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Adult liver transplantation for the advanced clinical practitioner: an overview

Seven LT units offer assessment and subsequent LT services in the UK (see Box 1). These units are often associated or combined with other organ transplant services due to significant crossover in the...

Survey of ultrasound-guided peripheral intravenous practices: a report of supply usage and variability between clinical roles and departments

Peripheral intravenous (PIV) catheters are the most common devices used to deliver medications, fluids, blood products, and nutrition. Approximately 2 billion PIV catheters are inserted worldwide...

The ‘transverse guard’ wound dressing technique to reduce faecal contamination after spinal surgery in neonates and infants

The transverse guard was introduced in November 2017, so a retrospective review of all neonates who had undergone open MMC repair between March 2016 and May 2020 was performed. Operations beyond 3...

Central venous access device-related sheaths: a predictor of infective and thrombotic incidence?

The development of catheter-related sheaths was first documented by Motin and colleagues (1964). In early animal studies clinicians sought to identify the composition of the sheath phenomenon. Xiang...

Service improvement study to improve care for patients who developed a surgical site infection after discharge

An SSI is a wound infection that can develop after a surgical procedure (National Institute for Health and Care Excellence (NICE), 2019). Between 2013 and 2018 the incidence of SSIs following surgery...

Antipyretic drugs in patients with fever and infection: literature review

A literature search was undertaken in July 2017 using both the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline databases (2010-2017). Keywords were searched, using...

Ludwig's angina: a multidisciplinary concern

Mr Jones (a pseudonym has been used), a 46-year-old male, entered the out-of-hours streaming area of the local emergency department (ED), presenting with a 3-day history of general lethargy and fever,...

Reducing catheter-associated urinary tract infections through best practice: Sherwood Forest Hospitals' experience

From a financial perspective, the introduction of the Bard Tray has brought a significant benefit by reducing the incidence of CAUTIs. The initial introduction of the tray incurred additional costs of...

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