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K Ehikhametalor

Guidelines for Intensive Care Unit Admission, Discharge and Triage

Issue: 
DOI: 
10.7727/wimj.2018.197
Pages: 
46–54

The Intensive Care Unit (ICU) is a highly specialized area within the medical facility where advanced and critically ill patients are managed and should be reserved for patients with reversible medical conditions with reasonable prospects of recovery. It involves both significant human and capital resources. This is particularly challenging in developing countries such as the Caribbean where limitation of both financial and human resources demands that ICU beds be appropriately utilized.

Accepted: 
08 Dec, 2018
PDF Attachment: 
Journal Sections: 
e-Published: 25 Mar, 2019

Coronary Artery Bypass Graft Surgery at the University Hospital of the West Indies, Jamaica: Analysis of Clinical Characteristics, Mortality and Length of Hospital Stay

DOI: 
10.7727/wimj.2016.549
Synopsis: 
This study analyzed the clinical characteristics and outcome of patients presenting for coronary artery bypass surgery at the University Hospital of the West Indies. The overall 30-day mortality rate was 8.4%, and the median intensive care and total hospital stays were 3 and 8 days, respectively.

ABSTRACT

Objectives: A detailed analysis of coronary artery bypass graft (CABG) surgical cases performed at the University Hospital of the West Indies (UHWI) has never been conducted. We present the demographic profile, clinical characteristics, and outcome of cases performed during the period March 2010 to March 2016.

Accepted: 
11 Jan, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 03 Feb, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

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

Vomiting Post Tonsillectomy at the University Hospital of the West Indies

Issue: 
Pages: 
59–64
Synopsis: 
Vomiting post tonsillectomy is a distressing complication that increases patient discomfort and prolongs hospital stay. Decreasing its incidence would facilitate a move to more day-case tonsillectomies.

ABSTRACT

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Journal Sections: 
e-Published: 04 Jun, 2013
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