Irish journal of medical science
-
Self-poisoning accounts for up to 10 % of hospital admissions, some of whom require admission to ICU. Few studies have looked at the epidemiology of these patients in an Irish setting. ⋯ Self-poisoning accounted for 3.8 % of ICU admissions. Patients tend to require a short period of ventilation, with a minority requiring additional organ support. The cost of ICU care is calculated based on previously published methodology to be
7,717 per patient. Extrapolated nationally the annual cost for ICU care for self-poisoning is estimated to be in the order of 5 m. -
A review of theatre activity in all Health Service Executive (HSE) hospitals in Cork and Kerry in 2008 required a manual extraction of theatre activity data from largely paper-based log books. A key data management recommendation suggested that "a standardised computerised theatre log book system be developed in all hospitals in the region". HSE (2010) Reconfiguration of health services for Cork and Kerry—theatre utilisation review. ISBN 978-1-906218-54-6. ⋯ The roll-out of the productive operating theatre programme is facilitating the implementation of operating room management systems on a phased basis nationally. This will greatly facilitate audit, research,patient care and theatre efficiencies.
-
To investigate the efficacy of the Ilizarov technique with bone segment extension in tibial infected nonunion. ⋯ The Ilizarov technique with bone segment extension is effective in treating tibial infected nonunion with large bone defects.
-
To detail our experience using dexmedetomidine in combination with propofol for airway foreign body removal in spontaneously breathing patients. ⋯ Dexmedetomidine and propofol intravenous anesthesia provided good anesthesia without causing respiratory depression. However, this technique related to more hemodynamic depression in elderly patients than in pediatrics.
-
Sphingomonas paucimobilis bacteraemia is a rare infection typically related to nosocomial outbreaks. ⋯ S. paucimobilis infections can occur in the community setting in a relatively non-immunocompromised patient. In a patient with bacteraemia, microbiological studies are crucial to ensure a successful outcome.