ANNUAL REVIEW master Final3a - St Vincent's University Hospital

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St. Vincent’s Healthcare Group Limited - Annual Review 2007 Department - Anaesthesia, Intensive Care & Pain Medicine Liver Transplantation 2007 was a very busy year for the Liver Transplantation Group. 59 Orthotopic Liver transplants took place. The results for 2007 were very good. Transplantation is demanding work for all concerned. All credit to the Anaesthesia Team: Consultant Anaesthetists Liver Fellows Anaesthetic Nurses Dr Neil McDonald Dr Mohammad Zafruddin Sr. Jean McCarthy Dr. John Boylan Dr. Shaikh Subani Billie Stafford Dr. Aly Karim Aly Karl Perocillo Karen Ann Keating The transplant anaesthesia group provided coverage for 59 liver transplants, including 52 primary elective transplants during 2007. The 60-day survival for primary isolated elective transplants was 96%, with median ICU stay and hospital stay of 1 and 21 days, respectively. Outcome for primary elective liver transplantation at SVUH continues to be one of the best in the UK and Ireland. Peer-reviewed papers J.J. Magner, K.J. Crowley, J.F. Boylan. Fatal fibrinolysis during orthotopic liver transplantation in patients receiving solvent/detergent-treated plasma (Octaplas®). Journal of Cardiothoracic & Vascular Anesthesia 2007; 21: 410-3 Abstracts A.D. Nichol, F. Naughton, D. Ó Cróinín, J.F. Boylan, P. McLoughlin. Buffered hypercapnia worsens lung injury in endotoxin induced pneumonia. American Journal of Respiratory & Critical Care Medicine 2007 A785 A.D. Nichol, D. Ó Cróinín, F. Naughton, J.F. Boylan, P. McLoughlin. Hypercapnic acidosis attenuates oxidative reactions in endotoxin induced acute lung Injury. American Journal of Respiratory & Critical Care Medicine 2007 A785 Three former Conway research fellows, Dr. Finola Naughton, Dr. Ahtsham Niazi and Dr. Alistair Nichol, took up posts as staff anaesthesiologists at the University Hospital Network, Toronto, Canada (Drs. Naughton and Niazi), and as Senior Lecturer at Monash University, Australia (Dr. Nichol). Dr. John Boylan was a contributing author for the Irish Critical Care Trials Group (ICCTG), and a manuscript reviewer for Chest. Vascular Access Director Consultant Dr. Alan McShane Dr. Neil McDonald The Vascular Access service continues to meet the constants demands from a variety of healthcare groups. The requests include placement of a variety of vascular access devices, and increasingly, the provision of a consultation service. While the oncology and haematology services continue to be frequent users of the service, the number of referrals of patients with cystic fibrosis for portacath placement also continued to rise. Return to Contents 176
St. Vincent’s Healthcare Group Limited - Annual Review 2007 Department - Anaesthesia, Intensive Care & Pain Medicine Training in the use of ultrasound devices to aid the placement of central venous access devices has continued, and there is increasing willingness of all to embrace this technology. Formal training in central vascular access is now a training requirement of the College of Anaesthetists. Drs McShane and McDonald again organized the Vascular Access Study Day in the College. This course continues to be popular and oversubscribed. It provides didactic lectures, live and cadaveric demonstrations and tuition in the use of ultrasound. South East Dublin Department of Anaesthesia Again in 2007 consultant recruitment to the SEDDA hospitals was severely curtailed. This was due to a combination of reasons but mainly to uncertainty about the new consultant contract and uncertainty about what hospitals were to be built up. Consequently, we again relied, heavily on locum consultant services. These enabled the comprehensive anaesthesia services in the group to be maintained. We are again grateful to the contribution made by these doctors. We were happy to welcome one new Consultant to the SEDDA group, Dr. Paul Murphy, who will be joining the liver transplantation anaesthesia team and will also work with the Pain Service. We wish him well in his career here. The SEDDA training scheme retains its popularity, with a constantly increasing number of applications. This reflects on the individual teaching done by consultants and the facilities and varied clinical experience available in the constituent hospitals. Pain Medicine 2007 was another year of immense development in the Pain Service in St. Vincent's University Hospital with the appointment of a new Consultant in Pain Medicine, Dr Paul Murphy. Dr Murphy did his Pain Fellowship training in the world famous North Shore Hospital in Sydney, Australia, under the guidance of Prof Michael Cousins. We also had the project of planning a new pain suite, and the commencement of the transfer of our clinical activities from St Anthony’s Rehabilitation Centre to the main SVUH building. Outpatient Activity Number New Return Total Of Sessions Patients Patients Tues 51 250 2,244 2,494 Dr O'Keefe Tues 46 23 264 287 Dr Victory Wed 51 112 886 998 Dr O'Keefe Pain Unit 148 3 370 373 Total 296 388 3,764 4,152 Return to Contents 177
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Review 2007 St. Vincent’s Healthc
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Celebrations • There was a great
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Research Studies Total Research Stu
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In collaboration with Prof. Kingsto
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Education & Research Poster Present
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Education & Research Pharmaceutical
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74 Quality
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St. Michael’s Hospital Nursing Th
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Department - Plastic Surgery Dr Law
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Cancer remains a significant focus
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ICT Department Staffing In 2007 we
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St. Vincent’s University Hospital
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ANNUAL REVIEW master Final3a - St Vincent's University Hospital

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