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A Crawford-Sykes

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

Issue: 
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

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e-Published: 03 Jul, 2013

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

Issue: 
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). 

Revised: 
20 Jan, 2014
Accepted: 
22 Jan, 2014
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e-Published: 14 Mar, 2014

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

Issue: 
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.

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e-Published: 05 Jun, 2013

Extravasation Injuries

Issue: 
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.
 
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e-Published: 05 Jul, 2013

Open Splenectomy in Jamaican Children with Sickle Cell Disease

Issue: 
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.

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e-Published: 06 Jun, 2013

The Development of Anaesthetic Services in Jamaica

Issue: 
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.

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e-Published: 19 Aug, 2013

Anaesthetic Morbidity at the University Hospital of the West Indies

Issue: 
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.

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e-Published: 20 Sep, 2013

Donor Site Morbidity Following Iliac Crest Bone Graft

Issue: 
Pages: 
490–2

ABSTRACT

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

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e-Published: 24 Jul, 2013

Ethylene Glycol Poisoning following Ingestion of Brake Fluid

Issue: 
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.

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e-Published: 12 Jun, 2013

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

Issue: 
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.

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e-Published: 21 Aug, 2013
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