Cuffed or uncuffed endotracheal tubes in pediatric anesthesia: a survey of current practice in the United Kingdom and The Netherlands

Introduction: The use of throat packs during oropharyngeal surgery has long been a topic of debate among cleft surgeons. The advantage of inserting an absorbent tulle within the pharynx must be weighed against the risk of unintended retention postoperatively. Despite safety check mechanisms in place, retention may occur with potentially life-threatening consequences. We present a comprehensive review of throat pack use in all cleft units within the United Kingdom and Ireland. Methods: All 20 cleft surgery units in the United Kingdom and Ireland were surveyed on their use of throat packs in children aged 6 months to 2 years undergoing elective cleft palate surgery. Results: The response rate to the survey was 100%. Seventy-five percent of units currently use throat packs; in 40%, they are used in addition to cuffed endotracheal tubes (ETTs). Inclusion of the throat pack in the surgical swab count was perceived as the safest mechanism employed to avoid retention. 26.1% of respondents were aware of at least 1 incident of pack retention in their unit. Discussion/Conclusion: The reported UK and Irish experience demonstrates that three-quarters of units routinely use packs. Notably, a quarter of respondents to the survey have experience of an incident of throat pack retention. Nevertheless, the majority of respondents considered the perceived risk of retaining a pack to be low. The growing use of microcuffed ETTs in UK cleft units paired with a low incidence of perioperative complications when a throat pack is not introduced might prompt cleft surgeons to review routine pharyngeal packing.

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Current practice in the management of acute/unstable slipped capital femoral epiphyses in the United Kingdom and the Netherlands: results of a survey of the membership of the British Society of Childrenʼs Orthopaedic Surgery and the Werkgroep Kinder Orthopaedie

Journal of Pediatric Orthopaedics B ◽

10.1097/01.bpb.0000236234.64893.92 ◽

2007 ◽

Vol 16 (2) ◽

pp. 79-83 ◽

Cited By ~ 23

Author(s):

Melinda Witbreuk ◽

Philip Besselaar ◽

Deborah Eastwood

Keyword(s):

United Kingdom ◽

The Netherlands ◽

Orthopaedic Surgery ◽

Current Practice ◽

British Society ◽

The United Kingdom

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A Comparison of Gender Diversity in the Corporate Governance Codes of France, Germany, Spain, the Netherlands and the United Kingdom

SSRN Electronic Journal ◽

10.2139/ssrn.1585280 ◽

2010 ◽

Author(s):

Mijntje Lückerath-Rovers

Keyword(s):

Corporate Governance ◽

United Kingdom ◽

The Netherlands ◽

Gender Diversity ◽

The United Kingdom ◽

Corporate Governance Codes

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The Threat of Hedge Fund Driven Shareholder Activism - Empirical Evidence from the Introduction of Stewardship Codes in the United Kingdom and the Netherlands

SSRN Electronic Journal ◽

10.2139/ssrn.3215228 ◽

2018 ◽

Author(s):

Marcel Maier

Keyword(s):

United Kingdom ◽

The Netherlands ◽

Empirical Evidence ◽

Hedge Fund ◽

Shareholder Activism ◽

The United Kingdom

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Strategies for the assessment of competences during rheumatology training across Europe: results of a qualitative study

RMD Open ◽

10.1136/rmdopen-2020-001183 ◽

2020 ◽

Vol 6 (2) ◽

pp. e001183 ◽

Cited By ~ 2

Author(s):

Aurélie Najm ◽

Alessia Alunno ◽

Francisca Sivera ◽

Sofia Ramiro ◽

Catherine Haines

Keyword(s):

The Netherlands ◽

Current Practice ◽

Online Discussion ◽

Qualitative Approach ◽

Formative Feedback ◽

Competence Assessment ◽

The United Kingdom ◽

Online Focus Groups ◽

Assessment Systems ◽

Insight Into

ObjectivesTo gain insight into current methods and practices for the assessment of competences during rheumatology training, and to explore the underlying priorities and rationales for competence assessment.MethodsWe used a qualitative approach through online focus groups (FGs) of rheumatology trainers and trainees, separately. The study included five countries—Denmark, the Netherlands, Slovenia, Spain and the United Kingdom. A summary of current practices of assessment of competences was developed, modified and validated by the FGs based on an independent response to a questionnaire. A prioritising method (9 Diamond technique) was then used to identify and justify key assessment priorities.ResultsOverall, 26 participants (12 trainers, 14 trainees) participated in nine online FGs (2 per country, Slovenia 1 joint), totalling 12 hours of online discussion. Strong nationally (the Netherlands, UK) or institutionally (Spain, Slovenia, Denmark) standardised approaches were described. Most groups identified providing frequent formative feedback to trainees for developmental purposes as the highest priority. Most discussions identified a need for improvement, particularly in developing streamlined approaches to portfolios that remain close to clinical practice, protecting time for quality observation and feedback, and adopting systematic approaches to incorporating teamwork and professionalism into assessment systems.ConclusionThis paper presents a clearer picture of the current practice on the assessment of competences in rheumatology in five European countries and the underlying rationale of trainers’ and trainees’ priorities. This work will inform EULAR Points-to-Consider for the assessment of competences in rheumatology training across Europe.

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Test–retest reliability of the EQ-5D-5L and the reworded QOLIBRI-OS in the general population of Italy, the Netherlands, and the United Kingdom

Quality of Life Research ◽

10.1007/s11136-021-02893-3 ◽

2021 ◽

Author(s):

Di Long ◽

Suzanne Polinder ◽

Gouke J. Bonsel ◽

Juanita A. Haagsma

Keyword(s):

United Kingdom ◽

General Population ◽

The Netherlands ◽

Web Based ◽

Retest Reliability ◽

The United Kingdom ◽

Sum Score ◽

Summary Index ◽

Test Retest Reliability ◽

Eq Vas

Abstract Purpose To assess the test–retest reliability of the EQ-5D-5L and the reworded Quality of Life After Traumatic Brain Injury Overall Scale (QOLIBRI-OS) for the general population of Italy, the Netherlands, and the United Kingdom (UK). Methods The sample contains 1864 members of the general population (aged 18–75 years) of Italy, the Netherlands, and the UK who completed a web-based questionnaire at two consecutive time points. The survey included items on gender, age, level of education, occupational status, household annual income, chronic health status, and the EQ-5D-5L and reworded QOLIBRI-OS instrument. Test–retest reliability of the EQ-5D-5L dimensions, EQ-5D-5L summary index, EQ VAS, reworded QOLIBRI-OS dimensions and reworded QOLIBRI-OS level sum score was examined by Gwet’s Agreement Coefficient (Gwet’s AC) and Intraclass Correlation Coefficient (ICC). Results Gwet’s AC ranged from 0.64 to 0.97 for EQ-5D-5L dimensions. The ICC ranged from 0.73 to 0.84 for the EQ-5D-5L summary index and 0.61 to 0.68 for EQ VAS in the three countries. Gwet’s AC ranged from 0.35 to 0.55 for reworded QOLIBRI-OS dimensions in the three countries. The ICC ranged from 0.69 to 0.77 for reworded QOLIBRI-OS level sum score. Conclusion Test–retest reliability of the EQ-5D-5L administered via a web-based questionnaire was substantial to almost perfect for the EQ-5D-5L dimensions, good for EQ-5D-5L summary index, and moderate for the EQ VAS. However, test–retest reliability was less satisfactory for the reworded QOLIBRI-OS. This indicates that the web-based EQ-5D-5L is a reliable instrument for the general population, but further research of the reworded QOLIBRI-OS is required.

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