A Crawford-Sykes

Blood Use in Neurosurgical Cases at the University Hospital of the West Indies

Issue:

Vol 63, Issue 1: Jan (2014)

DOI:

10.7727/wimj.2013.233

Pages:

54–8

Synopsis:

The neurosurgical population had a low transfusion rate. Higher American Society of Anesthesiologists physical status, low preoperative haemoglobin, a resident lead surgeon, and blood loss were significant predictors of perioperative transfusions. The Cross-match to Transfusion Ratio was high, suggesting that blood products can be better allocated.

ABSTRACT

Objective: Many neurosurgical cases are done without the need for blood transfusion, yet blood is unnecessarily cross-matched, resulting in wasted resources. This study was undertaken to document and compare the number of units of blood components requested, cross-matched and transfused in neurosurgical cases at the University Hospital of the West Indies (UHWI).

Received:

14 Aug, 2013

Revised:

20 Jan, 2014

Accepted:

22 Jan, 2014

PDF Attachment:

crawford-sykes_et_al-blood_use_in_neurosurgery.pdf

Journal Sections:

Original Articles

Keywords:

Blood transfusion

cross-match to transfusion ratio

Journal Authors:

e-Published: 14 Mar, 2014

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Anaesthetic Morbidity at the University Hospital of the West Indies

Issue:

Vol 58, Issue 5 (2009)

Pages:

452–7

Synopsis:

Prospective analysis of 3185 anaesthetic procedures revealed a complication rate of 201 per 1000 intraoperatively and 93 per 1000 during recovery. Cardiovascular complications were most frequent intra-operatively, whilst hyperglycaemia, nausea and vomiting were most common during recovery. Risk factors included ASA status, age, co-morbid conditions, prolonged anaesthesia, high surgical risk and intubation.

ABSTRACT

Objective: There is little information on adverse anaesthetic outcomes from the Caribbean. The aim of this study was to investigate the occurrence of anaesthetic morbidity and mortality at the University Hospital of the West Indies (UHWI) and to identify possible risk factors.

PDF Attachment:

dr_ia_tennant.qxd_.pdf

Journal Sections:

Original Articles

Keywords:

University Hospital of the West Indies

Anaesthetic morbidity

Journal Authors:

e-Published: 20 Sep, 2013

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The Development of Postgraduate Anaesthesia and Intensive Care Training at the University of the West Indies

Issue:

Vol 61, issue 4 (2012) - Special Issue on Jamaica and Trinidad and Tobago 50 years Independence

Pages:

463–6

Synopsis:

The majority of graduates of the DM (Anaesthesia and Intensive Care), nurse anaesthetists and post-basic intensive care unit (ICU) nursing programmes have remained in the Caribbean and are providing invaluable services to its people. Some have become lecturers and are training future trainers.

ABSTRACT

PDF Attachment:

dr_md_scarlett_wimj.qxd_.pdf

Journal Sections:

Original Articles

Keywords:

Caribbean

Anaesthesia and intensive care training

graduates contribution to the region

post basic ICU nursing training

Journal Authors:

e-Published: 21 Aug, 2013

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The Development of Anaesthetic Services in Jamaica

Issue:

Vol 61, issue 1 (2012)

Pages:

73–5

Synopsis:

Formal training in the administration of anaesthesia was instituted on the recognition that dedicated physicians/ nurses offered a better morbidity/mortality profile to patients. Much progress has been made since the turn of the 20th century, in keeping with international standards.

“No nation, no race can face the future with confidence unless it knows what it is capable of. This is the function of history”. Charles Finch III.

ABSTRACT

PDF Attachment:

dr_scarlett_the_development_of_anaesthetic.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 19 Aug, 2013

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Donor Site Morbidity Following Iliac Crest Bone Graft

Issue:

Vol 57, Issue 5 (2008)

Pages:

490–2

ABSTRACT

Objectives: To evaluate the complications of harvesting autogenous bone from the iliac crest.

PDF Attachment:

palmer_donor_site_morbidity_following_iliac_crest_bone_graft.pdf

Journal Sections:

Original Articles

Keywords:

Jamaica

Iliac crest bone grafting

the University of The West indies

Journal Authors:

W Palmer

A Crawford-Sykes

REC Rose

e-Published: 24 Jul, 2013

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Extravasation Injuries

Issue:

Vol 57, Issue 1 (2008)

Pages:

40–7

Synopsis:

Most extravenous leaks have relatively minor sequelae but severe tissue injuries have been reported. Extravasation may be unavoidable, but if appropriate measures are implemented promptly, morbidity can be greatly reduced. All medical and nursing personnel must be familiar with the protocols for treating the extravasation of drugs which have the potential for tissue damage.

ABSTRACT

Objectives: To evaluate the time and type of treatment following extravasation from intravenous infusion and the sequelae of the injuries.

PDF Attachment:

rose_extravasation_injuries.pdf

Journal Sections:

Original Articles

Keywords:

Extravasation Necrosis

Journal Authors:

e-Published: 05 Jul, 2013

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Paediatric Day Surgery: Revisiting the University Hospital of the West Indies Experience

Issue:

Vol 56, Issue 4 (2007)

Pages:

320–5

Synopsis:

A wide variety of paediatric surgical procedures are being done and the complication rates are low. Expansion of the service should be explored so that the cost reduction advantages can be maximized.

ABSTRACT

PDF Attachment:

scarlett_paediatric_day_surgery.pdf

Journal Sections:

Original Articles

Keywords:

Paediatric Day Surgery

Journal Authors:

e-Published: 03 Jul, 2013

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Ethylene Glycol Poisoning following Ingestion of Brake Fluid

Issue:

Vol 55, Issue 4 (2006)

Pages:

286–7

ABSTRACT

A 32-year old male, with a history of depression and previous suicide attempts, was brought to hospital comatose after ingestion of brake fluid. He developed severe metabolic acidosis with an increased anion gap, hypotension, seizures and mild renal impairment. He required intensive care treatment for ventilatory and inotropic support. The clinical features, diagnosis and treatment of this unusual poison are discussed.

PDF Attachment:

tennant_ethylene_glycol_poisoning.pdf

Journal Sections:

Case Reports

Keywords:

Ethylene Glycol Poisoning

Journal Authors:

e-Published: 12 Jun, 2013

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Open Splenectomy in Jamaican Children with Sickle Cell Disease

Issue:

Vol 55, Issue 1 (2006)

Pages:

37–41

Synopsis:

One-hundred and ten splenectomies performed on children with sickle cell disease at the University Hospital of the West Indies are reviewed. There was low morbidity and no mortality. Open splenectomy remains the gold standard for patients with sickle cell disease requiring splenectomy.

ABSTRACT

PDF Attachment:

duncan_open_splenectomy_in_jamaican.pdf

Journal Sections:

Keywords:

Children with Sickle Cell Disease

Journal Authors:

e-Published: 06 Jun, 2013

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Anaesthesia for Operative Deliveries at the University Hospital of the West Indies: A Change of Practice

Issue:

Vol 54, Issues 3 (2005)

Pages:

187–191

Synopsis:

In 1996, more than 90% of the Caesarean sections at the University Hospital of the West Indies, Kingston, Jamaica, were being done under general anaesthesia. By 2001, more than 80% of the Caesarean sections were done under spinal anaesthesia.

ABSTRACT

PDF Attachment:

crawford_-sykes_anaesthesia_for_operative_deliveries_at_the_uhwi.pdf

Journal Sections:

Original Articles

Keywords:

University Hospital of the West Indies

Journal Authors: