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Kanwar A, Kamaly I. NSRG-04. DIAGNOSTIC YIELD AND MORBIDITY AFTER NEURONAVIGATION GUIDED FRAMELESS STEREOTACTIC BIOPSY FOR DEEP SEATED BRAIN TUMOURS IN CHILDREN. Neuro Oncol 2018. [DOI: 10.1093/neuonc/noy059.526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Amit Kanwar
- Royal Manchester Childrens Hospital, Manchester, UK
| | - Ian Kamaly
- Royal Manchester Childrens Hospital, Manchester, UK
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Cerbone M, Visser J, Bulwer C, Ederies A, Vallabhaneni K, Ball S, Kamaly I, Grossman A, Gleeson H, Korbonits M, Nanduri V, Tziaferi V, Jacques T, Spoudeas HA. GERM-22. DECISION-MAKING MANAGEMENT GUIDELINE FOR CHILDREN AND YOUNG PEOPLE UP TO 19 YEARS (CYP) PRESENTING WITH IDIOPATHIC PITUITARY STALK THICKENING (iTPS) AND/OR IDIOPATHIC CENTRAL DIABETES INSIPIDUS (iCDI). Neuro Oncol 2018. [DOI: 10.1093/neuonc/noy059.269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | | | | | | | | | | | - Ian Kamaly
- Royal Manchester Children’s Hospital, Manchester, UK
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Zhang L, Kamaly I, Luthra P, Whitfield P. Simulation in neurosurgical training: a blueprint and national approach to implementation for initial years trainees. Br J Neurosurg 2016; 30:577-81. [PMID: 27601027 DOI: 10.1080/02688697.2016.1211252] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Simulation has played an increasing role in surgical training in recent years, this follows from various reports such as the Chief Medical Officer annual report and Sir John Temple's 'Time for Training' and also from other factors such as increasing focus on efficiency and transparency within the healthcare system. Evidence has shown that simulation can develop and improve technical, clinical, communication and management skills. With technological advances, the quality of simulation has also improved with more realistic models and environment. We have undertaken a review of recent drivers for simulation training in the UK, current techniques and have focused on the application of simulation training within the current UK Neurosurgical curriculum for newly appointed trainees.
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Affiliation(s)
- Lihan Zhang
- a Derriford Hospital, Plymouth Hospitals NHS Trust , Plymouth , UK
| | - Ian Kamaly
- b Central Manchester University Hospitals NHS Foundation Trust , Manchester , UK
| | | | - Peter Whitfield
- a Derriford Hospital, Plymouth Hospitals NHS Trust , Plymouth , UK
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Pang GSW, Michaelidou M, Morillon P, Chang YC, Blair JC, Pettorini B, Mallucci C, Pizer B, Kamaly I, Clayton PE, Banerjee I, Hargrave D, Michalski A, Dorward N, Aquilina K, Ederies A, Spoudeas H. CR-24A 5-YEAR UPDATE REPORT OF A NATIONAL, VIRTUAL, INTERDISCIPLINARY ENDEAVOUR TO IMPROVE OUTCOMES FOR CHILDREN WITH HYPOTHALAMIC PITUITARY AXIS TUMOURS (HPATS) USING MULTI-SITE VIDEO CONFERENCING. Neuro Oncol 2016. [DOI: 10.1093/neuonc/now068.24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Parkes L, Wright N, Pavine J, Tang V, Kamaly I, Kilday JP, Stivaros S. RA-17ARTERIAL SPIN LABELLING IN CLINICAL PAEDIATRIC BRAIN TUMOUR ASSESSMENT. Neuro Oncol 2016. [DOI: 10.1093/neuonc/now083.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Sue-Ling J, Pettorini B, Ederies A, Aquilina K, Traunecker H, Grieve J, Kamaly I, Mandeville H, Spoudeas H. CR-17RESISTANT CYSTIC CRANIOPHARYNGIOMAS: A MANAGEMENT DILEMMA. CASE SERIES DISCUSSED AT A NATIONAL VIRTUAL MULTIDISCIPLINARY FORUM FOR HYPOTHALAMO-PITUITARY AXIS TUMOURS (HPAT). Neuro Oncol 2016. [DOI: 10.1093/neuonc/now068.17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Sattar A, Saleem A, Pettorini B, Pizer B, Bhatti I, Narenthiran G, Mallucci C, Hoffmann A, Gebhardt U, Sterkenburg A, Warmuth-Metz M, Muller HL, Postma FP, Hoffmann A, Gebhardt U, Muller HL, Hoffmann A, Warmuth-Metz M, Gebhardt U, Pietsch T, Pohl F, Kortmann RD, Calaminus G, Muller HL, Sterkenburg AS, Hoffmann A, Gebhardt U, Muller HL, Muller HL, Gebhardt U, Faldum A, Warmuth-Metz M, Pietsch T, Pohl F, Calaminus G, Perelberg D, Morillon P, Ederies A, Aquilina K, Dorward N, Michalski A, Hargrave D, Chang YC, Bozorgi N, James S, Korbonits M, Drake W, Akker S, Mallucci C, Pizer B, Blair J, Kamaly I, Clayton P, Spoudeas H, Wisoff J, Elliott R, Gump J, Donson A, Birks D, Handler M, Foreman N, Hankinson T. CRANIOPHARYNGIOMA. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Pople I, Poon W, Assaker R, Mathieu D, Iantosca M, Wang E, Zhang LW, Leung G, Chumas P, Menei P, Beydon L, Hamilton M, Kamaly I, Lewis S, Ning W, Megerian JT, McGirt MJ, Murphy JA, Michael A, Meling T. Comparison of Infection Rate With the Use of Antibiotic-Impregnated vs Standard Extraventricular Drainage Devices. Neurosurgery 2012; 71:6-13. [DOI: 10.1227/neu.0b013e3182544e31] [Citation(s) in RCA: 72] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Abstract
BACKGROUND:
External ventricular drainage (EVD) catheters provide reliable and accurate means of monitoring intracranial pressure and alleviating elevated pressures via drainage of cerebrospinal fluid (CSF). CSF infections occur in approximately 9% of patients. Antibiotic-impregnated (AI) EVD catheters were developed with the goal of reducing the occurrence of EVD catheter-related CSF infections and their associated complications.
OBJECTIVE:
To present an international, prospective, randomized, open-label trial to evaluate infection incidence of AI vs standard EVD catheters.
METHODS:
Infection was defined as (1) proven infection, positive CSF culture and positive Gram stain or (2) suspected infection: (A) positive CSF culture with no organisms identified on initial Gram stain; (B) negative CSF culture with a gram-positive or -negative stain; (C) CSF leukocytosis with a white blood cell/red blood cell count >0.02.
RESULTS:
Four hundred thirty-four patients underwent implantation of an EVD catheter. One hundred seventy-six patients in the AI-EVD cohort and 181 in the standard EVD catheter cohort were eligible for evaluation of infection. The 2 groups were similar in all clinical characteristics. Proven infection was documented in 9 (2.5%) patients (AI: 4 [2.3%] vs standard: 5 [2.8%], P = 1.0). Suspected infection was documented in 31 (17.6%) patients receiving AI and 37 (20.4%) patients receiving standard EVD catheters, P = .504. Duration of time to suspected infection was prolonged in the AI cohort (8.8 ± 6.1 days) compared with the standard EVD cohort (4.6 ± 4.2 days), P = .002.
CONCLUSION:
AI-EVD catheters were associated with an extremely low rate of catheter-related infections. AI catheters were not associated with risk reduction in EVD infection compared to standard catheters. Use of AI-EVD catheters is a safe option for a wide variety of patients requiring CSF drainage and monitoring, but the efficacy of AI-EVD catheters was not supported in this trial.
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Affiliation(s)
- Ian Pople
- Frenchay Hospital, Bristol, United Kingdom
| | - Wai Poon
- Prince of Wales Hospital, Shatin, Hong Kong
| | - Richard Assaker
- Centre Hospitalier Regional Universitaire de Lille, Lille, France
| | - David Mathieu
- Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
| | | | | | | | | | - Paul Chumas
- Leeds General Infirmary, Leeds, United Kingdom
| | - Philippe Menei
- Centre Hospitalier Universitaire d'Angers, Angers, France
| | - Laurent Beydon
- Centre Hospitalier Universitaire d'Angers, Angers, France
| | | | - Ian Kamaly
- Greater Manchester Neurosciences Centre, Salford, United Kingdom
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