All Stories

  1. PeriOperative Quality Initiative (POQI) international consensus statement on perioperative arterial pressure management

    Article • British Journal of Anaesthesia, August 2024, Elsevier

    Dr Nick Fletcher

  2. Transparency and safety in the independent sector: improving, but must do better

    Article • Anaesthesia, January 2024, Wiley

    Dr Nick Fletcher

  3. Current Anesthetic Care of Patients Undergoing Transcatheter Aortic Valve Replacement in Europe: Results of an Online Survey

    Article • Journal of Cardiothoracic and Vascular Anesthesia, June 2021, Elsevier

    Dr Nick Fletcher

  4. Perioperative care in cardiac surgery

    Article • Minerva Anestesiologica, May 2021, Edizioni Minerva Medica

    Dr Nick Fletcher

  5. The PRICES statement: an ESICM expert consensus on methodology for conducting and reporting critical care echocardiography research studies

    Article • Intensive Care Medicine, December 2020, Springer Science + Business Media

    Dr Nick Fletcher

  6. Early Extubation in Enhanced Recovery from Cardiac Surgery

    Article • Critical Care Clinics, October 2020, Elsevier

    Dr Nick Fletcher

  7. The incidence and effect of resternotomy following cardiac surgery on morbidity and mortality: a 1‐year national audit on behalf of the Association of Cardiothoracic Anaesthesia and Critical Care

    Article • Anaesthesia, May 2020, Wiley

    Dr Nick Fletcher

  8. Systematic review and literature appraisal on methodology of conducting and reporting critical-care echocardiography studies: a report from the European Society of Intensive Care Medicine PRICES expert panel

    Article • Annals of Intensive Care, April 2020, Springer Science + Business Media

    Dr Nick Fletcher

  9. Postoperative care: who should look after patients following surgery?

    Article • Anaesthesia, January 2020, Wiley

    Dr Nick Fletcher

  10. Enhanced Recovery After Cardiac Surgery (ERAS Cardiac) Recommendations: An Important First Step—But There Is Much Work to Be Done

    Article • Journal of Cardiothoracic and Vascular Anesthesia, January 2020, Elsevier

    Dr Nick Fletcher

  11. Increased atrial contraction contribution to left ventricular filling during early septic shock

    Article • Journal of Critical Care, December 2019, Elsevier

    Dr Nick Fletcher

  12. Guidelines for Perioperative Care in Cardiac Surgery

    Article • JAMA Surgery, August 2019, American Medical Association (AMA)

    Dr Nick Fletcher

  13. Complications related to peri‐operative transoesophageal echocardiography – a one‐year prospective national audit by the Association of Cardiothoracic Anaesthesia and Critical Care

    Article • Anaesthesia, June 2019, Wiley

    Dr Nick Fletcher

  14. Implementation of a nurse-led protocol for early extubation after cardiac surgery: A pilot study

    Article • World Journal of Critical Care Medicine, June 2019, Baishideng Publishing Group Co., Limited (formerly WJG Press)

    Dr Nick Fletcher

  15. CON: Levosimendan should be used in clinical practice for patients with significantly impaired left ventricular function undergoing cardiac surgery

    Article • Anaesthesia Critical Care & Pain Medicine, June 2019, Elsevier

    Dr Nick Fletcher

  16. Variation between hospitals in outcomes following cardiac surgery in the UK

    Article • Annals of The Royal College of Surgeons of England, May 2019, Royal College of Surgeons of England

    Dr Nick Fletcher

  17. Correction to: A decade of progress in critical care echocardiography: a narrative review

    Article • Intensive Care Medicine, April 2019, Springer Science + Business Media

    Dr Nick Fletcher

  18. A decade of progress in critical care echocardiography: a narrative review

    Article • Intensive Care Medicine, March 2019, Springer Science + Business Media

    Dr Nick Fletcher

  19. The influence of prolonged intensive care stay on quality of life, recovery, and clinical outcomes following cardiac surgery: A prospective cohort study

    Article • Journal of Thoracic and Cardiovascular Surgery, November 2018, Elsevier

    Dr Nick Fletcher

  20. Does the “Weekend Effect” for Postoperative Mortality Stand Up to Scrutiny? Association for Cardiothoracic Anesthesia and Critical Care Cohort Study of 110,728 Cardiac Surgical Patients

    Article • Journal of Cardiothoracic and Vascular Anesthesia, October 2018, Elsevier

    Dr Nick Fletcher

  21. Left ventricular systolic function evaluated by strain echocardiography and relationship with mortality in patients with severe sepsis or septic shock: a systematic review and meta-analysis

    Article • Critical Care, August 2018, Springer Science + Business Media

    Dr Nick Fletcher

  22. Diagnostic workup, etiologies and management of acute right ventricle failure

    Article • Intensive Care Medicine, May 2018, Springer Science + Business Media

    Dr Nick Fletcher

  23. Readmission to the Intensive Care Unit following cardiac surgery: a derived and validated risk prediction model in 4869 patients

    Article • Journal of Cardiothoracic and Vascular Anesthesia, April 2018, Elsevier

    Dr Nick Fletcher

  24. Tissue Doppler assessment of diastolic function and relationship with mortality in critically ill septic patients: a systematic review and meta-analysis

    Article • British Journal of Anaesthesia, October 2017, Elsevier

    Dr Nick Fletcher

  25. The ACTA PORT-score for predicting perioperative risk of blood transfusion for adult cardiac surgery

    Article • British Journal of Anaesthesia, September 2017, Elsevier

    Dr R Peter Alston, Dr Nick Fletcher

  26. Effect of individual patient risk, centre, surgeon and anaesthetist on length of stay in hospital after cardiac surgery: Association of Cardiothoracic Anaesthesia and Critical Care (ACTACC) consecutive cases series study of 10 UK specialist centres

    Article • BMJ Open, September 2017, BMJ

    Dr Nick Fletcher

  27. Hemodynamic Effect of Different Doses of Fluids for a Fluid Challenge: A Quasi-Randomized Controlled Study

    Article • Critical Care Medicine, February 2017, Wolters Kluwer Health

    Dr Nick Fletcher

  28. Climate change in cardiothoracic intensive care

    Article • Anaesthesia, September 2016, Wiley

    Dr Nick Fletcher

  29. Cardiac sarcoma presenting with abdominal pain and mimicking myxoma on echocardiogram

    Article • JRSM Open, September 2016, SAGE Publications

    Dr Nick Fletcher

  30. Perioperative kinetics of endocan in patients undergoing cardiac surgery with and without cardiopulmonary bypass

    Article • Cytokine, July 2016, Elsevier

    Dr Nick Fletcher

  31. Pharmacodynamic Analysis of a Fluid Challenge

    Article • Critical Care Medicine, May 2016, Wolters Kluwer Health

    Dr Nick Fletcher

  32. Anaesthetist contribution to mortality after cardiac surgery - a reply

    Article • Anaesthesia, April 2016, Wiley

    Dr Nick Fletcher

  33. The incidence and importance of anaemia in patients undergoing cardiac surgery in the UK - the first Association of Cardiothoracic Anaesthetists national audit

    Article • Anaesthesia, March 2016, Wiley

    Dr R Peter Alston, Dr Nick Fletcher

  34. Sudden cardiac arrest and coexisting mitral valve prolapse

    Article • Echo Research and Practice, February 2016, Bioscientifica

    Dr Ashraf Essam Roshdy, Dr Mohamed Ahmed, Dr Nick Fletcher

  35. WHO cares? Safety checklists in echocardiography

    Article • Echo Research and Practice, December 2015, Bioscientifica

    Dr Nick Fletcher

  36. A safety checklist for transoesophageal echocardiography from the British Society of Echocardiography and the Association of Cardiothoracic Anaesthetists

    Article • Echo Research and Practice, December 2015, Springer Science + Business Media

    Dr Nick Fletcher

  37. The contribution of the anaesthetist to risk‐adjusted mortality after cardiac surgery

    Article • Anaesthesia, October 2015, Wiley

    Dr Nick Fletcher

  38. Letter Regarding: Bedside Ultrasonographic Measurement of the Inferior Vena Cava

    Article • Journal of Cardiothoracic and Vascular Anesthesia, October 2015, Elsevier

    Dr Nick Fletcher

  39. Influence of Thrombolysis and Mechanical Ventilation on Echocardiographic Predictors of Survival after Acute Pulmonary Embolism

    Article • Journal of the American Society of Echocardiography, July 2015, Elsevier

    Dr Nick Fletcher

  40. Simulation-based learning of transesophageal echocardiography in cardiothoracic surgical trainees: A prospective, randomized study

    Article • Journal of Thoracic and Cardiovascular Surgery, July 2015, Elsevier

    Dr Nick Fletcher

  41. Initial Clinical Experience With a Miniaturized Transesophageal Echocardiography Probe in a Cardiac Intensive Care Unit

    Article • Journal of Cardiothoracic and Vascular Anesthesia, June 2015, Elsevier

    Dr Nick Fletcher

  42. Erratum to: Diastolic dysfunction and mortality in septic patients: a systematic review and meta-analysis

    Article • Intensive Care Medicine, April 2015, Springer Science + Business Media

    Dr Nick Fletcher

  43. Diastolic dysfunction and mortality in septic patients: a systematic review and meta-analysis

    Article • Intensive Care Medicine, March 2015, Springer Science + Business Media

    Dr Nick Fletcher

  44. Transient stop-flow arm arterial–venous equilibrium pressure measurement: determination of precision of the technique

    Article • Journal of Clinical Monitoring and Computing, March 2015, Springer Science + Business Media

    Dr Nick Fletcher

  45. Perioperative management and outcomes of aortic surgery during pregnancy

    Article • Journal of Thoracic and Cardiovascular Surgery, February 2015, Elsevier

    Professor Basky Thilaganathan, Dr Nick Fletcher

  46. Acute obstruction of a mechanical aortic valve in a young woman: case report and review of the literature

    Article • December 2014, Bioscientifica

    Dr Ashraf Essam Roshdy, Dr Nick Fletcher

  47. Simulation-based teaching versus point-of-care teaching for identification of basic transoesophageal echocardiography views: a prospective randomised study

    Article • Anaesthesia, October 2014, Wiley

    Dr Nick Fletcher

  48. Simulator Training for Transesophageal Echocardiography

    Article • Anesthesiology, August 2014, Wolters Kluwer Health

    Dr Nick Fletcher

  49. Echocardiography-Based Hemodynamic Management in the Cardiac Surgical Intensive Care Unit

    Article • Journal of Cardiothoracic and Vascular Anesthesia, June 2014, Elsevier

    Dr Nick Fletcher

  50. A review of echocardiography in anaesthetic and peri‐operative practice. Part 2: training and accreditation

    Article • Anaesthesia, May 2014, Wiley

    Dr Nick Fletcher

  51. Assessment of the worldwide burden of critical illness: the Intensive Care Over Nations (ICON) audit

    Article • The Lancet Respiratory Medicine, May 2014, Elsevier

    Dr. Pablo Monedero, Dr Katarzyna L Kotfis, MD Massimo Girardis, Dr Nick Fletcher

  52. A review of echocardiography in anaesthetic and peri-operative practice. Part 1: impact and utility

    Article • Anaesthesia, April 2014, Wiley

    Dr Nick Fletcher

  53. Can Simulation Help to Answer the Demand for Echocardiography Education?

    Article • Anesthesiology, January 2014, Wolters Kluwer Health

    Dr Nick Fletcher

  54. Changes in the mean systemic filling pressure during a fluid challenge in postsurgical intensive care patients

    Article • Intensive Care Medicine, May 2013, Springer Science + Business Media

    Dr Nick Fletcher

  55. The impact of internet and simulation-based training on transoesophageal echocardiography learning in anaesthetic trainees: a prospective randomised study

    Article • Anaesthesia, April 2013, Wiley

    Dr Nick Fletcher

  56. Functional status and survival after prolonged intensive care unit stay following cardiac surgery

    Article • Interactive Cardiovascular and Thoracic Surgery, March 2013, Oxford University Press (OUP)

    Dr Nick Fletcher

  57. III. Critical care echocardiography: cleared for take up

    Article • British Journal of Anaesthesia, September 2012, Oxford University Press (OUP)

    Dr Nick Fletcher

  58. EVAR fever

    Article • Anaesthesia, July 2012, Wiley

    Dr Nick Fletcher

  59. Frank-Starling and Guyton together at bedside during a fluid challenge

    Article • Critical Care, February 2012, Springer Science + Business Media

    Dr Nick Fletcher

  60. Type A aortic dissection in pregnancy

    Article • International Journal of Obstetric Anesthesia, January 2012, Elsevier

    Dr Nick Fletcher

  61. Echocardiography in cardiac anaesthesia and intensive care

    Article • Current Anaesthesia and Critical Care, August 2009, Elsevier

    Dr Nick Fletcher

  62. Use of transoesophageal echocardiography to detect acute right ventricular dysfunction during high frequency oscillatory ventilation in a patient with ARDS

    Article • Clinical Intensive Care, September 2005, Taylor & Francis

    Dr Nick Fletcher

  63. Surgical glue resembling left atrial thrombus

    Article • Interactive Cardiovascular and Thoracic Surgery, June 2004, Oxford University Press (OUP)

    Dr Nick Fletcher

  64. Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness*

    Article • Critical Care Medicine, April 2003, Wolters Kluwer Health

    Dr Nick Fletcher

  65. The Impact of Intraoperative Transoesophageal Echocardiography on an Unselected Cardiac Surgical Population: A Review of 2343 Cases

    Article • Anaesthesia and Intensive Care, December 2002, SAGE Publications

    Dr Nick Fletcher

  66. Successful repair of intraoperative aortic dissection detected by transesophageal echocardiography

    Article • The Annals of Thoracic Surgery, March 2002, Elsevier

    Dr Nick Fletcher

  67. Identical persisting neurophysiological features of chronic denervation found in four cases of resolved critical illness motor syndrome

    Article • Clinical Intensive Care, December 2001, Taylor & Francis

    Dr Nick Fletcher

  68. Identical persisting neurophysiological features of chronic denervation found in four cases of resolved critical illness motor syndrome

    Article • Clinical Intensive Care, December 2001, Taylor & Francis

    Dr Nick Fletcher

  69. Location of an intra-aortic balloon pump

    Article • Journal of Cardiothoracic and Vascular Anesthesia, April 2001, Elsevier

    Dr Nick Fletcher

  70. Neuromuscular dysfunction in critical illness: what are we dealing with?

    Article • Current Opinion in Anaesthesiology, April 2000, Wolters Kluwer Health

    Dr Nick Fletcher

  71. Reversible tetraplegia due to polyneuropathy in a diabetic patient with hyperosmolar non-ketotic coma

    Article • Intensive Care Medicine, December 1999, Springer Science + Business Media

    Dr Nick Fletcher

  72. Ranitidine reduced clinically important gastrointestinal bleeding in patients who required mechanical ventilation   Commentary

    Article • Gut, January 1999, BMJ

    Dr Nick Fletcher

  73. Tracheal intubation in trauma

    Article • British Journal of Anaesthesia, February 1998, Elsevier

    Dr Nick Fletcher