Liju Ahmed
St Thomas' Hospital
Quality of lifeInternal medicineSurgeryRetrospective cohort studyIntensive care medicineEmergency medicinePsychological interventionMalignant pleural effusionPleural diseaseChemotherapyPleurodesisEmpyemaPneumothoraxThoracoscopyPleural effusionTuberculosisPrimary spontaneous pneumothoraxPleural fluidIndwelling pleural catheterSignificant differenceIn patientAmbulatoryAnesthesiaIncidence (epidemiology)MedicineGastroenterology
45Publications
7H-index
264Citations
Publications 41
Newest
#1Deirdre B. Fitzgerald (SCGH: Sir Charles Gairdner Hospital)H-Index: 5
#2Sanjeevan Muruganandan (SCGH: Sir Charles Gairdner Hospital)H-Index: 2
Last. Y. C. Gary Lee (SCGH: Sir Charles Gairdner Hospital)H-Index: 46
view all 13 authors...
BACKGROUND Indwelling pleural catheters (IPC) are increasingly used for management of recurrent (especially malignant) effusions. Pleural infection associated with IPC use remains a concern. Intrapleural therapy with tissue plasminogen activator (tPA) and deoxyribonuclease (DNase) significantly reduces surgical referrals in non-IPC pleural infection, but data on its use in IPC-related pleural infection are scarce. OBJECTIVE To assess the safety and efficacy of intrapleural tPA and DNase in IPC-r...
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#1Cheryl GrindellH-Index: 2
#2Angela Tod (University of Sheffield)H-Index: 27
Last. Mathew Evison (University of Manchester)H-Index: 1
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Malignant pleural effusion (MPE) is a common, serious problem predominantly seen in metastatic lung and breast cancer and malignant pleural mesothelioma. Recurrence of malignant pleural effusion is common, and symptoms significantly impair people’s daily lives. Numerous treatment options exist, yet choosing the most suitable depends on many factors and making decisions can be challenging in pressured, time-sensitive clinical environments. Clinicians identified a need to develop a decision suppor...
1 CitationsSource
#1Parthipan Sivakumar ('KCL': King's College London)H-Index: 6
#2A. Saigal (Royal Free London NHS Foundation Trust)H-Index: 1
Last. Liju Ahmed (Guy's and St Thomas' NHS Foundation Trust)H-Index: 7
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Background Malignant pleural effusion (MPE) results in breathlessness and impairment of health-related quality of life (HRQOL). This study reviews the existing literature on HRQOL following invasive interventions in MPE. Methods Five electronic databases were systematically searched and assessed three times during the review process and last completed on 15 June 2018. We included all studies evaluating HRQOL outcomes for the following interventions: therapeutic thoracocentesis, talc slurry (TS) ...
4 CitationsSource
#1Rahul Bhatnagar (UoB: University of Bristol)H-Index: 17
#2Hania E. G. Piotrowska (University of Oxford)H-Index: 3
Last. Nick A Maskell (UoB: University of Bristol)H-Index: 52
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Importance Malignant pleural effusion (MPE) is challenging to manage. Talc pleurodesis is a common and effective treatment. There are no reliable data, however, regarding the optimal method for talc delivery, leading to differences in practice and recommendations. Objective To test the hypothesis that administration of talc poudrage during thoracoscopy with local anesthesia is more effective than talc slurry delivered via chest tube in successfully inducing pleurodesis. Design, Setting, and Part...
20 CitationsSource
#1Hugh Ip (Guy's and St Thomas' NHS Foundation Trust)H-Index: 4
#2Parthipan Sivakumar (Guy's and St Thomas' NHS Foundation Trust)H-Index: 6
Last. Liju Ahmed (Guy's and St Thomas' NHS Foundation Trust)H-Index: 7
view all 7 authors...
CTD-related pleural effusions are rare and challenging to diagnose. Our lung inflammation service (with expertise in rheumatology, interstitial lung disease and respiratory failure) works closely with the pleural team. This study aims to review the multidisciplinary approach to CTD-related pleural effusions at a tertiary centre. All patients with CTD-related pleural effusions at St Thomas’ Hospital, London were included. Retrospective data were collected from Dec 2013 to 2016. The lung inflammat...
4 CitationsSource
#1Hugh Ip (Guy's and St Thomas' NHS Foundation Trust)H-Index: 4
#2S Ahmed (Guy's and St Thomas' NHS Foundation Trust)
Last. Liju Ahmed (Guy's and St Thomas' NHS Foundation Trust)H-Index: 7
view all 5 authors...
Introduction and objectives During thoracoscopy for suspected malignant pleural effusions, non-expandable lung (NEL) is managed with indwelling pleural catheters (IPCs) at our centre. To choose the appropriate drain, medical thoracoscopists need to predict NEL. In a 2016 UK survey,1 NEL was correctly predicted in only 12.5% of cases (on reviewing thoracoscopy video clips). Are thoracoscopists better at choosing the appropriate management in clinical practice? Methods All medical thoracoscopies a...
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#1Hugh Ip (Guy's and St Thomas' NHS Foundation Trust)H-Index: 4
#2S Ahmed (Guy's and St Thomas' NHS Foundation Trust)
Last. Liju Ahmed (Guy's and St Thomas' NHS Foundation Trust)H-Index: 7
view all 5 authors...
Introduction and objectives Medical thoracoscopy, the gold standard diagnostic test in pleural disease, is only performed at experienced pleural units. Training requirements for competence are not defined in the UK,1 where there is no formalised programme. Our tertiary pleural unit provides training opportunities for ward based registrars who have general medical and specialist clinic commitments, as well as dedicated pleural clinical research fellows. Methods All medical thoracoscopies at St Th...
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#1Cheryl GrindellH-Index: 2
#2Remi BecH-Index: 2
Last. D. WolstenholmeH-Index: 2
view all 10 authors...