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