A5015291235- Airway Management and Intubation Techniques
- Anesthesia and Sedative Agents
- Tracheal and airway disorders
- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Neurotoxicity Research
- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- Nosocomial Infections in ICU
- Obstructive Sleep Apnea Research
- Vascular anomalies and interventions
- Sepsis Diagnosis and Treatment
- Nausea and vomiting management
- Vascular Anomalies and Treatments
- Hemodynamic Monitoring and Therapy
- Family and Patient Care in Intensive Care Units
- Esophageal and GI Pathology
- Head and Neck Surgical Oncology
- Optical Imaging and Spectroscopy Techniques
- Trauma Management and Diagnosis
- Central Venous Catheters and Hemodialysis
- Restraint-Related Deaths
- Foreign Body Medical Cases
- Abdominal Surgery and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
Hospital Universiti Sains Malaysia
2016-2025
Universiti Sains Malaysia
2010-2024
European Society of Anaesthesiology
2017
National University of Malaysia
2017
Abstract Pseudo-double vocal cord anatomy is a rare and challenging anomaly that can complicate airway management, requiring careful planning precise execution. This report aims to expand the limited literature on this condition, discussing diagnostic complexities strategies for successful management in such cases. A 65-year-old female presented with pedunculated laryngeal mass, mimicking second set of cords, leading significant procedural challenges. Preoperative evaluation, including...
Dengue and malaria are two common, mosquito-borne infections, which may lead to mortality if not managed properly. Concurrent infections of dengue rare due the different habitats its vectors activities carrier mosquitoes. The first case reported was in 2005. Since then, several concurrent have been between virus (DENV) protozoans, Plasmodium falciparum vivax. Symptoms each infection be masked by a simultaneous second infection, resulting late treatment severe complications. knowlesi is also...
Background: Normal saline (NS) is a common fluid of choice in neurosurgery and neurointensive care unit (ICU), but it does not contain other electrolytes has the potential to cause hyperchloremic metabolic acidosis with prolonged infusion.These problems may be reduced availability balanced (BF), which becomes more physiological isotonic solution presence complete electrolyte content.This study aimed compare changes acid-base between NS BF (Sterofundin® ISO) therapy for post-operative severe...
The choice of anaesthetic techniques is important for the outcome traumatic brain injury (TBI) emergency surgery. objective this study was to compare patient outcomes target-controlled infusion (TCI) propofol and sevoflurane anaesthesia.A total 110 severe TBI patients, aged 18-60, who underwent surgery were randomised into Group T (n = 55) S (sevoflurane) 55). Anaesthesia maintained in with target plasma concentration 3-6 μg/mL minimum alveolar (MAC) 1.0-1.5. Both groups received TCI...
Background: Short-term peripheral venous catheter–associated bloodstream infection rates have not been systematically studied in Asian countries, and data on infections incidence by number of short-term catheter days are available. Methods: Prospective, surveillance study conducted from 1 September 2013 to 31 May 2019 262 intensive care units, members the International Nosocomial Infection Control Consortium, 78 hospitals 32 cities 8 countries South-East Asia Region: China, India, Malaysia,...
We report a fatal case of post-partum streptococcal toxic shock syndrome in patient who was previously healthy and had presented to the emergency department with an extensive blistering ecchymotic lesions over her right buttock thigh associated severe pain. The pregnancy been uncomplicated, mode delivery spontaneous vaginal episiotomy. She found have septicemic requiring high inotropic support. Subsequently, she treated for necrotizing fasciitis, complicated by multiple organ failures. A...
Abdominal hysterectomy (AH) is painful. The aim of this study was to compare intrathecal morphine (ITM) and epidural bupivacaine (EB) for their analgaesia effectiveness after surgery.Thirty-two patients undergoing elective AH were randomised into Group ITM (ITM 0.2 mg + 2.5 mL 0.5% bupivacaine) (n = 16) EB (0.25% bolus continuous infusion 0.1% bupivacaine-fentanyl 2 μg/mL) 16).The procedure performed before induction, all subsequently received standard general anaesthesia. Both groups...
ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Che Omar S, Hardy Mohamad Zaini R, Fui Wong T, Nazaruddin W. Hassan Comparison of the Air-Q intubating laryngeal mask airway and Ambu AuraGain as a conduit for fibreoptic assisted endotracheal intubation simulated cervical spine injury. Anaesthesiology Intensive Therapy. 2021;53(3):241-245. doi:10.5114/ait.2021.105759. APA Omar, S., Zaini, R., Wong, T., & Hassan, (2021). Therapy, 53(3), 241-245....
Background & Objectives: For almost a decade, novel drug sugammadex has been used to specifically antagonize the effect of aminosteroidal neuromuscular blocking agents. The aim this study is compare recovery time, haemodynamic stability and complications between these 2 reversal agents, neostigmine in antagonizing effects rocuronium paediatric population. Materials Methods: This was double-blinded, randomized controlled trial involving 80 patients aged 2-12 years old scheduled for surgery...
Background: Sepsis and septic shock are the leading causes of critical care-related mortality worldwide. This study aimed to determine prevalence sepsis, its intensive care unit (ICU) rate factors associated with both ICU prolonged stay. Methods: A prospective cohort was conducted from January 2019 December adult patients presenting evidence sepsis who were admitted ICU. Parameters assessed in association all-cause Results: Out 607 adults, 292 2019, a mean age 50.98 (standard deviation [SD]...
Sir, Goldenhar syndrome is a rare congenital disorder that characterised by wide range of anomalies including the face and neck.[1] From anaesthesiologist's perspective, anticipation difficult airway highest importance in patients with this syndrome.[1] The C-MAC® video laryngoscope system (Karl Storz GmbH Co. KG, Tuttlingen, Germany) an tool comes interchangeable blades (Miller size 0 1, Macintosh 2) for adult paediatric use.[2] Evidence its use mainly from studies[34] children normal...
Background: The tracheostomy procedure is commonly required to wean patients off the severe traumatic brain injury (TBI). This study aimed determine practice, outcome and complications of two techniques: i) surgical (ST) versus percutaneous (PT) ii) different times procedure: early (ET) late (LT). Methods: was a retrospective, cross-sectional conducted from 1 January 2013 until 31 December 2017, involving 268 TBI who during neurosurgical intensive care unit (Neuro-ICU) management. data were...
ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Kumar Sinasamy T, Nazaruddin Wan Hassan W, Hardy Mohamad Zaini R, Seevaunnamtum P, Ab Mukmin L. Comparison of the Baska mask and i-gel supraglottic airway devices in patients undergoing elective surgery. Anaesthesiology Intensive Therapy. 2020;52(5):383-388. doi:10.5114/ait.2020.101407. APA Sinasamy, T., Hassan, W., Zaini, R., Seevaunnamtum, P., & Mukmin, (2020). Therapy, 52(5), 383-388....
Acquired subglottic stenosis is a common complication of endotracheal intubation in infants. The risk increases trisomy 21, patients undergoing bypass surgery, and having gastroesophageal reflux disease. Less invasive endoscopic balloon dilatation has become more treatment modality compared to open surgical technique. Airway-related surgery needs meticulous preparation good communication between the anesthetist, surgeon, staff. More precaution effective are needed neonatal airway as it...
Background: Patients with end-stage renal failure (ESRF) who require arteriovenous fistula (AVF) creation often have multiple comorbidities, making the brachial plexus block a suitable choice for anaesthesia. The objective of this study is to compare efficacy ultrasound-guided supraclavicular and costoclavicular blocks AVF creation. Methods: A total 70 patients scheduled in distal upper extremity were randomly assigned 2 groups: (SCB), Group A: n = 35, (CCB), B: 35. Both groups received 20...
The significant effect of deep neuromuscular block (NMB) in laparoscopic surgery is still controversial, especially lower-pressure pneumoperitoneum. This study investigates the on intraabdominal pressure (IAP), surgical space quality, post-operative abdominal pain, and shoulder tip pain gynaecological surgery.
Background & Objectives: Placental perfusion is not autoregulated and susceptible to effects of spinal anesthesia (SA) induced hypotension. The index (PI) a non-invasive marker peripheral vascular tone, higher PI indicates increased risk hypotension following SA. This study aims establish preoperative baseline in our local population its correlation with incidence intraoperative Methods: prospective observational recruited 35 parturients who underwent elective lower segment cesarean...
Total intravenous anaesthesia (TIVA) with a combination of target-controlled infusions (TCIs) propofol and remifentanil has been advocated for favourable neurosurgical outcome. Neurosurgical procedures often involve prolonged duration large cumulative infusion propofol. This study compares the serial serum lipid profile, acid-base balance lactate level patients anaesthetised TCIs at 2% versus 1%.A total 74 who underwent an elective craniotomy under general were randomised into two groups: i)...
Introduction: The use of full PPE, aerosol box, and video laryngoscope are recommended when performing intubation on a Covid-19 patient. However, this technique may be difficult for medical officers unfamiliar with the protocol sequence, especially those less experience in anaesthesia. Video tutorials play vital role improving technique. This study evaluated compliance our anaesthesia department to effect before after viewing tutorial protocol. Methods: A total 70 (n = 70) Department...
Anastomotic leak after bariatric surgery is a rare complication with recent prevalence ranging from 0.8% to 1.5%. The nevertheless can result in morbidity and even mortality. purpose of this paper present patient who suffered an anastomotic presenting 2 days laparoscopic sleeve gastrectomy our intensive care unit. Review the current literature regarding critical perspective also attempted.
Background & Objectives: A good sedation for awake fibreoptic intubation will provide a better patient's cooperation and tolerance beside maintaining patent airway without compromising the haemodynamic patients1. The aim of this study was to compare efficacy between remifentanil dexmedetomidine as during in terms changes neuroendocrine hormones responses. Materials Methods: This prospective, double-blinded, randomized clinical trial involving 64 patients that fulfilled inclusion criteria,...