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R Augier

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 

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e-Published: 22 Dec, 2017

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.

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e-Published: 21 Aug, 2013

Paediatric Critical Care: Beyond the Walls

Issue: 
Pages: 
217–19
Synopsis: 
The delivery of optimal paediatric critical care requires healthcare providers to think outside the confines of the intensive care unit. Public health strategies, training and recertification in basic and advanced paediatric life support and optimized transport of patients are key issues for consideration.

INTRODUCTION

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e-Published: 05 Jun, 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

Triage Decisions and Outcome among the Critically Ill at the University Hospital of the West Indies

Issue: 
Pages: 
181–86
Synopsis: 
The triage and outcome of patients referred for admission to the ICU at the University Hospital of the West Indies, Kingston, Jamaica, was investigated. The authors found that disease severity was the main determinant of admission to the ICU, and that a shortage of ICU beds is adversely affecting outcome.

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e-Published: 05 Jun, 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
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e-Published: 12 Jun, 2014

Surgical and Intensive Care needs of Head-injured Patients Transferred to the University Hospital of the West Indies

Issue: 
Synopsis: 
The majority of transferred head-injured patients sustained mild injuries with a third requiring surgical procedures and 19% requiring Intensive Care Unit care. Appropriate educational, training and transfer programmes and transfer policies must be implemented to minimize inappropriate transfers.

ABSTRACT

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e-Published: 02 Jul, 2013

Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

Physicians’ Knowledge of Cardiopulmonary Resuscitation Guidelines and Current Certification Status at the University Hospital of the West Indies, Jamaica

Issue: 
DOI: 
10.7727/wimj.2013.267
Pages: 
739–43
Synopsis: 
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.

ABSTRACT

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).

Accepted: 
04 Mar, 2014
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e-Published: 26 Aug, 2014

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
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