Acceptance Of An Abo-Incompatible Mismatched (Ab(+) To O(+)) Liver Allograft With The Use Of Daclizumab And Mycophenolate Mofetil, 2010 University of Massachusetts Medical School
Acceptance Of An Abo-Incompatible Mismatched (Ab(+) To O(+)) Liver Allograft With The Use Of Daclizumab And Mycophenolate Mofetil, W. Fang, John Saltzman, Sarah Rososhansky, Gyongyi Szabo, Stephen Heard, Barbara Banner, Ravi Chari, Eliezer Katz
Liver allograft survival rates of 50% to 60% are reported in blood group A, group B, group O (ABO)-incompatible mismatched grafts even when aggressive immunosuppressive protocols, including plasmapheresis, OKT(3), cyclophosphamide, cyclosporine, prostaglandin E(1), and steroids, are used. A 59-year-old woman, blood type O(+), required emergency retransplantation posttransplantation day 2 because of primary nonfunction of the liver allograft. A blood type AB(+) allograft was used. Induction immunosuppressive therapy included tacrolimus, mycophenolate mofetil, OKT(3) (muromonab-CD(3)), steroids, and prostaglandin E(1). In addition, plasmapheresis was performed daily for 9 days. OKT(3) and prostaglandin E(1) were also ...
Esophago-Pericardial Fistula Following Ablation Of The Atrial Fibrillation Focus, 2010 University of Massachusetts Medical School
Esophago-Pericardial Fistula Following Ablation Of The Atrial Fibrillation Focus, Maksim Zayaruzny, Rana Badr
Anesthesiology and Perioperative Medicine Publications
In the past 20 years catheter radiofrequency ablation of atrial fibrillation (RAAF) has become a mainstay in the treatment of refractory atrial fibrillation. While generally safe, serious complications following RAAF have been reported. Recent retrospective review of 45,000 cases of catheter ablation reported post-procedure mortality of 0.1 percent. Complication rates of 2%-4% have been previously reported. Percutaneous catheter ablation of electrical triggers near the pulmonary vein ostia is associated with 28% incidence of esophageal erythema and 18% incidence of esophageal ulceration. Patients with atrio-esophageal fistulas and esophageal perforations due to thermal injury can present with non-specific signs ...
A National Survey Into Desirable Personality Traits In Anaesthesia Trainees In A Developing Country, 2010 Aga Khan University
A National Survey Into Desirable Personality Traits In Anaesthesia Trainees In A Developing Country, Fauzia Anis Khan, Fauzia N. Minai
Department of Anaesthesia
OBJECTIVE: To explore personality traits considered to be important in selection of trainees by consultant anaesthetists in a developing country.
METHODS: A questionnaire listing 28 traits was sent to 125 consultant anaesthetists. The raters were asked to mark each trait on a scale of 1 to 10, with one being least desirable and 10 as most desirable. Listing of five most desirable and one least desirable trait was also required.
RESULTS: The response rate was 79%. The most desirable trait was identified as reliability by 40%, followed by honesty 17%, functionality under stress 9%, punctuality 7%, and discipline 4%. The ...
Ultrasound Visualization Vs. Electrical Nerve Stimulation For Interscalene And Axillary Nerve Block In Upper Extremity Surgery: A Prospective Randomized Trial (Poster), 2010 Lehigh Valley Health Network
Ultrasound Visualization Vs. Electrical Nerve Stimulation For Interscalene And Axillary Nerve Block In Upper Extremity Surgery: A Prospective Randomized Trial (Poster), Joseph W. Galassi Md, Jodie Buxbaum Md, J John Collins Md, Dorothy Hartman Md, Michael He Md, Farheen Hussain Ms, Leslie Baga Bsn, Sherrine Eid Mph, Mary Jane Cerrone Msn, Nanette M. Schwann Md
Department of Anesthesiology
No abstract provided.
Incidence Of Post Dural Puncture Headache Following Caesarean Section Under Spinal Anaesthesia At The Aga Khan University Hospital, Nairobi, Edna Gisore, Vitalis Mung’Ayi, Sharif T.
Anaesthesiology, East Africa
Background: Post dural puncture headache can be a debilitating complication of subarachnoid anaesthesia for a new mother. Successful management of post dural puncture headache requires adherence to clear policies and protocols with close follow up of patients by an experienced obstetric anaesthetist.
Objectives: To examine the cumulative incidence and severity of post dural puncture headache in obstetric patients who consented for spinal anaesthesia for Caesarean section.
Design: Prospective cohort study.
Subjects: All women who underwent Caesarean sections under spinal anaesthesia and fulfilled the inclusion criteria.
Setting: Aga Khan University Hospital, a teaching and referral hospital in Nairobi, Kenya.
Results: The ...
Conformity To The Surviving Sepsis Campaign International Guidelines Among Physicians In A General Intensive Care Unit In Nairobi, Vitalis Mung’Ayi, R. Karuga
Anaesthesiology, East Africa
Background: There are emerging therapies for managing septic critically-ill patients. There is little data from the developing world on their usage.
Objectives: To determine the conformity rate for resuscitation and management bundles for septic patients amongst physicians in a general intensive care unit.
Design: Cross sectional observational study.
Setting: The general intensive care unit, Aga Khan University Hospital, Nairobi.
Subjects: Admitting physicians from all specialties in the general intensive care unit.
Results: The physicians had high conformity rates of 92% and 96% for the fluid resuscitation and use of va so pressors respectively for the initial resuscitation bundle. They had ...
Hypertonic Saline For Peri-Operative Fluid Management, 2010 University of Western Ontario
Hypertonic Saline For Peri-Operative Fluid Management, Vivian Mcalister, Karen E. A. Burns, Tammy Znajda, Brian Church
BACKGROUND: Fluid excess may place patients undergoing surgery at risk for various complications. Hypertonic saline (HS) maintains intravascular volume with less intravenous fluid than isotonic salt (IS) solutions, but may increase serum sodium.
OBJECTIVES: To determine the benefits and harms of HS versus IS solutions administered to patients undergoing surgery.
SEARCH STRATEGY: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), (The Cochrane Library) Issue 1, 2009; MEDLINE (1966 to 2009); EMBASE (1980 to 2009); LILACS (to August 2009) and CINAHL (1982 to 2009) without language restrictions.
SELECTION CRITERIA: We included randomized clinical trials where HS was compared to ...
Expectations Of Pain Relief Utilizing Epidural Analgesia, 2010 Gardner-Webb University
Expectations Of Pain Relief Utilizing Epidural Analgesia, Kelly Powell Morris
Nursing Theses and Capstone Projects
This study describes patient expectations and actual pain relief reported by patients experiencing childbirth while utilizing epidural analgesia as their method of choice to reduce the pain associated with childbirth using a quantitative descriptive design. Data were collected using the Expectations of Pain Relief Utilizing Epidural Analgesia Questionnaire. The sample (N=17) consisted of first-time mothers delivering at an acute community hospital who were participants in the county's Nurse-Family Partnership Program. The questionnaire, developed by the researcher, was distributed to participants by their Nurse-Family Partnership Registered Nurse during a routine postpartum home visit during the three month study time ...