The Queen Elizabeth University Hospital (QEUH) is a 1,677-bed acute hospital located in Govan, in the south-west of Glasgow, Scotland. The hospital is built on the site of the former Southern General Hospital and opened at the end of April 2015. The hospital comprises a 1,109-bed adult hospital, a 256-bed children's hospital and two major Emergency Departments; one for adults and one for children. There is also an Immediate Assessment Unit for local GPs and out-of-hours services, to send patients directly, without having to be processed through the Emergency Department.The retained buildings from the former Southern General Hospital include the Maternity Unit, the Institute of Neurological Sciences, the Langlands Unit for medicine of the elderly and the laboratory. The whole facility is operated by NHS Greater Glasgow and Clyde.While some parts of the Queen Elizabeth University Hospital have their own distinct identity and dedicated specialist staff, such as the Royal Hospital for Children, each is completely integrated with linkages for patient transfer, diagnostic services, emergency care and even a rapid access lift from the emergency helicopter pad on the roof of the adult hospital. For example, the new children's hospital is not only linked to the adult hospital but also both the adult and children's hospitals are linked to the redeveloped maternity building and to the Neurosciences Institute.The hospital hosts services relocated from the Western Infirmary, the Victoria Infirmary including the Mansion House facility, some services from the Royal Infirmary and a range of inpatient services from Gartnavel General Hospital. In addition, the Royal Hospital for Sick Children, previously based at Yorkhill, was moved to a new building adjoining the adult hospital and renamed the "Royal Hospital for Children".The Queen Elizabeth University Hospital is one of the largest acute hospital campuses in Europe.
There is conflicting evidence regarding the optimal management strategy for cervical radiculopathy. We conducted a meta-analysis to evaluate the relative effectiveness of nonsurgical treatment and surgical care in adult patients with cervical radiculopathy. We systematically searched PubMed, Embase, and the Cochrane Library to identify randomized controlled trials (RCTs) comparing nonsurgical treatment with surgical treatment. All statistical analyses were performed using RevMan version 5.4. Five RCTs met the inclusion criteria. Surgical treatment significantly improved neck pain (SMD 0.70, 95
Non-operating room anaesthesia (NORA) refers to the administration of anaesthesia outside of the traditional operating room environment. This may include procedures performed in the radiology department, interventional cardiology suites, or endoscopy units. With the increasing demand for minimally invasive procedures, the requirement to provide anaesthesia outside the theatre environment is becoming more common. Non-operating room anaesthesia provides a unique set of challenges including airway management, monitoring, procedural access, patient positioning, temperature management, delivery of anaesthesia and management of complications. This review will consider these aspects and provide a guide to the safe implementation of non-operating room anaesthesia.
Abstract Objective To determine the short- and long-term outcomes of triple semicircular canal occlusion as a potential alternative for patients with intractable Ménière's disease. Methods A retrospective case series was performed in university settings, enrolling patients with intractable Ménière's disease with previous maximum treatment, who underwent transmastoid, triple semicircular canal occlusion. The study documented: pre- and post-operative Dizziness Handicap Inventory scores at six weeks and one year post-treatment, pure tone audiometry, and surgical aspects. Results Two female patients, aged 42 and 65 years, underwent unilateral three-semicircular-canal occlusion. Their respective Dizziness Handicap Inventory scores improved from 88 to 68 and 54 to 30 at six weeks post-operatively, with scores of 66 and 0 at one year post-treatment. The one patient with pre-existing functional hearing maintained her hearing threshold post-operatively. Conclusion Triple semicircular canal occlusion is a safe, hearing-preserving, extracranial alternative technique that can control rotatory vertigo in patients with intractable Ménière's disease, when other measures have failed.
Facial trauma is common and can produce both physical and psycho-logical problems for patients. Managing patients in both the emer-gency setting and elective theatre environment can be extremely challenging, so airway interventions should be carefully planned so the safest and most effective technique can be chosen. This may mean that direct laryngoscopy may not be the safest or most straight-forward option and awake tracheal intubation, video-laryngoscopy, submental intubation or awake tracheostomy may be a better choice in a given set of circumstances. An understanding of common mechanisms of injury and pathologies and the likely dif-ficulties that will be present are essential. Senior anaesthetic input and effective teamwork are required to provide excellent levels of care for these patients.
[This corrects the article DOI: 10.1016/j.eclinm.2026.103802.].
