Research Topics
| J TibballsSummaryAffiliation: Royal Children's Hospital Country: Australia Publications
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Detail Information
Publications
A prospective study of outcome of in-patient paediatric cardiopulmonary arrestJames Tibballs
Intensive Care Unit, Royal Children s Hospital and Department of Paediatrics, The University of Melbourne, Parkville, Melbourne, 3052 Australia
Resuscitation 71:310-8. 2006..Few prospective studies of the incidence and outcome of paediatric in-hospital cardiopulmonary arrest have been reported to enable quality assurance comparisons within and between institutions...
Basic and advanced paediatric cardiopulmonary resuscitation - guidelines of the Australian and New Zealand Resuscitation Councils 2010James Tibballs
Royal Children s Hospital, Melbourne, Victoria, Australia
J Paediatr Child Health 48:551-5. 2012..Family presence at resuscitation is encouraged. Therapeutic hypothermia is acceptable after resuscitation to improve neurological outcome. Extracorporeal circulatory support for in-hospital cardiac arrest may be used in equipped centres...- Australian carybdeid jellyfish causing "Irukandji syndrome"James Tibballs
Intensive Care Unit, Royal Children s Hospital, Flemington Road, Parkville 3052, Australia
Toxicon 59:617-25. 2012..No effective first-aid is known. Large knowledge gaps exist in biology of the jellyfish, their distribution, their toxins and mode of actions and in treatment of the Irukandji syndrome... - Legal clarification of "loss of chance of a better outcome" in AustraliaNeera Bhatia
School of Law, Deakin University, Melbourne, Vic, Australia
Med J Aust 196:167-8. 2012..A High Court of Australia ruling has reinstated the need for patients to prove causation of injury... 
Withdrawal of life-support in paediatric intensive care--a study of time intervals between discussion, decision and deathFelix Oberender
Intensive Care Unit, Royal Children s Hospital, Melbourne, Victoria, VIC 3052, Australia
BMC Pediatr 11:39. 2011..Scant information exists about the time-course of events during withdrawal of life-sustaining treatment. We investigated the time required for end-of-life decisions, subsequent withdrawal of life-sustaining treatment and the time to death...- Australian venomous jellyfish, envenomation syndromes, toxins and therapyJames Tibballs
Australian Venom Research Unit, Department of Pharmacology, The University of Melbourne, Melbourne, Australia
Toxicon 48:830-59. 2006..Two species of Physalia are present and although one is potentially lethal, has not caused death in Australian waters. Other significant genera of jellyfish include Tamoya, Pelagia, Cyanea, Aurelia and Chyrosaora... - A case of Commotio cordis in a young child caused by a fallJames Tibballs
Intensive Care Unit, Royal Children s Hospital, Flemington Road, Parkville, Melbourne, Victoria 3052, Australia
Resuscitation 77:139-41. 2008..There was no family history of sudden death. No further dysrrhythmia occurred and the child recovered neurologically well after 3 days of therapeutic hypothermia (for cerebral ischaemia) and 7 days of mechanical ventilation... - Paediatric cardiopulmonary resuscitation: recent changes to guidelinesJames Tibballs
Intensive Care Unit, Royal Children s Hospital, Parkville, Melbourne, Victoria, Australia
J Paediatr Child Health 44:67-9. 2008.... - Struan Sutherland--Doyen of envenomation in AustraliaJames Tibballs
Australian Venom Research Unit, Department of Pharmacology, The University of Melbourne, Australia
Toxicon 48:860-71. 2006..Members of the Australian Venom Research Unit, which he founded in 1994 at The University of Melbourne, now continue this 24-h advisory service... - Polyflex stenting of tracheomalacia after surgery for congenital tracheal stenosisJames Tibballs
Department of Intensive Care, Royal Children s Hospital, Parkville, Melbourne, Victoria 3052, Australia
Int J Pediatr Otorhinolaryngol 71:159-63. 2007..Complications of granuloma, stent migration or dislodgement occurred in all cases. A fatal tracheo-aortic fistula occurred in one child. Granuloma in one was treated successfully with steroids. One child survives... - The non-compliance of clinical guidelines for organ donation with Australian statute lawJames Tibballs
Royal Children s Hospital, Melbourne
J Law Med 16:335-55. 2008..Simple abandonment of the "dead donor rule", however, is not feasible since organ procurement would be the direct cause of death... - The legal basis for ethical withholding and withdrawing of life-sustaining medical treatment in childrenJames Tibballs
Intensive Care Unit and Department of Paediatrics, Royal Children s Hospital, The University of Melbourne, VIC 3052, Australia
J Law Med 14:244-61. 2006..These or like terms should form the basis of ethical decisions in discussions with parents when contemplating withholding or withdrawing life-sustaining treatment... - Reliability of pulse palpation by healthcare personnel to diagnose paediatric cardiac arrestJames Tibballs
Intensive Care Unit, Royal Children s Hospital, Melbourne, Victoria, Australia
Resuscitation 80:61-4. 2009..To determine the reliability of pulse palpation to diagnose paediatric cardiac arrest... - Medical emergency and rapid response teamsJames Tibballs
Department of Paediatrics, University of Melbourne, Royal Children s Hospital, Parkville, Melbourne, Australia 3052
Pediatr Clin North Am 55:989-1010, xi. 2008.... - Outcomes of surgical treatment of infants with hypoplastic left heart syndrome: an institutional experience 1983-2004James Tibballs
Intensive Care Unit, Royal Children s Hospital, Parkville, Melbourne, Australia
J Paediatr Child Health 43:746-51. 2007..To determine outcomes of surgical treatment of infants with hypoplastic left heart syndrome (HLHS)... - Loss of chance: a new development in medical negligence lawJames Tibballs
Intensive Care Unit, Royal Children s Hospital, Melbourne, Victoria, Australia
Med J Aust 187:233-5. 2007..Damages are awarded as a proportion of the total injury commensurate with the loss of chance. More claims may be expected, although damages will generally be less than those awarded under causation. Doctors' insurance premiums may rise... - Outcomes of management decisions by parents for their infants with hypoplastic left heart syndrome born with and without a prenatal diagnosisJames Tibballs
Intensive Care Unit, Royal Children s Hospital, Melbourne and Department of Paediatrics, The University of Melbourne, Victoria, Australia
J Paediatr Child Health 44:321-4. 2008..To study the influence of a prenatal diagnosis on parental choice of treatment for infants born with hypoplastic left heart syndrome (HLHS)... - Reduction of hospital mortality and of preventable cardiac arrest and death on introduction of a pediatric medical emergency teamJames Tibballs
Intensive Care Unit and Department of Paediatrics at The University of Melbourne and Murdoch Children s Research Institute, Royal Children s Hospital, Melbourne, Australia
Pediatr Crit Care Med 10:306-12. 2009..To determine the effect of a medical emergency team (MET) on the incidence of unexpected cardiac arrest and death... - Australian Resuscitation Council: paediatric advanced life support (PALS) guidelines 2006James Tibballs
Paediatric Advanced Life Support Sub-Committee, Australian Resuscitation Council, Melbourne, Vic, Australia
Crit Care Resusc 8:132-4. 2006 - Reduction of paediatric in-patient cardiac arrest and death with a medical emergency team: preliminary resultsJ Tibballs
Intensive Care Unit, Royal Children s Hospital, Melbourne, Australia
Arch Dis Child 90:1148-52. 2005..To determine the impact of a paediatric medical emergency team (MET) on cardiac arrest, mortality, and unplanned admission to intensive care in a paediatric tertiary care hospital... - A home respiratory support programme for children by parents and layperson carersJames Tibballs
Intensive Care Unit, University of Melbourne, Melbourne, Victoria, Australia
J Paediatr Child Health 46:57-62. 2010..To describe a respiratory support programme for children at home by parents and layperson carers... - Immunological and toxinological responses to jellyfish stingsJames Tibballs
Australian Venom Research Unit, Department of Pharmacology, The University of Melbourne, Australia
Inflamm Allergy Drug Targets 10:438-46. 2011..The current challenge for immunotoxinologists is to deconstruct the actions of venom components to target therapeutic modalities for sting treatment... - Symptoms and signs differentiating croup and epiglottitisJames Tibballs
Intensive Care Unit and Department of Paediatrics, Royal Children s Hospital Melbourne, The University of Melbourne, Melbourne, Victoria, Australia
J Paediatr Child Health 47:77-82. 2011..To determine differentiating symptoms and signs of epiglottitis and laryngotracheobronchitis (croup)... - Biphasic DC shock cardioverting doses for paediatric atrial dysrhythmiasJames Tibballs
Intensive Care Unit, Royal Children s Hospital, Flemington Road, Parkville, Melbourne, Victoria 3052, Australia
Resuscitation 81:1101-4. 2010..To determine cardioversion doses of biphasic DC shock for paediatric atrial dysrhythmias... - Cardiovascular, haematological and neurological effects of the venom of the Papua New Guinean small-eyed snake (Micropechis ikaheka) and their neutralisation with CSL polyvalent and black snake antivenomsJ Tibballs
Australian Venom Research Unit, Department of Pharmacology, University of Melbourne, Melbourne, VIC 3010, Australia
Toxicon 42:647-55. 2003..Neutralisation by Black Snake antivenom was less effective. The neurotoxicity was neutralised by polyvalent or Black Snake antivenoms. Human envenomation may be treated with CSL Ltd polyvalent snake antivenom... - Noninvasive ventilatory strategies in the management of a newborn infant and three children with congenital central hypoventilation syndromeJames Tibballs
Intensive Care Unit, Royal Children s Hospital, Parkville, Melbourne, Australia
Pediatr Pulmonol 36:544-8. 2003..Their tracheostomies were removed... - The influence of time on the accuracy of healthcare personnel to diagnose paediatric cardiac arrest by pulse palpationJames Tibballs
Royal Children s Hospital, Melbourne, Australia
Resuscitation 81:671-5. 2010..To determine time and accuracy diagnosing paediatric cardiac arrest (CA) by pulse palpation... - Management of newborn lymphangiectasia and chylothorax after cardiac surgery with octreotide infusionJames Tibballs
Intensive Care Unit, Royal Children s Hospital, Melbourne, Australia
Ann Thorac Surg 77:2213-5. 2004..We report rapid short-term suppression of chylothorax by octreotide in an infant after surgery for complex congenital heart disease complicated by lymphangiectasia... - External and internal biphasic direct current shock doses for pediatric ventricular fibrillation and pulseless ventricular tachycardiaJames Tibballs
Intensive Care Unit, Royal Children s Hospital, Melbourne, Australia
Pediatr Crit Care Med 12:14-20. 2011..To determine energy dose and number of biphasic direct current shocks for pediatric ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT)... - A critique of the apneic oxygenation test for the diagnosis of "brain death"James Tibballs
Intensive Care Physician and Resuscitation Officer, Royal Children s Hospital, Melbourne, Australia
Pediatr Crit Care Med 11:475-8. 2010..To determine the reliability and safety of the apneic oxygenation test to diagnose brain death for the purpose of organ donation... - Epidemiology of paediatric out-of-hospital cardiac arrest in Melbourne, AustraliaC Deasy
Monash University, Department of Epidemiology and Preventive Medicine, Melbourne, Australia
Resuscitation 81:1095-100. 2010..We sought to determine the characteristics and outcomes of paediatric out-of-hospital cardiac arrest in Melbourne, Australia... - Tracheal ulceration and obstruction associated with flexible Bivona tracheostomy tubesJ Tibballs
Intensive Care Unit, Royal Children's Hospital, Melbourne, Victoria, Australia
Anaesth Intensive Care 34:495-7. 2006..We observed particular clinical disadvantages of these tubes--that of tracheal ulceration (1 case), distortion of soft tracheal graft tissue (1 case) and airway obstruction when the tip embedded into the tracheal wall (1 case)... - An appraisal of techniques for administration of gaseous nitric oxideJ Tibballs
Intensive Care Unit, Royal Children s Hospital, Melbourne, Victoria
Anaesth Intensive Care 21:844-7. 1993..Another technique in which NO was added to the inspiratory limb of a Siemens Servo 900C ventilator driven by high pressure oxygen provided a highly variable concentration (9-53 ppm) of inspired NO... - Clinical profile of hospitalized children provided with urgent assistance from a medical emergency teamSharon Kinney
Clinical Quality Safety Unit, Royal Children s Hospital, Flemington Road, Parkville, Victoria 3052, Australia
Pediatrics 121:e1577-84. 2008..The purpose of this work was to describe the frequency, characteristics, and outcomes of critical events and hospitalized children requiring medical emergency team review... - Place, age, and mode of death of infants and children with hypoplastic left heart syndrome: implications for medical counselling, psychological counselling, and palliative careAnnie M Cantwell-Bartl
Pediatric Intensive Care Unit, The Royal Children s Hospital and Department of Social Work, The University of Melbourne, Parkville, Victoria, Australia
J Palliat Care 24:76-84. 2008..Discussion involves strategies to support parents and staff at diagnosis, and before and after a child's death... - Oxygen delivery using self-inflating resuscitation bagsBradley G Carter
Paediatric Intensive Care Unit, Royal Children s Hospital, Parkville, Victoria, Australia
Pediatr Crit Care Med 6:125-8. 2005..We tested 11 resuscitators to determine the delivery of oxygen from the patient outlet using different inlet flows... - Legal basis for ethical withholding and withdrawing life-sustaining medical treatment from infants and childrenJames Tibballs
Intensive Care Unit and Department of Paediatrics, Royal Children s Hospital, The University of Melbourne, Melbourne, Victoria, Australia
J Paediatr Child Health 43:230-6. 2007..These legal principles may facilitate difficult ethical decisions. This article identifies a number of common law cases which establishes these principles... - Attitudes and barriers to a Medical Emergency Team system at a tertiary paediatric hospitalPeter Azzopardi
Royal Children s Hospital, Melbourne, Australia
Resuscitation 82:167-74. 2011..To determine the attitudes and barriers to an established paediatric Medical Emergency Team (MET) system among nurses and doctors... - Cardiovascular actions of the venom from the Irukandji (Carukia barnesi) jellyfish: effects in human, rat and guinea-pig tissues in vitro and in pigs in vitroKenneth D Winkel
Department of Pharmacology, The University of Melbourne, Melbourne, Victoria, Australia
Clin Exp Pharmacol Physiol 32:777-88. 2005..The venom may also contain a 'direct' vasoconstrictor component. These observations explain, at least in part, the clinical features of the potentially deadly Irukandji syndrome... - Upper airway obstruction caused by ingestion of concentrated acetic acidJ Tibballs
Intensive Care Unit and Department of Surgery, Royal Children's Hospital, Victoria, Australia
Anaesth Intensive Care 34:379-81. 2006..Toxin spilled over the anterior chest and abdomen caused third degree skin burns which required grafting. Mild liver dysfunction was observed. Complete recovery occurred... - Probabilities of heart donors arising within specified times for child recipientsJohn C Galati
Clinical Epidemiology and Biostatistics Unit, Royal Children s Hospital and Murdoch Children s Research Institute, Melbourne, Victoria, Australia
J Paediatr Child Health 43:49-54. 2007..To determine the availability of donor hearts for children of different blood group and weight needing urgent heart transplantation... - Leukocytotic pseudohypoxaemiaM Ben-Meir
Intensive Care Unit, Royal Children s Hospital, Melbourne, Victoria, Australia
Anaesth Intensive Care 38:566-7. 2010.... - An analysis of the efficacy of bag-valve-mask ventilation and chest compression during different compression-ventilation ratios in manikin-simulated paediatric resuscitationS B Kinney
School of Postgraduate Nursing, University of Melbourne, Vic, Australia
Resuscitation 43:115-20. 2000..This study supports the use of a compression-ventilation ratio of 5:1 during two-rescuer paediatric cardiopulmonary resuscitation... - An evaluation of nitric oxide and nitrogen dioxide absorbers and filtersB G Carter
Neonatal Intensive Care Unit, Royal Children s Hospital, Melbourne, Victoria
Anaesth Intensive Care 29:359-63. 2001..We recommend the HgCONO filter and Sofnolime to absorb both NO and NO2. If absorption of NO2 only is required we recommend the HgCONO, ILF100 or ILF200 filters or the Sofnolime absorber... - Childhood poisoning: access and preventionJ Ozanne-Smith
Monash University Accident Research Centre, Clayton, Victoria, Australia
J Paediatr Child Health 37:262-5. 2001..To investigate the circumstances and means of access to six poisoning agents by children under 5 years of age and to make recommendations for countermeasures and strategies for implementation... - Clinical practice guidelines in the witness box: can they replace the medical expert?James Tibballs
Intensive Care Unit, Department of Paediatrics, Royal Children s Hospital, Melbourne, Parkville, Vic, Australia
J Law Med 14:479-500. 2007..They must be supported by expert evidence and are themselves open to challenge. Adherence does not guarantee tortfeasor protection nor lack of adherence culpability... - Tracheo-oesophageal fistula caused by electrolysis of a button battery impacted in the oesophagusJ Tibballs
Poisons Information Centre, Parkville, Victoria, Australia
J Paediatr Child Health 38:201-3. 2002 - Incidence of alveolar capillary dysplasia in severe idiopathic persistent pulmonary hypertension of the newbornJ Tibballs
Intensive Care Unit and Department of Anatomical Pathology, Royal Children s Hospital, Parkville, Victoria, Australia
J Paediatr Child Health 38:397-400. 2002..To determine the incidence and outcome and to review the management of alveolar capillary dysplasia (ACD) among newborns with severe idiopathic persistent pulmonary hypertension (PPHN)... - Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unitReshma Silas
Department of Quality and Safety, Royal Children s Hospital, Melbourne, Australia
Qual Saf Health Care 19:568-71. 2010..Little is known of the incidence of adverse events in the paediatric intensive care unit (PICU). Perceived incidence may be dependent on data-collection methods... - Tiger snake envenomation and disseminated intravascular coagulation (DIC)James Tibballs
Pathology 34:481-2; author reply 482-3. 2002 - A prospective before-and-after trial of a medical emergency teamJames Tibballs
Med J Aust 180:308, 310; author reply 310. 2004 - Withdrawal of futile treatment from children--implications of NHS Trust versus MBJames Tibballs
J Paediatr Child Health 42:563-4. 2006 - Energy levels for biphasic defibrillationIan G Jacobs
Med J Aust 179:451. 2003 - Fresh frozen plasma after brown snake bite--helpful or harmful?James Tibballs
Anaesth Intensive Care 33:13-5. 2005 - Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. A Scientific Statement from the International Liaison Committee on ResuscitatMary Ann Peberdy
Resuscitation 75:412-33. 2007 - Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement: a scientific statement from the International Liaison Committee on ResuscitatMary Ann Peberdy
Virginia Commonwealth University, USA
Circulation 116:2481-500. 2007 - Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries: a statement for healthcare professionals from a task force of the International Liaison Committee on ResusciIan Jacobs
Circulation 110:3385-97. 2004..Uniform collection and tracking of registry data should enable better continuous quality improvement within every hospital, emergency medical services system, and community... - Evaluation of a paediatric early warning tool--claims unsubstantiatedJames Tibballs
Intensive Crit Care Nurs 22:315-6; author reply 317. 2006 - Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the international liaison committee on resusciIan Jacobs
Pediatric Critical Care Fellowship, Children's Hospital of Philadelphia, Department of Anesthesia and Critical Care, 34th St. and Civic Center Blvd. Sixth Floor, Room 6120C, Philadelphia, PA 19104-4309, USA
Resuscitation 63:233-49. 2004..Uniform collection and tracking of registry data should enable better continuous quality improvement within every hospital, EMS system, and community...