Doctor
Joined December 2011
- Tweets3.4K
- Following1.9K
- Followers546
- Likes1K
Alex Fowler retweeted
LASOS is an international initiative designed to understand the problems of the Latin America surgical system. The main message is that we need to improve the quality of postoperative care. See our results: sciencedirect.com/science/ar…
Alex Fowler retweeted
🔥A good news message for surgical research🔥
@Sivesh93 is a general surgery ACF/ST3 who has won a highly prestigious, nationally competitive @NIHRcommunity Doctoral Fellowship, funding a 3-year PhD from Oct 2023 @UoB_IAHR.
Here's what it all means🧵:
Alex Fowler retweeted
Incomplete recovery of kidney function is an important adverse outcome in survivors of critical illness. This study shows eGFR creatinine systematically over-estimated kidney function after prolonged critical illness bit.ly/CJASN0203
@RW_Haines @_alexfowler @JohnProwle
![Difference in estimated glomerular filtration measurements (serum creatinine - cystatin C) by study timepoint (A). Includes a loess smoother with 95% confidence intervals. A marginal-effects plot of predicted modelled difference in estimated glomerular filtration
rate by days (B) fitted with restricted cubic spline. Bands represent 95% confidence interval. Actual data points are overlayed on the modelled trend line. Median length of ICU stay was 16.5 days [IQR 10.3 - 27.3].](https://pbs.twimg.com/media/FxoklhIWAAQxU22.png?name=orig)
ALT Difference in estimated glomerular filtration measurements (serum creatinine - cystatin C) by study timepoint (A). Includes a loess smoother with 95% confidence intervals. A marginal-effects plot of predicted modelled difference in estimated glomerular filtration rate by days (B) fitted with restricted cubic spline. Bands represent 95% confidence interval. Actual data points are overlayed on the modelled trend line. Median length of ICU stay was 16.5 days [IQR 10.3 - 27.3].
Alex Fowler retweeted
Effect of transauricular nerve stimulation on perioperative pain. New single-blind, analyser-masked, randomised controlled trial by Patel et al #perioperative #pain #autonomic @_tomabbott @AcklandLab
bjanaesthesia.org/article/S0…
Alex Fowler retweeted
🔓The first results from @RCoANews @NAPs_RCoA are now available!
⬆️Age and BMI has increased since NAP5 in 2013.
⬆️TIVA use has more than trebled.
⬆️pEEG use has increased more than 6-fold.
No increase in regional anaesthesia or spinals.
🔗associationofanaesthetists-p…
Alex Fowler retweeted
ELF2 Initial "NoLap" Results INCOMING..
ELVES - pls check your inboxes!
@ACPGBI @asgbi @OPSOC1 @GeriSoc @drKathrynMcC @susanmoug @angeline_price @sue_chandler @Dukes_Club @dalevim @evanscolorectal @cam_colorectal @sr_knight1 @misshollyman @slawday @BowelResearch @salma99312300
Really thought provoking talk from @_tomabbott about the huge potential for platform trials in perioperative trials #AnaesthesiaResearch2022
Alex Fowler retweeted
@CCPMG_TEAM are at #anaesthesiaresearch in York today @NIAAResearch Presentations by @rupert_pearse @AcklandLab @_alexfowler @_tomabbott
Fantastic talk from @YizeWan summarising the disproportionately poor outcomes experienced by patients from minority ethnic groups with COVID19.
Alex Fowler retweeted
Delighted to present @CovidSurg @NIHR_GSU Surgical Preparedness Index (SPI) @TheLancet
thelancet.com/journals/lance…
Huge thanks to our 4714 collaborators @NIHRglobal
We hope this tool will strengthen #electivesurgery systems around the world
Why does the #SPI matter to you? 🧵 – at Bogotá, D.C., Colombia
Alex Fowler retweeted
Tranexamic Acid for Major Surgery - cheap and cost effective - a NICE quality standard supported by a major RCT @NEJM = nejm.org/doi/full/10.1056/NE…
Why don't we do this in practice?
How do we promote implementation?
Please read editorial @BJAJournals sciencedirect.com/science/ar…
Alex Fowler retweeted
Check out our new #openaccess paper on long-term mortality after elective surgery. TLDR: patients with complications were almost twice as likely to die within one year after surgery. bjanaesthesia.org/article/S0…
#perioperative #anaesthesia #surgery @QMULWHRI @CCPMG_TEAM
Long-term mortality following complications after elective surgery. New analysis of pooled data from two prospective cohort studies by Fowler et al. #anaesthesia #perioperative
bjanaesthesia.org/article/S0…
@_alexfowler @rupert_pearse @_tomabbott @YizeWan @CCPMG_TEAM @QMULWHRI
Alex Fowler retweeted
Imagine being in infosec and proudly announcing all the false positives you blocked.
Display of oversized liquids, gels and aerosols that travelers had in their carry-on bags at the @SyracuseAirport @TSA Checkpoint in a 3-day span. The limit for liquids through a checkpoint is 3.4 oz.
Important study here - many patients not home in 30 days after hip fracture so 90 days a better time point for DAH measurement. Imagine this generalises to other emergency surgical conditions in the older survival patient.
🔐An evaluation of the outcome metric ‘days alive and at home’ in older patients after hip fracture surgery.
This great new paper from @CritCareUniMelb is available now on #EarlyView and #OpenAccess!
🔗associationofanaesthetists-p…
Tools for thought - what an extraordinary essay (warning: it's a long one!) numinous.productions/ttft/
Vital work here from @dnepo and colleagues - really looking forward to their report. The broader implications of such delayed healthcare will be felt for many years.
You’re unable to view this Post because this account owner limits who can view their Posts. Learn more
Thanks @BJAJournals -- a couple of comments follow here that outline what we did/found. Many thanks @rupert_pearse @_tomabbott @YizeWan @gillies_mike @RMJCashmore and the rest of the team.
Liberal or restrictive antimicrobial prophylaxis for surgical site infection. New systematic review and meta-analysis of randomised trials by @_alexfowler @_tomabbott @rupert_pearse @YizeWan
@CCPMG_TEAM @QMULWHRI
#anaesthesia #anesthesia #antibiotics #antimicrobialresistance
We need to understand how surgical prophylaxis influences antimicrobial resistance, and if/how we can safely reduce antibiotic administration in contemporary surgical practice to reduce antimicrobial resistance, while minimising patient level risk of infection.