Brendan Carvalho
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View article: Patient experiences of chronic postsurgical pain after caesarean delivery: an inductive thematic analysis
Patient experiences of chronic postsurgical pain after caesarean delivery: an inductive thematic analysis Open
Background Chronic postsurgical pain after caesarean delivery affects 10-20% of women at 3-6 months postpartum, yet its broader impact on recovery is underexplored. This study examined lived experiences of chronic postsurgical pain and ide…
View article: Development and evaluation of the SPACE-Postpartum multidomain symptom framework for predicting chronic pain after caesarean delivery: a prospective cohort study
Development and evaluation of the SPACE-Postpartum multidomain symptom framework for predicting chronic pain after caesarean delivery: a prospective cohort study Open
Background Chronic postsurgical pain after caesarean delivery impairs postpartum recovery and maternal quality of life. Existing risk models focus on demographic or procedural factors, limiting opportunities for early intervention. This st…
View article: Snapshot of Obstetric National Audit and Research Project (SONAR1): aprotocol for an international observational cohort study
Snapshot of Obstetric National Audit and Research Project (SONAR1): aprotocol for an international observational cohort study Open
Introduction Caesarean birth (CB) under neuraxial anaesthesia (NA) is the most performed inpatient operation in the UK. The incidence of intraoperative pain during caesarean delivery performed under neuraxial anaesthesia is unclear, with l…
View article: Development and Validation of the Stanford Obstetric Recovery Checklist (STORK)
Development and Validation of the Stanford Obstetric Recovery Checklist (STORK) Open
Background Existing patient-reported outcome measures (PROMs) evaluating outpatient postpartum recovery lack content validity and were mostly not designed for this population. A Delphi process was performed, aiming to develop a patient-rep…
View article: Uterine Tone Numeric Rating Score as an Early Indicator of Major Postpartum Hemorrhage during Cesarean Delivery: A Prospective Observational Study
Uterine Tone Numeric Rating Score as an Early Indicator of Major Postpartum Hemorrhage during Cesarean Delivery: A Prospective Observational Study Open
Background: Postpartum hemorrhage (PPH) is the leading preventable cause of maternal mortality. Most PPH cases are caused by uterine atony, which is inconsistently defined in clinical care. The electronic health record was used to prompt c…
View article: Racial and ethnic disparity in obstetric anaesthesia: a systematic review and meta‐analysis
Racial and ethnic disparity in obstetric anaesthesia: a systematic review and meta‐analysis Open
Summary Introduction Racial and ethnic disparities in obstetrics persist globally despite improvements in maternal mortality rates and are related to access, experience and outcomes. We aimed to elucidate the racial and ethnic disparity in…
View article: Effect of Uphill Walking versus Aerobic Exercise on Functional Capacity and Pain in Subjects with Grade 2 and 3 Knee Osteoarthritis: A Randomized Clinical Trial
Effect of Uphill Walking versus Aerobic Exercise on Functional Capacity and Pain in Subjects with Grade 2 and 3 Knee Osteoarthritis: A Randomized Clinical Trial Open
Background: As the cushioning cartilage of the knee gradually deteriorates in osteoarthritis (OA), a common degenerative joint disease produces stiffness, pain, and difficulty in moving. Aims: The aim of the study was to determine and comp…
View article: Strategies for optimising early detection and obstetric first response management of postpartum haemorrhage at caesarean birth: a modified Delphi-based international expert consensus
Strategies for optimising early detection and obstetric first response management of postpartum haemorrhage at caesarean birth: a modified Delphi-based international expert consensus Open
OBJECTIVE: There are no globally agreed on strategies on early detection and first response management of postpartum haemorrhage (PPH) during and after caesarean birth. Our study aimed to develop an international expert's consensus on evid…
View article: Recommended Interventions for Enhanced Recovery After Cesarean Delivery in the United States
Recommended Interventions for Enhanced Recovery After Cesarean Delivery in the United States Open
Background Existing enhanced recovery after cesarean delivery (ERAC) professional society recommendations lack intersociety collaboration, multidisciplinary expert input and involvement of patient stakeholders. This initiative aimed to dev…
View article: A Survey of Obstetric Anaesthesia Services and Practices in the United Kingdom
A Survey of Obstetric Anaesthesia Services and Practices in the United Kingdom Open
Background Variability in obstetric anaesthetia practice and care delivered within the UK is under-explored. The ObsQoR study explored structures, processes, and outcomes of obstetric anaesthesia in 107 hospitals within the UK's National H…
View article: Comparison of artificial intelligence large language model chatbots in answering frequently asked questions in anaesthesia
Comparison of artificial intelligence large language model chatbots in answering frequently asked questions in anaesthesia Open
In answering anaesthesia patient frequently asked questions, the chatbots perform well on communication metrics but are suboptimal for medical content metrics. Overall, ChatGPT4 and Bard were comparable to each other, both outperforming Bi…
View article: Cannabidiol in medicine: Indications, efficacy and clinical considerations
Cannabidiol in medicine: Indications, efficacy and clinical considerations Open
Cannabidiol (CBD), a component of Cannabis sativa, has been studied for its therapeutic properties in several medical conditions. Clinical indications include the treatment of refractory epilepsies, anxiety disorders, chronic pain of neuro…
View article: Strategies for optimising early detection and obstetric first response management of postpartum haemorrhage at caesarean birth: a modified Delphi-based international expert consensus
Strategies for optimising early detection and obstetric first response management of postpartum haemorrhage at caesarean birth: a modified Delphi-based international expert consensus Open
Objective There are no globally agreed on strategies on early detection and first response management of postpartum haemorrhage (PPH) during and after caesarean birth. Our study aimed to develop an international expert’s consensus on evide…
View article: Evaluation of Sleep in Pregnant Inpatients Compared With Outpatients
Evaluation of Sleep in Pregnant Inpatients Compared With Outpatients Open
OBJECTIVE: To evaluate whether antepartum hospitalization was associated with differences in sleep duration or disrupted sleep patterns. METHODS: This was a prospective cohort study with enrollment of pregnant people aged 18–55 years with …
View article: Continuous wound infusion catheter as part of a multimodal analgesia regimen for post-Caesarean delivery pain: a quality improvement impact study
Continuous wound infusion catheter as part of a multimodal analgesia regimen for post-Caesarean delivery pain: a quality improvement impact study Open
The addition of continuous wound infusion catheters to a multimodal analgesia regimen for post-Caesarean delivery pain management demonstrated minimal clinically significant analgesic benefits. Future studies are needed to explore the use …
View article: Obstetric operating room staffing and operating efficiency using queueing theory
Obstetric operating room staffing and operating efficiency using queueing theory Open
Introduction Strategies to achieve efficiency in non-operating room locations have been described, but emergencies and competing priorities in a birth unit can make setting optimal staffing and operation benchmarks challenging. This study …
View article: Effect of an electronic medical record nudge to improve quality improvement program tracking of neuraxial catheter replacements in obstetric patients
Effect of an electronic medical record nudge to improve quality improvement program tracking of neuraxial catheter replacements in obstetric patients Open
Background Monitoring complications associated with medical procedures requires reliable and accurate record keeping. Nudge reminders executed by way of electronic medical record (EMR) alerts influence clinician behaviour. We hypothesised …
View article: PB1033 Delphi Consensus Recommendations for Neuraxial Anesthesia in Adults with Platelet Disorders and Coagulation Defects
PB1033 Delphi Consensus Recommendations for Neuraxial Anesthesia in Adults with Platelet Disorders and Coagulation Defects Open
compared with HC.
View article: Investigation of the Optimum Baseline Blood Pressure for Spinal Anesthesia to Guide Vasopressor Management for Elective Cesarean Delivery: A Case-Control Design
Investigation of the Optimum Baseline Blood Pressure for Spinal Anesthesia to Guide Vasopressor Management for Elective Cesarean Delivery: A Case-Control Design Open
Patients had the highest preoperative MAP in the operating room and the AUC was similar for those with and without nausea when the pre-spinal MAP baseline was used. Therefore, maintaining higher intraoperative blood pressure using individu…