Biomedical subjects

D Mannion

Publications and source records attributed to D Mannion.

3 recordsLinked to original sources

PubMed1992

Clinical audit in intensive care--the Meath Intensive Care Audit.

Audit is now recognised as being an essential component of clinical practice. We report on the first year of the Meath Intensive Care Audit (MICA). This audit was instituted to investigate the activity of the unit, to assess the feasibility of continuous audit in our ICU and to provide data for future development of ICU facilities. Two hundred and fifty four patients were admitted between July 1st 1990 and June 30th 1991. The mean age at admission was 58 years and the mean length of stay 5.2 days. The mean APACHE II score was 16. Thirty four patients (13.4%) died in the ICU and 17 patients died in hospital following discharge from the unit bringing the hospital mortality rate to 20%. The audit proved feasible to implement and data collection is now accepted as a routine part of our ICU work.

Cause of Death↗

PubMed1991

Extradural vein puncture--an avoidable complication.

Accidental cannulation of an extradural vein is a troublesome and potentially serious complication of extradural catheter insertion. This study was conducted to assess the influence of posture, catheter size and the injection of saline before catheter insertion, on its occurrence. Eight different techniques were studied based on combinations of these three factors. There was no difference in incidence with respect to posture. The use of 18-gauge catheters, after injection of 10 ml of 0.9% saline, resulted in a significant (p less than 0.01) reduction in the incidence of extradural vein cannulation. This technique is recommended in obstetric patients as a means of avoiding accidental intravenous injection of local analgesic.

Adolescent↗

PubMed1988

Mood evaluation and outpatient anaesthesia. A comparison between propofol and thiopentone.

Mood state was evaluated in 40 unpremedicated patients who underwent minor gynaecological surgery, before and up to 4 hours after, anaesthesia induced with either propofol 2.5 mg/kg or thiopentone 5 mg/kg. Assessments were made by a self-report technique, the profile of mood states method. The results indicate that mood state was less affected postoperatively in patients induced with propofol than with thiopentone. The overall impression of the investigators was that propofol patients had a definite sense of well-being after anaesthesia.

Adult↗