Brief description of media:

There is lot of information on occupational health for doctors. This guidance is targeted specifically at anaesthetists and signposts much of the broader available information. The original guideline on Blood Borne Viruses (1992, revised 1996) is updated and extended to cover other occupational health issues relevant to anaesthetists. Much of the information in the guideline is new and has not been previously covered.

Brief description of media:

PORTLAND, Ore. — Millions of Americans survive COVID-19, but lingering symptoms can stay with them for months.

At Oregon Health & Science University (OHSU), there's a new program to try to treat patients considered long-haulers. It's one of dozens that has opened, or will be opening, in the U.S., as reported by NBC News.

So far, it's the only specialized post-COVID clinic we know of in the state of Oregon. OHSU is finalizing its Long COVID-19 Program, which it hopes to launch in about a month. It's a specialized, coordinated approach to care for Oregonians dealing with an illness that doesn't have a known cure, now labeled Post-Acute Sequelae of SARS-CoV-2 infection (PASC).

Brief description of media:

For the first time, the Office for National Statistics (ONS) has published figures examining long Covid, finding that a fifth of people have symptoms for five weeks or more while around one in 10 are affected for 12 weeks or more.

Overall, around 186,000 people in private households in England in the week beginning November 22 were living with Covid-19 symptoms that had persisted for between five and 12 weeks, the ONS said.

Brief description of media:

Around one in five people with coronavirus may go on to suffer long Covid, new data suggests.

Long covid is the term used to describe effects suffered beyond the initial illness of Covid-19.

The Office for National Statistics (ONS) has published figures examining long Covid, finding that a fifth of people have symptoms for five weeks or more while around one in 10 are affected for 12 weeks or more.

Overall, around 186,000 people in private households in England in the week beginning November 22 were living with Covid-19 symptoms that had persisted for between five and 12 weeks, the ONS said.

Brief description of media:

Since nearly half of all patients with severe respiratory failure who are placed on a ventilator die, we tend to declare victory if a COVID-19 patient comes off the machine alive. But the reality is that many survivors of severe respiratory failure and other forms of critical illness fare poorly, even if they do beat their underlying disease. Their likelihood of developing PTSD, depression or anxiety is similar to that of soldiers returning from combat.

Brief description of media:

Great discussion

Future


Google



Going
Good
Good



Forum









Coffin

Brief description of media:

The review concluded that open vascularisation was associated with significantly higher early and late symptomatic relief, lower medium-term restenosis and reintervention rates and higher postoperative morbidity and mortality and longer intensive care unit and hospital stays compared to endovascular revascularisation in patients with chronic mesenteric ischaemia. Review process and evidence limitations mean the authors’ conclusions should be treated with caution.

Brief description of media:

CRD summary
The authors concluded that limited evidence and differences between studies prevented them from drawing any conclusions; further research was required. This was a well-conducted review and the authors' conclusions, including the need for further research, are likely to be reliable.
Authors' objectives
To assess the health-related quality of life (HRQOL) and functional status of elderly patients discharged from critical care.

Brief description of media:

Unanticipated difficult tracheal intubation during routine induction of anaesthesia in a child aged 1 to 8 years

Brief description of media:

The following guideline relate to the management of the unanticipated difficult airway in children aged 1 to 8 years.

Cannot intubate and cannot ventilate (CICV) in a paralysed anaesthetised child aged 1 to 8 years

Brief description of media:

This practice point reviews the clinical presentation of paediatric multisystem inflammatory syndrome temporally associated with COVID-19 and investigations to conduct when considering this diagnosis. Potential treatment options and indications for subspecialty consultation or transfer to tertiary care are also described.

Brief description of media:

Recent clinical advances in Neonatal and Paediatric Intensive Care have increased the incidence of survival of children with life threatening or life limiting conditions. Over the same period technological advances have produced a range of portable, easy to maintain, reliable and efficient mechanical ventilators. As a result, children who have long-term breathing difficulties needing either temporary or permanent ventilatory assistance have an increased potential for survival and must be offered an integrated care pathway from hospital to home and coordination of Long Term Ventilation (LTV) specialist input across organisational boundaries.Children on long term ventilation are a high cost group with complex and varying underlying medical conditions requiring input from multiple teams, including among others, neonatal intensive care, paediatric intensive care, paediatric respiratory medicine, cardiology, ENT, spinal injury, neuromuscular and neurodisability specialists, as well as access to palliative care.Ventilation can be delivered via a tracheostomy (invasive ventilation) or through a mask or other device that is not directly connected to the airway (non-invasive ventilation). Most tracheostomy ventilated children start their journey in a critical care environment and have already had intensive medical input. Children on complex non-invasive ventilation often have underlying co-morbidities or associated life limiting illness, and these children require coordinationof care across the relevant specialisms within paediatric medicine, as well as a clear pathway of transition to adult services. Most children on long term ventilation progress to a point of medical stability where their clinical needs can be met outside of the hospital environment. However, children on invasive long term ventilation (LTV) or complex non-invasive ventilation can remain in an inappropriate intensive care or hospital environment while awaiting a home care package to be established in the community. Work is taking place nationally to improve discharge processes in order to reduce inappropriate lengths of stay. The scope of this specification covers children who have long term ventilation initiated on a Paediatric or Neonatal Intensive Care Unit, regardless of whether the interface for delivery of that ventilation is mask or tracheostomy