News en Royal Brompton team reunited with intensive care patients <span>Royal Brompton team reunited with intensive care patients</span> <span><span>M.Lenza</span></span> <span>Thu, 29/07/2021 - 10:00</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-07-29T12:00:00Z">29 July 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Royal Brompton’s Adult Intensive Care Unit (AICU) team organised two virtual patient days for critical care patients, and their family members, to ‘revisit’ the hospital and speak to staff who cared for them. Usually held in-person, this year the days were moved online due to the Covid-19 pandemic.</span></span></span></p> <p><span><span><span>Patients who had previously been admitted to AICU for surgery or Covid-19 were invited to the virtual events, along with their family members, to find out how staff cared for them, ask questions about their time in the unit and the treatment they received, and ‘meet’ other people who have also spent time in critical care. </span></span></span></p> <p><span><span><span>The events included presentations from hospital consultants and nurses on what it is like to work in an AICU, and patients and families were invited to share their experience of either being on the unit or how it felt to have a loved one in AICU in the middle of a global pandemic. The day included a virtual tour of the unit as many patients had little to no memory of their stay in the hospital.</span></span></span></p> <p><span><span><span>There were Q&A sessions throughout the day and feedback from patients was excellent:</span></span></span></p> <p><span><span><span><span>“Thank you so much for organising the day, I appreciate it. Must have taken a lot of work, but it meant so much to me as a patient to know we are not forgotten when we leave hospital. Thank you again.” </span></span></span></span></p> <p><span><span><span><span>“The day was great and really helped with the trauma l went through. Even though l was unconscious most of time l knew l was being loved and well cared for. l could not explain it, but this day and my Diary totally proved it. Thank you.” </span></span></span></span></p> <p><span><span><span><span>“I came away feeling very fortunate having been cared for by such a professional caring team in ICU.” </span></span></span></span></p> <p><span><span><span><span>Jo Tillman, senior nurse and AICU matron, said: “We are very pleased to offer these patient days. It is an important step in the road to recovery for many patients, as it can help them gain a sense of closure. Staff get a lot out of it too. It’s really humbling, to see how people have survived and the progress they have made.</span></span></span></span></p> <p><span><span><span><span> “The day also provides former patients, their relatives and healthcare professionals the opportunity to discuss any ways we could improve our service for people who come into critical care in the future. It gives patients the chance to reconnect with the intensive care team and make links with others who have been in the same situation.”</span></span></span></span></p></div> Thu, 29 Jul 2021 09:00:05 +0000 M.Lenza 2961 at Royal Brompton researcher recognised for his work in cardiomyopathy <span>Royal Brompton researcher recognised for his work in cardiomyopathy </span> <span><span>M.Lenza</span></span> <span>Wed, 28/07/2021 - 10:36</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-07-28T12:00:00Z">28 July 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Dr Brian Halliday, specialist registrar at Royal Brompton Hospital and clinical lecturer at Imperial College’s National Heart and Lung Institute, has been awarded £1.1 million in research funding from the British Heart Foundation (BHF) to study a possible treatment for dilated cardiomyopathy (DCM).</span></span></span></p> <p><span><span><span>DCM is a heart condition where the left ventricle of the heart becomes dilated (stretched and thin), which makes it harder to pump blood around the body. It is also one of the most common reasons people need a heart transplant and is often inherited, although it can also develop due to excessive alcohol intake or during, and shortly after, pregnancy. </span></span></span></p> <p><span><span><span>The funding will go towards Dr Halliday’s clinical trial to investigate if a bespoke version of Coenzyme Q10, called MitoQ, improves the function of the heart. Coenzyme Q10 is a molecule that occurs naturally in the body and is an antioxidant, meaning that it prevents oxidation (a process that damages cells). If cell damage is reduced, cells can work more efficiently. Developed by world-renowned mitochondrial biologists, MitoQ is easily absorbed by the mitochondria (the part of a cell that creates adenosine triphosphate, also known as energy or ATP) and it is hoped that this will reduce any stress or cell damage, therefore improving mitochondrial function. </span></span></span></p> <p><span><span><span>Dr Halliday and his team will use MRI scans to evaluate if treatment with MitoQ improves the structure and therefore the function of the heart. The researchers will also use phosphorus-31 magnetic resonance spectroscopy, a specialist imaging technique that will allow them to measure the levels of energy in the heart. Higher levels mean the heart can pump blood around the body effectively. </span></span></span></p> <p><span><span><span>Dr Halliday said: “I am thrilled to be awarded this funding, the more clinical trials we can do, the more likely we are to find new therapies to treat cardiomyopathies. I am also very grateful to teams at Guy’s and St Thomas’, Barts and Hammersmith hospital for their support in this trial.”</span></span></span></p> <p><span><span><span>Dr Halliday’s previous research on DCM remission and relapse won the Royal Brompton & Harefield Hospitals Charity’s cardiovascular research award. This research showed that patients who were in DCM remission (no longer experiencing symptoms) should still continue to take their drugs to avoid a possible relapse. Dr Halliday has also recently been awarded an academic grant from the University of Oxford and the European Society of Cardiology to study for a Masters in clinical trials.</span></span></span></p> <p><span><span><span>Teams at Royal Brompton Hospital provide a comprehensive inherited cardiac conditions service for patients from before birth to old age. Sophisticated genetic testing is used to identify inherited conditions and if found, all family members can then be screened. C<span><span>linical geneticists, physicians from a wide range of medical specialities and an advanced nursing team work together to ensure that patients receive professional advice, both before testing is offered and after a result has been received.</span></span></span></span></span></p> <p> </p></div> Wed, 28 Jul 2021 09:36:24 +0000 M.Lenza 2960 at Harefield hospital prioritises staff and patient wellbeing <span>Harefield hospital prioritises staff and patient wellbeing</span> <span><span>M.Lenza</span></span> <span>Wed, 21/07/2021 - 11:17</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-07-21T12:00:00Z">21 July 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Harefield Hospital in Middlesex has officially opened four new gardens for patients and staff to use to help improve their mental and physical wellbeing. </span></span></span></p> <p><span><span><span>The gardens were created by patients, relatives and staff, with the help of volunteers, artists and generous funders, and have been designed to be accessible to all patients, with smooth surfaces to allow for easy access of patients on beds or chairs. Known as the Rowan Garden, the Healing Garden, the Peace Garden and the ITU garden, these new outdoor spaces are key assets to enhance the patient and staff experience, improve wellbeing through access to nature, and form part of the hospital’s sustainability drive and the NHS’s target to become carbon-neutral by 2045.</span></span></span></p> <p><span><span><span>Staff will be encouraged to make use of the gardens on their breaks and many patients will be able to see the gardens from their window if they are not able to get outside. Research has shown that just 20 minutes of contact with nature can lower stress hormone levels.<sup>1</sup> The gardens will also help to increase biodiversity in the area, and patients and staff can become ‘Green Champions’ by helping to monitor the levels of biodiversity in the gardens as well as volunteer to help maintain them. People will be encouraged to download the free app, iNaturalist, to record and learn about the animals and plants found in the gardens, and in the summer months, grass will be mowed less often to help nature recover from the ongoing ecological loss. </span></span></span></p> <p><span><span><span>Karen Janody, rb&hArts manager who helped fund and design the gardens, said: “We wanted to enhance the biodiversity at Harefield, as well as give everyone a space outdoors to enjoy and connect with nature. Green spaces have physical and mental health benefits, and we hope everyone will be able to watch the gardens grow, enjoy improved air quality and the chance to relax outdoors for many years to come.</span></span></span></p> <p><span><span><span>“Harefield has a great history of patients spending time outside for rehabilitation and therapy, and these projects can be part of that legacy.”</span></span></span></p> <p><span><span><span>Helena Day, clinical nurse specialist in blood transfusions, has volunteered in the gardens. She said: “I am very glad I signed up as I really enjoyed myself. As I am largely office based, I liked the physical activity and enjoyed being in the fresh air in the middle of the day. It was a good break from looking at my computer screen. I took pride in making a small improvement to our grounds.”</span></span></span></p> <p><span><span><span>Occupational therapist, Jennifer Sly, attended a gardening workshop. She said: “Our busy caseload often means we are not able to explore the grounds in working hours or find out what patients have access to. The space is lovely – tranquil and full of colour, with a good variety of planting to attract the eye. It was nice to take time out and appreciate our surroundings and take part in a selection of mindful tasks during the workshop.”</span></span></span></p> <p><span><span><span>After World War I, Harefield Hospital was used as a sanatorium (a hospital specifically for the treatment of tuberculosis) and as the only treatment in the early 20<sup>th</sup> century for tuberculosis was sunshine and fresh air, the hospital has a long history of making use of its outdoor space for patient benefit. </span></span></span></p> <p><span><span><span><strong>Ends</strong></span></span></span></p> <p><span><span><span>For more information, or for media enquiries, please contact Maxine Lenza, senior media relations officer at Royal Brompton and Harefield hospitals on 07891 310924 or <a href=""></a> </span></span></span></p> <p><span><span><span><strong><u>Notes to editors</u></strong></span></span></span></p> <p><span><span><span><strong>References:</strong></span></span></span></p> <ol><li><span><span><span><a href=""></a> </span></span></span></li> </ol><p><span><span><span><strong>Royal Brompton and Harefield hospitals</strong><br /> Royal Brompton and Harefield hospitals make up the largest specialist heart and lung centre in the UK. The hospitals, part of Guy's and St Thomas' NHS Foundation Trust, have an international reputation for the expertise of their staff, high standard of care, and research success. Experts at the hospitals help patients from all age groups who have heart and lung problems and provide some of the most complex surgery and sophisticated treatments available anywhere in the world. For further information, visit <a href=""></a></span></span></span></p> <p><span><span><span>The Harefield gardens have been delivered thanks to the generosity and practical help from many individuals and organisations. They have been funded by donations from former patients, families and friends of patients, the Royal Brompton & Harefield Hospitals Charities, Harefield Hospital, Harefield Transplant Club, the Mayor of London Greener City Fund, the National Lottery Community Fund, HS2 Community and Environment Fund (CEF), the Heathrow Community Trust, and local businesses Clancy and Artemis tree surgeons. The Peace Gardens were delivered in partnership with Groundwork London and the Healing Garden was created by patients’ relatives Rosie Pope OBE and Catherine Perry.</span></span></span></p> <p> </p></div> Wed, 21 Jul 2021 10:17:09 +0000 M.Lenza 2958 at Important information for patients and visitors in light of new government guidance <span>Important information for patients and visitors in light of new government guidance</span> <span><span>S.Anand</span></span> <span>Thu, 15/07/2021 - 09:06</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-07-15T12:00:00Z">15 July 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span><span>On Monday 19<sup>th</sup> July, new government guidance will come into force for England, lifting a series of Covid-19 restrictions as part of the final stage of the government’s four-step roadmap for lifting lockdown. </span></span></span></span></p> <p><span><span><span><span>Across our hospitals, the safety of our patients and staff is paramount, and </span></span></span></span><span><span><span><span>we will continue to observe the measures we currently have in place to keep everyone safe during their visit. This follows the guidelines set by Public Health England that state that everyone accessing or visiting healthcare settings must continue to wear a face covering and follow social distancing rules.  </span></span></span></span><span><span><span><span>   </span></span></span></span></p> <ul><li><span><span><span><strong><span>Face coverings</span></strong><span>: anyone entering our hospitals must wear a face mask or covering while in our buildings, unless they fall within the following groups: children under the age of three, anyone with respiratory conditions or breathing difficulties, and anyone unable to use a face covering without assistance. </span></span></span></span></li> <li><span><span><span><strong><span>Social distancing</span></strong><span>: maintain a two-metre distance between yourself and anyone you come across during your visit, unless advised otherwise – for example, to allow staff to carry out any tests patients need.   </span></span></span></span></li> <li><span><span><span><strong><span>Handwashing: </span></strong><span>wash your hands or use hand sanitiser as soon as you enter the hospital, and frequently thereafter.</span></span></span></span></li> </ul><p><span><span><span><span>Further information on what we are doing to keep you safe during your visit can be found </span><a href=""><span>here</span></a><span>. </span></span></span></span></p> <h2><span><span><span><span><span>Visiting     <strong> </strong></span></span></span></span></span></h2> <p><span><span>Visiting has not yet returned to normal levels and continues to be carefully managed<span><span>. Further information is available <a href="">here</a>. </span></span></span></span></p></div> Thu, 15 Jul 2021 08:06:33 +0000 S.Anand 2957 at Royal Brompton Hospital consultant awarded Honorary Fellowship by the American Society of Echocardiography <span>Royal Brompton Hospital consultant awarded Honorary Fellowship by the American Society of Echocardiography</span> <span><span>M.Lenza</span></span> <span>Wed, 23/06/2021 - 09:45</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-06-23T12:00:00Z">23 June 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Royal Brompton Hospital consultant cardiologist, Professor Roxy Senior, has been selected as an Honorary Fellow of the American Society of Echocardiography.</span></span></span></p> <p><span><span><span>Echocardiography is a non-invasive imaging technique that uses ultrasound waves to create pictures of the structure and function of the heart. This Honorary Fellowship is presented to echocardiographers outside the United States who have made a significant contribution to the field of cardiovascular ultrasound imaging, inspiring clinicians through their research and leadership. Only a small number of other prominent experts in the field of echocardiography have been recognised as Honorary Fellows by the American Society of Echocardiography, and Professor Senior is the first from the UK to be presented with this prestigious title. </span></span></span></p> <p><span><span><span>Professor Senior said: “I am very happy and proud to be recognised by the American Society of Echocardiography. Echocardiography is a marvellous tool for clinicians, allowing us to see what the heart it is doing in real time through a non-invasive procedure, helping us to diagnose heart disease.”</span></span></span></p> <p><span><span><span>Dr Richard Grocott-Mason, Royal Brompton and Harefield hospitals’ managing director, said: “I am delighted to see Professor Senior recognised in this way. He has always strived for excellence in the field of cardiac imaging and his work has furthered knowledge in this area considerably.” </span></span></span></p> <p><span><span><span>Professor Senior became interested in echocardiography as a trainee cardiologist when it was still new technology, and soon became a champion of the imaging technique, promoting the use of stress echo to diagnose coronary artery disease – this involves patients’ hearts being monitored with echocardiography imaging while exercising to check for abnormalities. He eventually went on to help pioneer a new technique that combines echocardiography imaging with microbubbles consisting of inert gas that are injected into the blood, allowing clinicians to look at the blood flow in patients’ muscles, helping to diagnose heart problems quicker. Called myocardial contrast echocardiography, this technique is now recognised internationally, with Professor Senior writing the first guidelines on it.</span></span></span></p> <p><span><span><span>The echocardiography department at Royal Brompton and Harefield hospitals has national and international recognition and is recognised internationally as a centre of excellent standards of clinical practice in echocardiography.</span></span></span></p></div> Wed, 23 Jun 2021 08:45:36 +0000 M.Lenza 2941 at Harefield team wins government funding for Artificial Intelligence programme <span>Harefield team wins government funding for Artificial Intelligence programme</span> <span><span>M.Lenza</span></span> <span>Fri, 11/06/2021 - 10:59</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-06-16T12:00:00Z">16 June 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>A team led by Dr William Man, consultant chest physician at Royal Brompton and Harefield hospitals, has been awarded significant funding from the NHS Artificial Intelligence (AI) Lab as part of the AI in Health and Care Award. The funding, with a potential value of £1.32 million, will be used to help improve the diagnosis of lung diseases in primary care.</span></span></span></p> <p><span><span><span>Lung diseases are the third biggest cause of death in the UK and currently cost the NHS around £9.9 billion each year. The <a href="">NHS’s Long Term Plan</a> outlined the need to improve health outcomes for lung disease and the AI Award aims to increase the impact of AI technologies to help solve clinical and operational challenges across the NHS.</span></span></span></p> <p><span><span><span>Dr Man’s team has partnered with medical device company, ArtiQ, to test the use of AI in primary care to interpret and evaluate spirometry tests – a simple test that measures the amount and speed of air that can be inhaled and exhaled to assess breathing patterns and identify lung conditions, such as asthma and chronic obstructive pulmonary disease (COPD). The use of AI software to automate the interpretation of spirometry tests could free-up clinicians’ time and reduce incorrect diagnoses.</span></span></span></p> <p><span><span><span>Dr Man said: “This AI technology could be used to make quicker and more accurate diagnoses, which means patients can start treatment sooner before any lung diseases progress too far. We believe it has the potential to have a significant effect on reducing health inequalities in lung disease.”</span></span></span></p> <p><span><span><span>Marko Topalovic, joint lead investigator of the project and CEO of ArtiQ, said: “We are very pleased that the NHS recognises the importance of early detection of lung disease, and the value our technology can bring to both patients and to primary care. Spirometry is the main tool to evaluate the respiratory system, and ArtiQ enhance it by bringing respiratory specialist-level of expertise through our AI software.”</span></span></span></p> <p><span><span><span>He further adds: “We are delighted to be part of such a fantastic team, with partners from leading NHS and academic institutions.”</span></span></span></p> <p>You can find out more about ArtiQ and its involvement in the project <a href="">here</a>.   </p> <p><span><span><span>Royal Brompton and Harefield hospitals are a world leader in the diagnosis, management and treatment of lung disease. The hospitals have one of the world’s largest lung disease patient populations, and as a leading European respiratory research centre, has pioneered research that has set national standards for treatment in collaboration with its partner, the National Heart and Lung Institute. Dr Man’s research team is based primarily at Harefield Hospital.</span></span></span></p> <p><span><span><span>NHS AI Lab is a partnership between NHSX, the National Institute for Health Research (NIHR), and the Accelerated Access Collaborative. </span></span></span></p> <p> </p></div> Fri, 11 Jun 2021 09:59:40 +0000 M.Lenza 2933 at Cystic Fibrosis Week 2021 <span>Cystic Fibrosis Week 2021</span> <span><span>M.Lenza</span></span> <span>Thu, 10/06/2021 - 14:04</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-06-15T12:00:00Z">15 June 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Cystic fibrosis (CF) is an inherited disease where thick sticky mucus is produced in the lungs making it difficult to breathe. It can also affect the pancreas, the liver, reproductive organs, sweat glands, the nose and sinuses, and while there is no cure for the disease, treatments are available to help manage it.</span></span></span></p> <p><span><span><span>Royal Brompton Hospital is a leading centre for the care of children and adults with CF and its expert teams have been responsible for many breakthroughs in research and treatments for the condition. The specialist CF team is made up of many different professionals including consultants, clinical nurse specialists, physiotherapists, dietitians and psychologists, who provide a comprehensive (holistic) approach to CF care. This includes the <a href="">Vocal Beats</a> programme, where young people are offered singing and music lessons that can help with breathing techniques, as well as improve the mental wellbeing of patients. </span></span></span></p> <p><span><span><span>CF patient, Eleanor Smith (23), is a Vocal Beats Ambassador. For Cystic Fibrosis Week 2021, Eleanor explains why she joined the Vocal Beats programme, what it is like living with CF and how she met and interviewed BBC Radio 1 presenter, Katie Thisleton, for YouTube channel <a href="">Vocal Beats Online</a>.</span></span></span></p> <p><span><span><span><strong>Why did you decide to become a Vocal Beats Ambassador? </strong></span></span></span></p> <p><span><span><span>I spend a lot of time in and out of hospital, so I knew about the 121 <a href="">Singing For Breathing</a> sessions run by Heather McClelland for patients with chronic obstructive pulmonary disease (COPD). So, when a new project aimed at young people was starting, she recommended me to be one of the youth ambassadors for it. It seemed very interesting and I thought it would be quite nice to do something because of CF that wasn’t going to hospital or having treatment and blood tests.</span></span></span></p> <p><span><span><span><strong>How does music and singing help you?</strong></span></span></span></p> <p><span><span><span>I think it’s different for me because I am deaf so music isn’t something I purposely seek out, but I do enjoy it and I have positive memories of it from my childhood when I could still hear. I suppose it gives me something to think about that isn’t CF or my next hospital appointment, which is good, and that improves my mental health. You don’t have to be knowledgeable about music to enjoy it. </span></span></span></p> <p><span><span><span><strong>What is it like living with CF?</strong></span></span></span></p> <p><span><span><span>That is actually difficult to answer, because for me it’s just my life. It’s a bit weird to imagine what it would be like not living with CF. I did have some denial growing up, I spent a lot of my childhood pretending that I didn’t have CF. But once I came to terms with it things got better.</span></span></span></p> <p><span><span><span><strong>Why did you interview Katie Thisleton?</strong></span></span></span></p> <p><span><span><span>Well Katie hosted a CF conference back in 2019. I couldn’t go because I was in hospital having treatment, but my mum went and approached her knowing that Vocal Beats were setting up a video channel and looking for inspiring people to interview. There were some delays due to Covid-19 but we finally did the interview a few weeks ago, which was really exciting as Katie does a lot of work with young people and around mental health – she is really motivational.</span></span></span></p> <p><span><span><span><strong>What was it like interviewing Katie Thisleton?</strong></span></span></span></p> <p><span><span><span>I was quite nervous, I think, because I’ve never interviewed anyone before. There’s also the fact that I wanted it to go well and I’m a bit of a perfectionist – this isn’t a job interview, so I don’t mind using that cliché. I am also autistic so communicating with people can be tricky sometimes. It can feel like I’m Wallace from the episode of Wallace and Gromit where he puts on the wrong trousers. But I spent a long time researching and preparing my questions, and she said she hadn’t been asked some of them before which I think is good – I even asked her a mystery bonus question! Ultimately, it went quite well.</span></span></span></p> <p><span><span><span>Watch the full interview between Eleanor and Katie to find out what the bonus mystery question was.</span></span></span></p> <div class="video-embed-field-provider-youtube video-embed-field-responsive-video form-group"><iframe width="854" height="480" frameborder="0" allowfullscreen="allowfullscreen" src=""></iframe> </div> <p><span><span><span><span><span>Eleanor has big ambitions for the Vocal Beats Ambassador programme and is hoping her next interview will be with comedian, James Acaster, who took part in <a href="">Hundred Hearts</a> – a fundraiser organised by Royal Brompton & Harefield Hospitals Charity in 2019. Vocal Beats is funded by Youth Music, the Coop Foundation’s Building Connections Fund Youth Strand, The Brompton Fountain charity and The Royal Marsden Cancer Charity at The Royal Marsden NHS Foundation Trust.</span></span></span></span></span></p> <p> </p></div> Thu, 10 Jun 2021 13:04:04 +0000 M.Lenza 2932 at Hospital team wins digital health award for excellence in patient care <span>Hospital team wins digital health award for excellence in patient care</span> <span><span>M.Lenza</span></span> <span>Fri, 28/05/2021 - 10:55</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-05-28T12:00:00Z">28 May 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><img alt="Royal College of Physicians " data-entity-type="file" data-entity-uuid="1b998d47-9527-469f-a46f-b469fee12fcd" src="" class="align-center" /><p><span><span><span>A team at Royal Brompton Hospital led by consultant cardiologist and electrophysiologist, Dr Jonathan Behar, has won the Royal College of Physicians’ Excellence in Patient Care Award (EPCA) in the digital category.  </span></span></span></p> <p><span><span><span>The award recognises the use of new or existing technologies or digitally driven projects that have contributed to significant improvements in patient care or health outcomes. Royal Brompton’s winning project was set up to improve the way patients consent to having cardiac operations before the procedure takes place. </span></span></span></p> <p><span><span><span>The hospital is a specialist provider and patients often travel long distances to see their clinical team, so work had been underway for some time to assess the value of online consultations. The Covid-19 pandemic increased the urgency to investigate how online access to clinicians could improve patient care and experience.</span></span></span></p> <p><span><span><span>The team set about making the assessment that patients have before their operation entirely virtual. They employed the use of a digital consent form alongside specific video animations to help patients better understand their condition and upcoming operation. </span></span></span></p> <p><span><span><span>Dr Behar said: “Before Covid-19, pre-operation assessments were done in face-to-face consultations with a health care professional to discuss an often highly complex operation, its risks and benefits. Yet evidence suggested that patients remember less than 10 per cent of what is discussed with them in consultations and often think of additional questions afterwards. The pandemic meant that in-person attendances had to be minimised for reasons of infection prevention and control, so we designed and delivered a novel yet practical solution that enabled patients to understand their operations, along with the risks and alternatives, and could feel part of the decision-making process before consenting.</span></span></span></p> <p><span><span><span>“This digital pathway really puts patients at the centre of the process, ensuring they are sufficiently supported and armed with enough information to make an informed decision. The utility of this platform has been demonstrated with the cardiac surgery team care group and we are delighted many others within the hospitals are interested in introducing it for their patients too.” </span></span></span></p> <p><span><span><span>The project, entitled, “A digital pathway to support pre-procedural, shared decision making and consent”, received excellent feedback from patients. Many said they felt empowered and were able to ask more specific and focussed questions during their pre-assessment appointment having been given more time to reflect on the complexities of the operation, risks and benefits. </span></span></span></p> <p><span><span><span>Royal Brompton and Harefield hospitals form the largest provider of cardiothoracic surgery in the UK, and are the only specialist cardiothoracic centre to provide treatment for patients of all age groups. Experts at Royal Brompton Hospital care for patients with a wide range of complex cardiac conditions, including congenital (present at birth), inherited and acquired later in life. </span></span></span></p> <img alt="Cardiology Pre-assessment Improvement team " data-entity-type="file" data-entity-uuid="569e43d1-c3f2-4806-bada-e4e405506652" src="" class="align-center" /><p> </p></div> Fri, 28 May 2021 09:55:48 +0000 M.Lenza 2927 at International Nurses’ Day 2021 <span>International Nurses’ Day 2021</span> <span><span>M.Lenza</span></span> <span>Tue, 11/05/2021 - 14:37</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-05-12T12:00:00Z">12 May 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Today is International Nurses’ Day. Organised annually by the International Council of Nurses, and held on Florence Nightingale’s Birthday, the day recognises the pivotal role nurses play in patient care, and the huge contribution they make to societies around the world. </span></span></span></p> <p>Celebrating the day, Joy Godden, director of nursing and governance, said: “Nurses are the backbone of the NHS, providing round the clock care in every setting. They are with patients through their darkest and best moments, working as individual professionals and in wider teams to deliver the expert care required for each person they are allocated to support. International Nurses’ Day is an opportunity to recognise, thank and shine a light on our excellent nursing teams and their hard work; in an unprecedented year, our nurses have consistently provided their utmost commitment, courage and compassions to patients and their colleagues, and at this time in particular they have my heartfelt thanks.”</p> <p><span><span><span>To mark International Nurses Day, nurses from Royal Brompton and Harefield hospitals were interviewed to shine a spotlight on the range of opportunities available to them, what they love about their job and what the day means to them.</span></span></span></p> <p><span><span><span>In one interview, Paul Lidgate, senior nurse and matron in respiratory medicine, said: “I remember sitting with an asthma patient one night, she was very frightened; I sat with her, did some hand-holding therapy and helped her through her treatment. It was the first time I really got a sense of the difference nurses can make, and those unexpected acts of kindness that can have a big impact on our patients.”</span></span></span></p> <p><span><span><span>Alison Pottle, nurse consultant in cardiology, agrees nurses can have a great impact on patients. She said: “There was a patient who had a transplant; she was in her 20s, about 25 years ago. I remember the day she had her surgery, and she’s lived all these years, seen her daughter grow up and she’s still doing really well. When she comes in for check-ups she often asks if I’m around. Those positives live with you forever.”</span></span></span></p> <p><span><span><span>Watch the films to see conversations between:</span></span></span></p> <ul><li><span><span><span>Joy Godden, director of nursing and clinical governance and Carol Pryce, nurse recruitment manager.</span></span></span></li> </ul><div class="video-embed-field-provider-vimeo video-embed-field-responsive-video form-group"><iframe width="854" height="480" frameborder="0" allowfullscreen="allowfullscreen" src=""></iframe> </div> <p> </p> <ul><li><span><span><span>Alison Pottle, nurse consultant in cardiology and Itayi Chinehasha, senior staff nurse/practice facilitator.</span></span></span></li> </ul><div class="video-embed-field-provider-vimeo video-embed-field-responsive-video form-group"><iframe width="854" height="480" frameborder="0" allowfullscreen="allowfullscreen" src=""></iframe> </div> <p> </p> <ul><li><span><span><span>Paul Lidgate, senior nurse and matron, respiratory medicine and Miriam Kirton, AICU staff nurse.</span></span></span></li> </ul><div class="video-embed-field-provider-vimeo video-embed-field-responsive-video form-group"><iframe width="854" height="480" frameborder="0" allowfullscreen="allowfullscreen" src=""></iframe> </div> </div> Tue, 11 May 2021 13:37:58 +0000 M.Lenza 2911 at Artificial Intelligence predicts best treatment for Covid-19 patients <span>Artificial Intelligence predicts best treatment for Covid-19 patients</span> <span><span>M.Lenza</span></span> <span>Tue, 11/05/2021 - 11:28</span> <div class="field field--name-field-date field--type-datetime field--label-hidden field--item"><time datetime="2021-05-11T12:00:00Z">11 May 2021</time></div> <div class="field field--name-body field--type-text-with-summary field--label-hidden field--item"><p><span><span><span>Researchers have used Artificial Intelligence (AI) to predict which critically ill Covid-19 patients might respond to interventions carried out in an intensive care setting, such as proning – where patients are turned onto their fronts to get more oxygen into the lungs.<strong> </strong>This approach, where comprehensive patient data is analysed day-by-day, could be used to improve Covid-19 guidelines and determine the best clinical treatments.</span></span></span></p> <p><span><span><span>The researchers, led by a team from Imperial College London and Royal Brompton and Harefield hospitals, for the <a href="">Covid-ICU Consortium</a> (a national alliance of clinicians researching the most effective treatments for Covid-19 patients), analysed data from 633 mechanically ventilated Covid-19 patients across 20 Intensive Care Units (ICUs) in the UK during the first wave of the Covid-19 outbreak (1 March – 31 August 2020). The team examined the importance of factors associated with disease progression, like blood clots and inflammation in the lungs, as well as treatments given and whether patients were discharged or, sadly, died. They used this data to design and train an AI tool that can identify how patients will respond to certain clinical interventions.</span></span></span></p> <p><span><span><span>The researchers found that during the first wave of the pandemic, patients with blood clots or inflammation in the lungs, lower oxygen levels, lower blood pressure, and higher levels of lactic acid in the blood (a natural substance that builds up due to a lack of oxygen) were less likely to benefit from being placed in the prone position (on their front). Overall, pronation increased the level of oxygen in the body in only 45 per cent of patients. Going forwards, this information can be used to ensure that patients receive timely sequential interventions and their responses are assessed, and patients that do not respond can be referred for other interventions, such as extracorporeal membrane oxygenation (ECMO) – a life support machine that acts as an artificial heart and lungs to pump blood around the body.</span></span></span></p> <p><span><span><span>First author and clinical science lead Dr Brijesh Patel, honorary consultant at Royal Brompton Hospital and clinical senior lecturer in cardiothoracic at Imperial College, said: “This AI approach will allow patient care to be streamlined so that the window of opportunity for interventions, such as ECMO, are not missed. ECMO is currently the last resort for Covid-19 patients and over 20 per cent of all patients on a mechanical ventilator were referred to one of the five adult ECMO centres in the UK. However, only 4 per cent received ECMO. This will have been due to a number of reasons, one of which is that some patients were not referred early enough.</span></span></span></p> <p><span><span><span>“Our analysis shows that patients need to be referred for ECMO as soon as other less invasive interventions, such as proning, have been shown to not work and this AI tool enables clinicians to predict if patients will respond to proning. If they will not, patients may be referred to ECMO sooner. This national evaluation enabled us not only to examine disease course and how our management decisions affected this course, but importantly where we could improve.”</span></span></span></p> <p><span><span><span>Dr Patel continued: “Most studies look at the health of patients on admission to ICU and whether they get better or, sadly, die. In ICU there is a huge amount of information which we use at the bedside to manage patients on a day-by-day basis. Our study focuses on how patients’ conditions changed daily. It helped focus our attention on which specific parameters matter the most, and how the importance of each parameter changes over time. This dynamic understanding is vitally important when trying to understand a new life-threatening disease and to know when and in whom each intervention works. We hope our findings will help and encourage more research to be undertaken that focuses on the daily needs of patients.”</span></span></span></p> <p><span><span><span>Senior author and data science lead Professor Aldo Faisal, Director of Imperial’s Centre in AI for Healthcare at the Departments of Computing and Bioengineering, said: “More than one year on, we’re still learning how the course of Covid-19 affects the body, and how this can change day-by-day. Data science and the daily data feeds from ICUs across the country help us learn much faster how best to treat individual patients based on their daily symptoms and needs.”</span></span></span></p> <p><span><span><span>This is the first study that examines daily clinical patient data, using AI to understand the clinical response to the rapidly changing needs of patients in ICU. It could be applied to potential future waves of the pandemic and other diseases treated in similar clinical settings.</span></span></span></p> <p><span><span><span>The researchers continue to collect patient data and are currently curating data and analysing findings from the second wave of the pandemic. The study was co-funded by the Imperial College London Covid-19 Research Fund, Royal Brompton & Harefield Hospitals Charity, and NIHR Imperial Biomedical Research Centre, and is endorsed by the Intensive Care Society.</span></span></span></p> <p><span><span><span><a href="">Natural history, trajectory, and management of mechanically ventilated COVID-19 patients in the United Kingdom</a> by Brijesh Patel et al., published 11 May 2021 in <em>Intensive Care Medicine</em>.</span></span></span></p></div> Tue, 11 May 2021 10:28:04 +0000 M.Lenza 2910 at