Alex Wickham
YOU?
Author Swipe
View article: Impact of COVID-19 on Medical Students’ Learning Behaviours, Clinical Training, Performance as Future Medical Professionals, and Perceived Stress: A Cross-Sectional Web Survey
Impact of COVID-19 on Medical Students’ Learning Behaviours, Clinical Training, Performance as Future Medical Professionals, and Perceived Stress: A Cross-Sectional Web Survey Open
COVID-19 had a significant impact on learning behaviours, clinical training and perception of performance in future career. Moderate to high levels of stress were observed among these students. These findings underscore the need for medica…
View article: FTP1.1 Using the STUMBL score to assess blunt chest wall trauma - does improving accuracy lead to improved patient care?
FTP1.1 Using the STUMBL score to assess blunt chest wall trauma - does improving accuracy lead to improved patient care? Open
The STUMBL score is widely used to assess risk of complications in patients with blunt chest wall trauma. We audited its use in guiding the management of patients with rib fractures at a London major trauma centre. Methods This was a close…
View article: Heat stress associated with aerosol PPE and its impact
Heat stress associated with aerosol PPE and its impact Open
Background Aerosol personal protective equipment (PPE) is subjectively reported to negatively impact healthcare workers’ performance and well-being, but this has not been assessed objectively. Aims This randomized controlled crossover stud…
View article: Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS)/Perioperative Quality Initiative (POQI) consensus statement on intraoperative and postoperative interventions to reduce pulmonary complications after oesophagectomy
Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS)/Perioperative Quality Initiative (POQI) consensus statement on intraoperative and postoperative interventions to reduce pulmonary complications after oesophagectomy Open
Background Pulmonary complications are the most common morbidity after oesophagectomy, contributing to mortality and prolonged postoperative recovery, and have a negative impact on health-related quality of life. A variety of single or bun…
View article: B167 Regional anaesthesia passport: a modular teaching programme for trainees to improve confidence and skill acquisition in regional anaesthesia
B167 Regional anaesthesia passport: a modular teaching programme for trainees to improve confidence and skill acquisition in regional anaesthesia Open
Background and Aims The new anaesthetic training curriculum in the UK demands high levels of competency in regional anaesthesia (RA)1. Training in RA may be incomplete, as evidenced by a departmental survey showing that three-quarters of t…
View article: Treatment threshold for intra‐operative hypotension in clinical practice—a prospective cohort study in older patients in the UK
Treatment threshold for intra‐operative hypotension in clinical practice—a prospective cohort study in older patients in the UK Open
Summary Intra‐operative hypotension frequently complicates anaesthesia in older patients and is implicated in peri‐operative organ hypoperfusion and injury. The prevalence and corresponding treatment thresholds of hypotension are incomplet…
View article: 189 Non-malignant liver disease: a retrospective audit of hospital inpatient deaths
189 Non-malignant liver disease: a retrospective audit of hospital inpatient deaths Open
Background Liver disease has a fluctuating course and palliative care involvement is often only when death is imminent: we are missing opportunities for symptom control and advance care planning. The Supportive and Palliative Care Indicato…
View article: The incidence of chronic pain following tibial diaphyseal fracture.
The incidence of chronic pain following tibial diaphyseal fracture. Open
Introduction: Chronic pain affects up to 40% of patients at 7 years after tibial fracture impacting on their quality of life (QoL) and ability to participate in activities of daily living. Major nerves run in close proximity to the tibia a…
View article: Supraglottic check of tracheal tube position after fibreoptic intubation
Supraglottic check of tracheal tube position after fibreoptic intubation Open
We would like to suggest an additional supraglottic visual confirmatory check of tracheal tube (TT) position after fibreoptic intubation. Standard airway texts and readily accessible education articles suggest that tracheal tube position w…
View article: Care of elderly patients: a prospective audit of the prevalence of hypotension and the use of BIS intraoperatively in 25 hospitals in London
Care of elderly patients: a prospective audit of the prevalence of hypotension and the use of BIS intraoperatively in 25 hospitals in London Open
IOH is common and use of DOA monitors is less than implied by guidelines. Improved management of IOH may be a simple intervention with real potential to reduce morbidity in this vulnerable group.
View article: Massive surgical emphysema secondary to iatrogenic tracheal laceration
Massive surgical emphysema secondary to iatrogenic tracheal laceration Open
A 78-year-old woman was admitted for a revision total hip replacement following a failed dynamic hip screw placed emergently 4 months earlier. Anaesthetic management consisted of general anaesthesia with endotracheal intubation and femoral…