Brendan McGrath
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View article: Predictors of Decannulation Success in Tracheostomy: A 10‐Year Analysis of the Global Tracheostomy Collaborative Database
Predictors of Decannulation Success in Tracheostomy: A 10‐Year Analysis of the Global Tracheostomy Collaborative Database Open
Objective Decannulation is a critical milestone in functional recovery after tracheostomy, but standardized guidelines are lacking. This study examined factors associated with tracheostomy decannulation success, comparing hospital utilizat…
View article: Multidimensional Consequences of Delayed Surgical Tracheostomy in a Critically Ill Adult: A Case Report and Systems-Based Analysis
Multidimensional Consequences of Delayed Surgical Tracheostomy in a Critically Ill Adult: A Case Report and Systems-Based Analysis Open
Background Delays in surgical tracheostomy can impact patients, families, and ICU systems. This case highlights the consequences of delays and gives suggestions on how to optimize care delivery. Patient case A 32-year-old female diagnosed …
View article: 935 Transforming Tracheostomy Care: Leveraging Thematic Analysis to Inform VR Training and AI Instructor Development
935 Transforming Tracheostomy Care: Leveraging Thematic Analysis to Inform VR Training and AI Instructor Development Open
Background Tracheostomy is a surgical procedure that creates an opening in the trachea to facilitate breathing when normal airway function is impaired. To improve the quality and safety of tracheostomy care, the National Tracheostomy Safet…
View article: Antiplatelet and anticoagulation use and risk of bleeding from percutaneous dilatational tracheostomy insertion: Systematic review and meta-analysis
Antiplatelet and anticoagulation use and risk of bleeding from percutaneous dilatational tracheostomy insertion: Systematic review and meta-analysis Open
Introduction: Antiplatelet and anticoagulation therapies are frequently required in acutely unwell patients and confer an increased propensity for procedural bleeding. During percutaneous tracheostomy insertion, the decision to stop these …
View article: A125 DOES AI INFLUENCE ADENOMA DETECTION RATES IN FIT-POSITIVE PATIENTS
A125 DOES AI INFLUENCE ADENOMA DETECTION RATES IN FIT-POSITIVE PATIENTS Open
Background The Fecal Immunochemical Test (FIT) is a screening tool that identifies patients more likely to harbor adenomas or colorectal cancer (CRC). Rates of adenoma detection during colonoscopy can vary significantly among endoscopists.…
View article: Use of virtual reality to remotely train healthcare professionals in paediatric emergency tracheostomy skills: protocol for a multi-centre, non-inferiority educational interventional study with historical controls
Use of virtual reality to remotely train healthcare professionals in paediatric emergency tracheostomy skills: protocol for a multi-centre, non-inferiority educational interventional study with historical controls Open
Background The insertion of a tracheostomy is an established technique used to wean patients off ventilatory support, manage secretions in complex conditions, and as a potentially life-saving procedure to bypass upper airway obstruction. L…
View article: Research report: Management of dysphagia using pharyngeal electrical stimulation in the general intensive care population – A service development
Research report: Management of dysphagia using pharyngeal electrical stimulation in the general intensive care population – A service development Open
Background: Dysphagia places a substantial burden on the critically ill, affecting 12%–84% of this cohort, and is independently associated with worse outcomes. Pharyngeal electrical stimulation (PES-treatment) is a novel dysphagia therapy …
View article: Understanding, Experience, and Attitudes Toward Extended Reality Technology: A Multicenter Study
Understanding, Experience, and Attitudes Toward Extended Reality Technology: A Multicenter Study Open
Extended reality technology (XRT) is predicted to play an important role in the future of health care. Although the hardware ecosystem is evolving rapidly, potential barriers to adoption include cost, physical space to use the hardware, si…
View article: Feasibility of a virtual reality course on adult tracheostomy safety skills*
Feasibility of a virtual reality course on adult tracheostomy safety skills* Open
Summary The National Tracheostomy Safety Project has run high‐quality, face‐to‐face skills courses since 2009. The aim of this project was to produce a virtual reality version of the established course and evaluate its impact on participan…
View article: Virtual reality in simulation-based emergency skills training: A systematic review with a narrative synthesis
Virtual reality in simulation-based emergency skills training: A systematic review with a narrative synthesis Open
There may be educational benefit to using VR in the context of simulation-based emergency skills training including knowledge gain and retention, skill performance, acceptability, usability, and validity. Currently, there is insufficient e…
View article: Design Requirements of Robotic Systems for Assisting Percutaneous Tracheostomy: A Scoping Review and Development Framework
Design Requirements of Robotic Systems for Assisting Percutaneous Tracheostomy: A Scoping Review and Development Framework Open
Percutaneous dilatational tracheostomy (PDT) is a common procedure for patients managed in Intensive Care Units (ICUs). PDT has equivalent complication rates to surgical tracheostomy but can be performed at the ICU bedside, eliminating del…
View article: The carbon footprint of Bubble-PAPR™: A novel item of personal protective equipment
The carbon footprint of Bubble-PAPR™: A novel item of personal protective equipment Open
Background: Personal protective equipment has important environmental impacts, assessing these impacts is therefore an important element of personal protective equipment design. We applied carbon footprinting methodology to Bubble-PAPR ™ ,…
View article: Bubble-PAPR: a phase 1 clinical evaluation of the comfort and perception of a prototype powered air-purifying respirator for use by healthcare workers in an acute hospital setting
Bubble-PAPR: a phase 1 clinical evaluation of the comfort and perception of a prototype powered air-purifying respirator for use by healthcare workers in an acute hospital setting Open
Objectives We aimed to design and produce a low-cost, ergonomic, hood-integrated powered air-purifying respirator (Bubble-PAPR) for pandemic healthcare use, offering optimal and equitable protection to all staff. We hypothesised that parti…
View article: Improving airway management and tracheostomy care through interprofessional collaboration: aligning timing, technique, and teamwork
Improving airway management and tracheostomy care through interprofessional collaboration: aligning timing, technique, and teamwork Open
Vinciya Pandian, Joshua H. Atkins, Amy Freeman-Sanderson, Nicholas Prush, David J. Feller-Kopman, Brendan A. McGrath, Michael J. Brenner
View article: What is Virtual Reality? A healthcare-focused systematic review of definitions
What is Virtual Reality? A healthcare-focused systematic review of definitions Open
There has been significant advancement in virtual reality (VR) technology since its conception in 1960, and this evolution has particularly accelerated in recent years. Alongside this, we are seeing an expansion of research interest within…
View article: Implementation of an <scp>evidence‐based</scp> accidental tracheostomy dislodgement bundle in a community hospital critical care unit
Implementation of an <span>evidence‐based</span> accidental tracheostomy dislodgement bundle in a community hospital critical care unit Open
Background Tracheostomy dislodgment can lead to catastrophic neurological injury or death. A fresh tracheostomy amplifies the risk of such events, where an immature tract predisposes to false passage. Unfortunately, few resources exist to …
View article: Bubble-PAPR: Phase I clinical evaluation of an ‘in-house’ developed prototype powered air-purifying respirator for use by healthcare workers
Bubble-PAPR: Phase I clinical evaluation of an ‘in-house’ developed prototype powered air-purifying respirator for use by healthcare workers Open
Structured abstract Objectives We aimed to design and produce a low-cost, ergonomic, hood-integrated Powered Air-Purifying Respirator (Bubble-PAPR) for pandemic healthcare use, offering optimal and equitable protection to all staff. We hyp…
View article: Practice of tracheostomy in patients with acute respiratory failure related to COVID–19 – Insights from the PRoVENT–COVID study
Practice of tracheostomy in patients with acute respiratory failure related to COVID–19 – Insights from the PRoVENT–COVID study Open
Tracheostomy was performed late in COVID-19 patients during the first wave of the pandemic in the Netherlands and timing of tracheostomy possibly had an association with outcome. However, prospective studies are needed to further explore t…
View article: Tracheostomy for COVID-19: evolving best practice
Tracheostomy for COVID-19: evolving best practice Open
This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2021. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2021 . Further informati…
View article: Multidisciplinary management of laryngeal pathology identified in patients with COVID-19 following trans-laryngeal intubation and tracheostomy
Multidisciplinary management of laryngeal pathology identified in patients with COVID-19 following trans-laryngeal intubation and tracheostomy Open
Background COVID-19 disease often requires invasive ventilatory support. Trans-laryngeal intubation of the trachea may cause laryngeal injury, possibly compounded by coronavirus infection. Fibreoptic Endoscopic Evaluation of Swallowing (FE…
View article: COVIDTrach: a prospective cohort study of mechanically ventilated patients with COVID-19 undergoing tracheostomy in the UK
COVIDTrach: a prospective cohort study of mechanically ventilated patients with COVID-19 undergoing tracheostomy in the UK Open
Objectives COVIDTrach is a UK multicentre prospective cohort study project that aims to evaluate the outcomes of tracheostomy in patients with COVID-19 receiving mechanical ventilation and record the incidence of SARS-CoV-2 infection among…