Close Menu

Books in a Library

I Tennant

Guidelines for Appropriate Preoperative Investigations of Patients for Elective Surgery

Issue: 
Vol 68 (Suppl. 2) 2019: Guidelines for Selected Surgical Diseases
DOI: 
10.7727/wimj.2018.196
Pages: 
39–45

ABSTRACT 

Received: 
02 Oct, 2018
Accepted: 
08 Dec, 2018
Published: 
18 Jul, 2019
PDF Attachment: 
PDF icon vol_68_suppl_2_2019_patients_for_elective_surgery.pdf
Journal Sections: 
Original Articles
Keywords: 
history
indicated versus routine investigations
physical examination
Preoperative preparation
Journal Authors: 
MD Scarlett
I Tennant
M Condell
J Deans-Minott
H Harding-Goldson
JM Plummer
e-Published: 25 Mar, 2019

A Comparison of Attitudes of Physicians and Patients Regarding Communication and Decision-making in End-of-life Issues and Cardiopulmonary Resuscitation at the University Hospital of the West Indies, Mona, Jamaica

Issue: 
Vol 66, Issue 6: 2017
DOI: 
10.7727/wimj.2015.269
Pages: 
656–62
Synopsis: 
Communication between physicians and patients regarding end-of-life issues and cardiopulmonary resuscitation was assessed using a questionnaire at the University Hospital of the West Indies. This study revealed the need for greater communication and physicians’ lack of confidence in their communication skills.

ABSTRACT 

PDF Attachment: 
PDF icon wimj-iss6-2017_656_662.pdf
Journal Sections: 
Original Articles
Keywords: 
Cardiopulmonary resuscitation
communication
end-of-life issues
patients’ attitudes
physicians’ attitudes
Journal Authors: 
P Howell
I Tennant
R Augier
G Gordon-Strachan
H Harding-Goldson
e-Published: 22 Dec, 2017

Indications for Red Cell Transfusion in the Intensive Care Unit at the University Hospital of the West Indies

Issue: 
Vol 65, Issue 1: 2016
DOI: 
10.7727/wimj.2015.358
Pages: 
27–31
Synopsis: 
This was an observational study of red cell transfusions in intensive care unit patients at the University Hospital of the West Indies (UHWI). It was found that UHWI did not demonstrate a restrictive transfusion practice as defined by the TRICC trial, but was not as liberal as other countries.

ABSTRACT

Objective: To determine current red cell transfusion practices, transfusion indications and their relationship to patient outcome in intensive care unit (ICU) patients at the University Hospital of the West Indies (UHWI).

Received: 
25 Jun, 2015
Accepted: 
29 Jul, 2015
PDF Attachment: 
PDF icon wimj_iss1_2016_27_31.pdf
Journal Sections: 
Original Articles
Keywords: 
transfusion
Anaemia
ICU
Journal Authors: 
K Fletcher
I Tennant
CA Walters
H Harding-Goldson
e-Published: 16 Nov, 2015

Physicians’ Knowledge of Cardiopulmonary Resuscitation Guidelines and Current Certification Status at the University Hospital of the West Indies, Jamaica

Issue: 
Vol 63, Issue 7: Dec (2014)
DOI: 
10.7727/wimj.2013.267
Pages: 
739–43
Synopsis: 
Physician knowledge of cardiopulmonary resuscitation (CPR) protocols was suboptimal and current certification levels were low at the University Hospital of the West Indies. Increased training and recertification is necessary to improve physician knowledge, which is expected to result in improved performance of CPR.

ABSTRACT

Objective: To determine physicians’ knowledge of cardiopulmonary resuscitation (CPR) guidelines at the University Hospital of the West Indies (UHWI), Jamaica, and their current certification status in basic life support (BLS), advanced cardiac life support (ACLS), Paediatric life support (PALS) and advanced trauma life support (ATLS).

Received: 
08 Oct, 2013
Accepted: 
04 Mar, 2014
PDF Attachment: 
PDF icon wimjdec2014_739_743.pdf
Journal Sections: 
Original Articles
Keywords: 
Cardiopulmonary resuscitation (CPR) certification
CPR knowledge
CPR training
Journal Authors: 
P Howell
I Tennant
R Augier
G Gordon-Strachan
H Harding-Goldson
e-Published: 26 Aug, 2014

A Survey of the Pain Management of Acute Painful Crisis among Patients with Sickle Cell Disease at Two Centres in Jamaica

Issue: 
Vol 63, Issue 3: Emergency Medicine (2014)
DOI: 
10.7727/wimj.2013.333
Pages: 
252–7
Synopsis: 
Evidence suggests that acute painful crisis (APC) can be managed safely and effectively in the outpatient setting. This survey reviewed the management of APC at two outpatient centres on the Mona campus of the University of the West Indies.
 

ABSTRACT

Objectives: The aim of this survey was to establish the pain management approaches to acute painful crisis (APC) in sickle cell patients at two healthcare facilities and to compare with available guidelines.

Received: 
09 Dec, 2013
Accepted: 
12 Feb, 2014
PDF Attachment: 
PDF icon augier_et_al-management_of_painful_crisis_in_sickle_cell_patients.pdf
Journal Sections: 
Original Articles
Keywords: 
Sickle Cell Disease
Acute painful crisis
Journal Authors: 
R Augier
S Jenkins
S Bortolusso Ali
I Tennant
J Williams-Johnson
M Reid
e-Published: 12 Jun, 2014

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: 
PDF icon crawford-sykes_et_al-blood_use_in_neurosurgery.pdf
Journal Sections: 
Original Articles
Keywords: 
Blood transfusion
cross-match to transfusion ratio
neurosurgery
Journal Authors: 
A Crawford-Sykes
K Ehikhametalor
I Tennant
M Scarlett
R Augier
L Williamson
G Wharfe
H Harding-Goldson
e-Published: 14 Mar, 2014

Interdisciplinary Communication in the Intensive Care Unit at the University Hospital of the West Indies

Issue: 
Vol 59, issue 6 (2010)
Pages: 
656–61
Synopsis: 
A cross-sectional survey of medical staff in the Intensive Care Unit, the University Hospital of the West Indies regarding interdisciplinary communication was conducted in January 2008. Communication between staff members was unsatisfactory, with differing perceptions between physicians and nurses. There were lower levels of openness reported by nurses (32%) compared to physicians (73%). There was an overall poor perception of leadership within the unit.

ABSTRACT

Objective: To assess the perceptions of physicians and nurses working full-time in the Intensive Care Unit (ICU) at the University Hospital of the West Indies (UHWI) regarding interdisciplinary communication.

PDF Attachment: 
PDF icon dr_chang.qxd_.pdf
Journal Sections: 
Original Articles
Keywords: 
ICU communication openness
job satisfaction
leadership qualities
teamwork
Journal Authors: 
LPT Chang
HE Harding
I Tennant
D Soogrim
K Ehikhametalor
B James
A Frankson
GM Gordon-Strachan
e-Published: 15 Oct, 2013

A Survey of Physicians’ Knowledge and Attitudes Regarding Antimicrobial Resistance and Antibiotic Prescribing Practices at the University Hospital of the West Indies

Issue: 
Vol 59, issue 2 (2010)
Pages: 
165–70
Synopsis: 
Most physicians considered antibiotic resistance an extremely important problem globally, but less so nationally. Contributory factors were correctly identified, but antibiotic prescribing practice did not incorporate measures to reduce resistance. Hand-washing was not considered to be important in reducing resistance and de-escalation to narrow spectrum antibiotics when appropriate was not a regular practice.

ABSTRACT

Objective: To identify physicians’ knowledge and attitudes regarding antimicrobial resistance and antibiotic prescribing practices at the University Hospital of the West Indies (UHWI).

Methods: A cross-sectional survey of physicians at the UHWI was conducted between September 2008 and April 2009 using a 28-item, self-administered questionnaire. Eligible physicians from several specialities were identified from departmental rotas.

PDF Attachment: 
PDF icon dr_i_tennant_wimj.qxd_.pdf
Journal Sections: 
Original Articles
Keywords: 
Antibiotic resistance
antibiotic prescribing practice
Journal Authors: 
I Tennant
A Nicholson
GM Gordon-Strachan
C Thoms
V Chin
MA Didier
e-Published: 02 Oct, 2013

Dynamics of Antibiotic Usage in the Intensive Care Unit at the University Hospital of the West Indies

Issue: 
Vol 59, issue 2 (2010)
Pages: 
159–64
Synopsis: 
A cross-sectional, analytical study of antibiotic usage patterns at the Intensive Care Unit at the University Hospital of the West Indies was conducted on consecutive admissions between July and December 2007. Areas for improvement identified included attention to appropriate prophylactic antibiotic use and duration of courses, and use of de-escalation.

ABSTRACT

Objective: To determine antibiotic usage patterns in the Intensive Care Unit (ICU) at the University Hospital of the West Indies (UHWI).

PDF Attachment: 
PDF icon dr_v_chin_wimj.qxd_.pdf
Journal Sections: 
Original Articles
Keywords: 
University Hospital of the West Indies
Antibiotic Use
de-escalation
Intensive care
Journal Authors: 
V Chin
HE Harding
I Tennant
D Soogrim
GM Gordon-Strachan
MA Frankson
e-Published: 02 Oct, 2013

The Role of Pre-induction Ketamine in the Management of Postoperative Pain in Patients Undergoing Elective Gynaecological Surgery at the University Hospital of the West Indies

Issue: 
Vol 61, issue 3 (2012)
Pages: 
224–9
Synopsis: 
A prospective case-controlled randomized study was performed to assess the effect of ketamine 0.15 mg/kg pre-induction on postoperative narcotic requirements and pain scores. There was no significant reduction in analgesic consumption or pain intensity; however, more patients who received ketamine reported higher levels of satisfaction with their pain management.

ABSTRACT

Objectives: To determine if a single preoperative dose of ketamine hydrochloride reduces the narcotic analgesic requirements and/or pain scores reported by patients in the first 24 hours postoperatively.

PDF Attachment: 
PDF icon dr_m_thomas_wimj.qxd_.pdf
Journal Sections: 
Original Articles
Keywords: 
Ketamine
postoperative analgesia
Journal Authors: 
M Thomas
I Tennant
R Augier
G Gordon-Strachan
H Harding
e-Published: 21 Aug, 2013

Pages

Subscribe to RSS - I Tennant

West Indian Medical Journal

Faculty of Medical Sciences,
The University of the West Indies,
Mona, Kingston 7
Tel: (876) 927-1214
Fax: (876) 927-1846
wimj@uwimona.edu.jm
Top of Page