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M Scarlett

The Provision of Surgical Care for Children with Cardiac Disease: The Jamaican Experience – An 18-year Review

Issue: 
Pages: 
365–8
Synopsis: 
During the period 1994–2011, 863 children received cardiac surgery in Jamaica: 441 with the assistance from visiting overseas teams and 422 by local surgical teams. The overall survival rate was 94%.

ABSTRACT

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e-Published: 21 Aug, 2013

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

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

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.

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e-Published: 04 Jun, 2013

Pulmonary Hypertension: A Review of the Aetiology, Pathophysiology and Management

Issue: 
Pages: 
153–9
Synopsis: 
This paper gives an update on pulmonary hypertensive diseases which are a challenge to treat.

ABSTRACT

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e-Published: 18 Sep, 2013

Vasopressin for Refractory Hypotension During Cardiopulmonary Bypass

Issue: 
Pages: 
550–4

INTRODUCTION

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e-Published: 04 Jul, 2013

Acute Renal Failure Post Coronary Artery Bypass Grafting at The University Hospital of The West Indies

Issue: 
Pages: 
300–4

ABSTRACT

Objectives: The purpose of the study was to determine the period prevalence of acute renal failure (ARF) after coronary bypass surgery (CABG) at the University Hospital of the West Iindies and to identify risk factors.

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e-Published: 02 Jul, 2013
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