluminal trabeculotomy and goniosynechialysis in primary angle closure: a retrospective case series

International Ophthalmology ◽

10.1007/s10792-020-01676-y ◽

2021 ◽

Author(s):

Tanate Chira-adisai ◽

Kazuhiko Mori ◽

Akane Kobayashi ◽

Morio Ueno ◽

Yoko Ikeda ◽

...

Keyword(s):

Case Series ◽

Angle Closure ◽

Retrospective Case ◽

Primary Angle Closure ◽

Retrospective Case Series

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Effect of Lens Capsular Tension Ring on Preventing Capsular Contraction Syndrome in the Surgery of Retinitis Pigmentosa Combined with Cataract: Retrospective Case Series

International Journal of Clinical Practice ◽

10.1111/ijcp.14272 ◽

2021 ◽

Author(s):

Chang Xi Chen ◽

Jin Da Wang ◽

Jing Shang Zhang ◽

Ying Xiong ◽

Jing Li ◽

...

Keyword(s):

Retinitis Pigmentosa ◽

Case Series ◽

Capsular Contraction ◽

Retrospective Case ◽

Capsular Tension Ring ◽

Retrospective Case Series

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Comparative outcome analysis of bleb needling of fibrotic blebs in the clinic versus the operating room: a retrospective case series

BMC Ophthalmology ◽

10.1186/s12886-021-01870-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Vikram Ponnusamy ◽

Van Nguyen ◽

Jella A. An

Keyword(s):

Success Rate ◽

Operating Room ◽

Complication Rate ◽

Primary Outcome ◽

Case Series ◽

Outcome Analysis ◽

Retrospective Case ◽

Xen Gel Stent ◽

Retrospective Case Series ◽

Ab Interno

Abstract Background To compare 6 month outcomes of bleb needling performed in the clinic vs. the operating room (OR) in adult glaucoma patients with failed bleb. Methods A retrospective case series of 47 eyes from 41 glaucoma patients who received needling with mitomycin C (MMC) of scarred bleb from prior bleb-forming procedures in clinic (32 eyes) vs. the OR (15 eyes), including trabeculectomy (14 eyes), ExPress shunt (16 eyes), and ab-interno XEN gel stent (17 eyes). The primary outcome was needling success, defined as IOP ≤ 18 mmHg on 0 glaucoma medications without requiring an additional IOP lowering procedure within 6 months after needling. Results At 6 months, bleb needling success rate was similar when performed in the clinic vs. in the OR (28% vs. 20%, P = 0.54). Success rate was not statistically different in patients with prior trabeculectomy, ExPress shunt, and XEN gel stent (29% vs. 38% vs. 12%, P = 0.26). When comparing clinic vs. the OR needling procedures at 6 months, there was no difference in mean IOP (14.2 vs. 14.9 mmHg, P = 0.73), mean glaucoma medications (1.4 vs. 1.7, P = 0.69), additional IOP-lowering procedure rate (16% vs. 27%, P = 0.37), or complication rate (0% vs. 7%, P = 0.32). Conclusion Bleb needling with MMC in clinic may be a safe and effective way to revise failed bleb after trabeculectomy, ExPress shunt, and XEN gel stent procedures when compared to needling in the OR.

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