Samantha Bates

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OBJECTIVE The Acute Dialysis Quality Initiative (ADQI) Group published a consensus definition (the RIFLE criteria) for acute renal failure. We sought to assess the ability of the RIFLE criteria to predict mortality in hospital patients. DESIGN Retrospective single-center study. SETTING University-affiliated hospital. PATIENTS All patients admitted to(More)
INTRODUCTION Agitated delirium is common in patients undergoing mechanical ventilation, and is often treated with haloperidol despite concerns about safety and efficacy. Use of conventional sedatives to control agitation can preclude extubation. Dexmedetomidine, a novel sedative and anxiolytic agent, may have particular utility in these patients. We sought(More)
BACKGROUND AND AIM Patients in the intensive care unit often suffer from lack of sleep at night. We hypothesised that nocturnal melatonin may increase observed nocturnal sleep in tracheostomised patients. DESIGN Double-blind, randomised, placebo-controlled pilot study. SETTING ICU of a tertiary hospital. PARTICIPANTS Thirty-two ICU patients with(More)
INTRODUCTION It is unknown whether the reported short-term reduction in cardiac arrests associated with the introduction of the medical emergency team (MET) system can be sustained. METHOD We conducted a prospective, controlled before-and-after examination of the effect of a MET system on the long-term incidence of cardiac arrests. We included consecutive(More)
AIM To assess the effect of a Medical Emergency Team (MET) service on patient mortality in the 4 years since its introduction into a teaching hospital. METHODS Using the hospital electronic database we obtained the number of admissions and in-hospital deaths "before-" (September 1998-August 1999), "during education-" (September 1999-August 2000), the(More)
BACKGROUND Medical Emergency Teams (MET) have been developed to identify, review and manage acutely unwell ward patients. Previous studies have suggested that there may be obstacles to the utilization and activation of the MET. AIMS To determine the effect of a detailed education programme on the rate of utilization of the MET system 3.5 years after its(More)
A total of 37 percutaneous epididymal sperm aspiration (PESA) and/or testicular sperm aspiration (TESA) procedures were performed under local anaesthesia (LA) on 34 men between June and November 1996. Local anaesthesia was achieved by injecting 10 ml of 1% lignocaine solution along the sides of the vas deferens near the external inguinal ring (spermatic(More)
OBJECTIVE To test the ability of a novel super high-flux (SHF) membrane with a larger pore size to clear myoglobin from serum. SETTING The intensive care unit of a university teaching hospital. SUBJECT A patient with serotonin syndrome complicated by severe rhabodomyolysis and oliguric acute renal failure. METHOD Initially continuous veno-venous(More)
To describe the timing of cardiac arrest detection in relation to episodes of Medical Emergency Team (MET) review and routine nursing observations. Retrospective observational study in a university-affiliated hospital. 279 cardiac arrests involving ward patients Cardiac arrests were allocated to one of 24 1-h intervals (24:00–00:59, 01:00–01:59, etc.). The(More)