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I Tennant

Guidelines for Appropriate Preoperative Investigations of Patients for Elective Surgery

Issue: 
DOI: 
10.7727/wimj.2018.196
Pages: 
39–45

ABSTRACT 

Accepted: 
08 Dec, 2018
PDF Attachment: 
Journal Sections: 
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: 
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: 
Journal Sections: 
e-Published: 22 Dec, 2017

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

Issue: 
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).

Accepted: 
29 Jul, 2015
PDF Attachment: 
Journal Sections: 
e-Published: 16 Nov, 2015

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: 
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: 
Journal Sections: 
e-Published: 21 Aug, 2013

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

Issue: 
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: 
Journal Sections: 
e-Published: 02 Oct, 2013

Microbial Isolates from Patients in an Intensive Care Unit, and Associated Risk Factors

Issue: 
Pages: 
225–31
Synopsis: 
Sputum, blood and urine cultures done in ICU patients at the UHWI showed a predominance of gram-negative organisms. Risk factors for positive cultures included mechanical ventilation > 5 days, CVP line insertion > 7 days, pre-admission infection, prior use of antibiotics, increasing APACHE II score and increasing age.

ABSTRACT

PDF Attachment: 
Journal Sections: 
e-Published: 05 Jun, 2013

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

Issue: 
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: 
Journal Sections: 
e-Published: 02 Oct, 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
PDF Attachment: 
Journal Sections: 
e-Published: 14 Mar, 2014

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

Issue: 
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: 
Journal Sections: 
e-Published: 15 Oct, 2013

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

Issue: 
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.

Accepted: 
12 Feb, 2014
PDF Attachment: 
Journal Sections: 
e-Published: 12 Jun, 2014

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