Alexa Mannings

Surgery and Anesthesia in Patients with Pulmonary Hypertension

Robin Condliffe, Ruth Newton, Kris Bauchmüller, Tessa J. Bonnett et autres

Pulmonary hypertension is characterized by right ventricular impairment and a reduced ability to compensate for hemodynamic insults. Consequently, surgery can be challenging but is increasingly considered in view of available specific therapies and improved longer term survival. Optimal management requires a multidisciplinary …

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Use of cardiopulmonary exercise testing in the perioperative period. Comment on Br J Anaesth 2018; 121: 496–7

Karen Kerr, Alexa Mannings, A. Kojro, Kathryn A. Wagstaff et autres

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Femoral Nerve Block Intervention in Neck of Femur Fracture (FINOF): a randomised controlled trial

Martin Rowlands, Gerrie van de Walt, Jim Bradley, Alexa Mannings et autres

OBJECTIVE: Fractured neck of femur is a severely painful condition with significant mortality and morbidity. We investigated whether early and continuous use of femoral nerve block can improve pain on movement and mobility after surgery in older participants with fragility neck of …

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Hypertension: is it a peri‐operative or a public health problem?

Alexa Mannings, M. D. Wiles

As consultant anaesthetists who have weekly sessions in a pre-operative assessment clinic, we read with great interest the consensus statement on hypertension in patients having elective surgery from the AAGBI and the British Hypertension Society 1. Although day of surgery cancellations are …

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Risk scoring models for predicting peri-operative morbidity and mortality in people with fragility hip fractures: Qualitative systematic review

Takawira C. Marufu, Alexa Mannings, Iain Moppett

RATIONALE: Accurate peri-operative risk prediction is an essential element of clinical practice. Various risk stratification tools for assessing patients' risk of mortality or morbidity have been developed and applied in clinical practice over the years. This review aims to outline essential characteristics …

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Transfusion Requirements and the Older Person

Alexa Mannings, Iain Moppett

The causes of anaemia in the elderly can be divided into three broad groups: nutrient deficiency anaemia (principally iron deficiency), anaemia of chronic inflammation (ACI) (previously termed anaemia of chronic disease) and unexplained anaemia. This chapter proposes that the restrictive strategies in …

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LiDCO-based fluid management in patients undergoing hip fracture surgery under spinal anaesthesia: a randomized trial and systematic review

Iain Moppett, Martin Rowlands, Alexa Mannings, C.G. Moran et autres

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Cumulative radiation dose due to diagnostic investigations in seriously injured trauma patients admitted to critical care

Andrew Leeson, Ese Adiotomre, Alexa Mannings, Nikhil Kotnis et autres

A retrospective review of case notes and radiology records was performed in order to estimate the amount and sources of ionising radiation multiply injured trauma patients are exposed to, during their initial investigations and subsequent critical care admission. Data were available for …

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Critical care utilisation following bariatric surgery

Paul S. Whiting, Alexa Mannings, Spencer Reynolds, S Hutchinson et autres

Following the introduction of a new bariatric surgical service in Sheffield, we aimed to assess the impact upon critical care services and examine how this has changed as the service has evolved.

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