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Your search keyword '"E. Moylett"' showing total 11 results
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11 results on '"E. Moylett"'

1. Introduction of an Oral Fluid Challenge Protocol in the Management of Children with Acute Gastroenteritis: A Regional Hospital Experience

Author

E, Umana, A, Rana, K, Maduemem, and E, Moylett

Abstract

Oral rehydration therapy (ORT) remains the ideal first line therapy for acute gastroenteritis (AGE). Our aim was to assess the impact of introducing an Oral Fluid Challenge (OFC) protocol on outcomes such as intravenous fluid use and documentation in our institution. A single centre study with data collected retrospectively pre-implementation (April 2015) of the OFC protocol and post implementation (April 2016). Consecutive sampling of the first 55 patients presenting with GE like symptoms and underwent OFC were recruited. One hundred and ten patients were included in this study with 55 patients per cycle. The rates of IVF use decreased from 22% (12) in cycle one to 18% (10) in cycle two. There was an improvement in documentation by 26% (14) for level of dehydration and 52% (31) for OFC volume from cycle one to two. Overall, the addition of the OFC protocol to the management of patients with uncomplicated AGE would help streamline and improve care.

Published
2018

3. Myocardial ischaemia following cocaine and adrenaline exposure in a child during an ophthalmological procedure

Author

E, McGovern, E, Moylett, and C J, McMahon

Subjects
Mydriatics, Epinephrine, Lacrimal Apparatus Diseases, Administration, Topical, Myocardial Ischemia, Infant, Cardiovascular Agents, Diagnostic Techniques, Ophthalmological, Nitroglycerin, Treatment Outcome, Cocaine, Humans, Female, Anesthetics, Local, Milrinone
Abstract

We report a 23-month old girl who presented with bilateral epiphora who underwent bilateral lacrimal probing and syringing, during which a cocaine adrenaline solution was used. Two hours after the procedure she developed acute pulmonary oedema secondary to myocardial ischaemia. The patient was treated with intravenous glyceryltrinitrate and milrinone infusions; cardiac enzymes and left ventricular function normalised over the subsequent 72 hours. Topical administration of cocaine and adrenaline solution may have dangerous systemic cardiac effects and should always be used judiciously.

Published
2015

4. Clinical tetanus in an 11 year old boy

Author

L, Brandon, N F, Nurdin, M, Byrne, and E, Moylett

Subjects
Male, Tetanus, Vaccination, Humans, Wounds, Penetrating, Child, Foot Injuries
Published
2014

5. Is neonatal group B streptococcal infection preventable?

Author

M, Azam, N M, Allen, D, O'Donovan, and E, Moylett

Subjects
Pregnancy, Risk Factors, Incidence, Streptococcal Infections, Infant, Newborn, Humans, Female, Pregnancy Complications, Infectious, Streptococcus agalactiae
Abstract

Early onset group B streptococcal (EOGBS) infection causes significant neonatal morbidity and mortality. We determined the incidence of EOGBS at Galway University Hospital (GUH) and examined any "missed opportunities" for preventing neonatal infection between 2004 and 2009. Our obstetric approach is risk-based. The incidence was 0.45/1,000 live-births; one death and one with neurological sequelae. A single mother received IAP; however we could not determine any potential for reducing cases of EOGBS by improving current IAP usage.

Published
2011

7. Introduction of an Oral Fluid Challenge Protocol in the Management of Children with Acute Gastroenteritis: A Regional Hospital Experience.

Author

Umana E, Rana A, Maduemem K, and Moylett E

Abstract

Oral rehydration therapy (ORT) remains the ideal first line therapy for acute gastroenteritis (AGE). Our aim was to assess the impact of introducing an Oral Fluid Challenge (OFC) protocol on outcomes such as intravenous fluid use and documentation in our institution. A single centre study with data collected retrospectively pre-implementation (April 2015) of the OFC protocol and post implementation (April 2016). Consecutive sampling of the first 55 patients presenting with GE like symptoms and underwent OFC were recruited. One hundred and ten patients were included in this study with 55 patients per cycle. The rates of IVF use decreased from 22% (12) in cycle one to 18% (10) in cycle two. There was an improvement in documentation by 26% (14) for level of dehydration and 52% (31) for OFC volume from cycle one to two. Overall, the addition of the OFC protocol to the management of patients with uncomplicated AGE would help streamline and improve care., Competing Interests: The authors declare no conflict of interest.

Published
2018

9. Myocardial ischaemia following cocaine and adrenaline exposure in a child during an ophthalmological procedure.

Author

McGovern E, Moylett E, and McMahon CJ

Subjects
Administration, Topical, Anesthetics, Local administration & dosage, Anesthetics, Local adverse effects, Cardiovascular Agents administration & dosage, Cocaine administration & dosage, Epinephrine administration & dosage, Female, Humans, Infant, Mydriatics administration & dosage, Mydriatics adverse effects, Treatment Outcome, Cocaine adverse effects, Diagnostic Techniques, Ophthalmological, Epinephrine adverse effects, Lacrimal Apparatus Diseases diagnosis, Lacrimal Apparatus Diseases therapy, Milrinone administration & dosage, Myocardial Ischemia chemically induced, Myocardial Ischemia therapy, Nitroglycerin administration & dosage
Abstract

We report a 23-month old girl who presented with bilateral epiphora who underwent bilateral lacrimal probing and syringing, during which a cocaine adrenaline solution was used. Two hours after the procedure she developed acute pulmonary oedema secondary to myocardial ischaemia. The patient was treated with intravenous glyceryltrinitrate and milrinone infusions; cardiac enzymes and left ventricular function normalised over the subsequent 72 hours. Topical administration of cocaine and adrenaline solution may have dangerous systemic cardiac effects and should always be used judiciously.

Published
2015

10. Clinical tetanus in an 11 year old boy.

Author

Brandon L, Nurdin NF, Byrne M, and Moylett E

Subjects
Child, Foot Injuries microbiology, Humans, Male, Tetanus prevention & control, Vaccination, Wounds, Penetrating microbiology, Tetanus diagnosis, Tetanus therapy
Published
2013

11. Is neonatal group B streptococcal infection preventable?

Author

Azam M, Allen NM, O'Donovan D, and Moylett E

Subjects
Female, Humans, Incidence, Infant, Newborn, Pregnancy, Risk Factors, Streptococcal Infections diagnosis, Streptococcal Infections epidemiology, Streptococcal Infections transmission, Pregnancy Complications, Infectious, Streptococcal Infections prevention & control, Streptococcus agalactiae isolation & purification
Abstract

Early onset group B streptococcal (EOGBS) infection causes significant neonatal morbidity and mortality. We determined the incidence of EOGBS at Galway University Hospital (GUH) and examined any "missed opportunities" for preventing neonatal infection between 2004 and 2009. Our obstetric approach is risk-based. The incidence was 0.45/1,000 live-births; one death and one with neurological sequelae. A single mother received IAP; however we could not determine any potential for reducing cases of EOGBS by improving current IAP usage.

Published
2011

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