A5070383569- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Antibiotic Use and Resistance
- Intensive Care Unit Cognitive Disorders
- Airway Management and Intubation Techniques
- Antibiotics Pharmacokinetics and Efficacy
- Nausea and vomiting management
- Nosocomial Infections in ICU
- Music Therapy and Health
- Anesthesia and Sedative Agents
- Biosensors and Analytical Detection
- Analytical Chemistry and Sensors
- Islamic Finance and Banking Studies
- Pediatric Pain Management Techniques
- Pain Management and Opioid Use
- Pneumothorax, Barotrauma, Emphysema
- Trauma Management and Diagnosis
- Case Reports on Hematomas
- Antibiotic Resistance in Bacteria
- Pharmaceutical Practices and Patient Outcomes
- Spine and Intervertebral Disc Pathology
- Patient Safety and Medication Errors
- Taxation and Compliance Studies
- Intraoperative Neuromonitoring and Anesthetic Effects
- Skin Diseases and Diabetes
National University of Malaysia
2010-2025
University Kebangsaan Malaysia Medical Centre
2014-2022
Hospital Kuala Lumpur
2020
Universiti Tun Abdul Razak
2019
Universiti Putra Malaysia
2011-2012
Introduction: Many studies have investigated the effects of music on perioperative anxiety and its implication anaesthetic practice, however there are limited number reported for religious or spiritual intervention in this aspect. We listening to Islamic praises (Dzikr) nature-based sounds delivered via headphones as non-pharmacological interventions anxiety. Materials Methods: Sixty-three Muslim patients scheduled elective lower limb surgery under regional anaesthesia were randomly assigned...
Background and objective Catheter-associated urinary tract infection (CAUTI) accounts for 9% of all hospital-acquired infections (HAI). This study aimed to assess the incidence CAUTI among patients with two different types catheters: latex catheter latex-coated metal alloy catheter, used in ICU setting. Methods was a randomized, prospective, single-blinded involving 76 requiring catheterization admitted more than 48 hours. Patients were allocated group group, randomization ratio 1:1....
Key words: surface plasmon resonance, mercury and copper ions, chitosan, glutaraldehyde Mercury Hg 2+ Cu , can be detected by measuring resonance signals with a thin chitosan layer deposited on gold film.An amount of 0.55 ml cross-linked solution was spin coated onto glass cover slip at 6000 rev./min for 30 s. Changes in the angle (∆θ) are directly proportional to concentration heavy metal ions (0.5-100 ppm).The sensitivities 0.00743 0.00654 ppm -1 respectively.The gold/chitosan interface is...
Introduction: Non-pharmacological interventions are considered as successful adjuncts to manage pain. We studying the comparative effects of listening prayer recitation and music therapy intraoperatively non-pharmacological on postoperative pain intraoperative haemodynamics. Materials Methods: Seventy two muslim patients with acute appendicitis requiring open, emergency appendicectomies under general anaesthesia were recruited randomised into three groups: Group A: who listened recitation,...
Liquid silicone (polydimethylsiloxane) is an inert material that commonly used for cosmetic purpose. Silicone embolization syndrome (SES) can rapidly progress to pneumonitis as a consequence of the injection nonmedical‐grade liquid silicone. We describe case severe complicated with acute respiratory distress and bilateral pneumothorax secondary gluteal augmentation. In this report, we aim discuss our experience approach in managing uncommon SES.
Excessive antibiotic consumption is still common among critically ill patients admitted to intensive care units (ICU), especially during the coronavirus disease 2019 (COVID-19) period. Moreover, information regarding antimicrobial ICUs in South-East Asia remains scarce and limited. This study aims determine antibiotics utilization by measuring over past six years (2016−2021) specifically evaluating carbapenems prescribed a COVID-19 ICU general unit (GICU) second year of pandemic. (2)...
Surface plasmon resonance was applied to the study of optical properties virgin coconut oil biodiesel produced by mixture and methanol.Experimentally, refractive indices dispersion curve were determined, we found that angle index depend on volume percentage oil.In addition, a polypyrrole-chitosan layer used detect iron ions generated because corrosiveness biodiesel.The accuracy sensor 0.1 ppm for detection ions.
Regional anesthesia for surgery is associated with increased anxiety patients. This study aimed to compare the effect of propofol and dexmedetomidine infusion on perioperative during regional anesthesia.Eighty-four patients were randomly divided into two groups receiving either drug infusion. Anxiety score, level sedation using Bispectral Index Observer’s Assessment Alertness Sedation, hemodynamic stability, overall patient’s feedback anxiolysis assessed.Both showed a significant drop in...
The effects of pericardium 6 (P6) electrical stimulation in patients at risk postoperative nausea and vomiting (PONV) following laparoscopic surgery were evaluated.Eighty for with least one the determined risks (nonsmoker, female, previous PONV/motion sickness, or opioid use) randomized into either an active sham group. At end surgery, Reletex acustimulation was placed P6 acupoint. group had grade 3 strength inactivated electrodes covered by silicone. It worn 24 h surgery. PONV scores...
AbstractAbstractBackground: Anaesthetists frequently tailor the subarachnoid local anaesthetic dosage according to parturient height achieve sensory blockade up T4 dermatome for lower segment Caesarean sections (LSCSs). Studies that have been conducted demonstrated does not affect spread of hyperbaric bupivacaine. This study aimed find correlation between spinal column length term parturients and highest level after anaesthesia.Methods: The authors studied 60 singleton American Society...
Acute airway obstruction in pregnancy remains a challenge to manage. Failure of appropriate and timely management may lead maternal morbidity mortality such as aspiration pneumonitis or worst hypoxaemic cardiopulmonary arrest. 1 As exacerbate asthma attacks, parturient presenting with wheezing shortness breath will commonly be treated suffering from an asthmatic attack. 2 However, it is important note other possible differential diagnoses. Thyroid disease relatively common women childbearing...
Introduction: This prospective cross sectional study assessed surgical antibiotic prophylaxis (SAP) practice, the incidence of site infection (SSI) and its associated risks in Universiti Kebangsaan Malaysia Medical Centre. Methods: Patients for elective colorectal, hepatobiliary, upper gastrointestinal, breast endocrine surgery, who received SAP were included followed up until day-30 postoperatively. Types antibiotic, preoperative–dose timing, intraoperative re-dosing duration recorded. The...
Acute pain service (APS) ensures provision of effective and safe postoperative relief. The following cases describe a potentially fatal error in managing patients who receive epidural analgesia postoperatively.Three received 6-8 ml/hr infusion 0.1% levobupivacaine with 2 μg/ml fentanyl (cocktail) developed poor arousal, hypopnoea hypercarbia 16-18 hrs postoperatively. They required mechanical ventilation the Intensive Care Unit (ICU) exclusion neurological cardiac causes. Haemodynamically,...
INTRODUCTION: Laryngoscopy and endotracheal intubation is known to cause tachycardia increase in blood pressure during general anaesthesia. This study was designed assess if auricular acupressure has beneficial effects attenuating the haemodynamic changes laryngoscopy intubation. Secondly, this aimed evaluate effectiveness of reducing preoperative anxiety. MATERIALS AND METHODS: Eighty patients who were scheduled for surgery under anaesthesia randomised receive either active over bilateral...
Abstract Introduction : Mechanical ventilation (MV) in COVID-19 patients is often complicated with pulmonary barotrauma. The aim of this study was to determine the incidence and risk factors associated development barotrauma mechanically ventilated patients. Materials methods: We included all who were aged 18 above whom admitted COVID ICU between January 2021 June 2022. Patients developed prior or within 24 hours admission, iatrogenic pneumothorax, readmitted for other causes than...
<title>Abstract</title> Background Here, we present a case of superrefractory status epilepticus (SRSE) in 23-year-old female with underlying mitochondrial epilepsy and homoplastic pathogenic variant (m.616T > C) the MT-TF gene. Case Presentation: Following recent long-haul flight, patient experienced breakthrough seizures initially responded to oral levetiracetam clonazepam but subsequently developed (SE), necessitating intubation, ventilation multiple antiepileptic drugs (AEDs)....
Pneumopericardium is a rare clinical presentation and an unusual complication of tracheostomy. Its isolated without associated air in other potential space such as mediastinum or pleura causes difficulty diagnosis especially patient with invasive ventilation. We report case 72-year-old lady who developed pneumopericardium following The progression into cardiac tamponade was halted by administration fluid resuscitation modifying ventilation mode to spontaneous setting. A flexometallic...
Background & Objectives: Intrathecal morphine provides effective, long lasting postoperative analgesia following Caesarean delivery, but is associated with pruritus which may be unpleasant. This prospective, double-blind controlled study compared sub-hypnotic doses of propofol as prophylaxis for intrathecal morphine-induced pruritus. Materials Methods: Fifty-three ASA I II parturients scheduled elective delivery were randomized to receive 20 mg (Group A), 10 B) and normal saline C). All...
Background and Objective: Many previous studies assessing the completeness of perioperative documentation surgical patients were reported to be inadequate unsatisfactory. The aim this study was compare anesthetic record (PAR) at our tertiary care institution a standard guideline have an audit its completeness.
 Methodology: It prospective, observational study, done in general operating theater Universiti Kebangsaan Malaysia Medical Centre (UKMMC). We compared PAR American Society...
Venous thromboembolism (VTE) is a common complication observed among critically ill patients and associated with significant mortality morbidity. Thus, this prospective study was conducted to assess VTE bleeding risk factors, prophylaxis modalities were given for patients. A total of 80 admitted >2 days in the Intensive Care Unit (ICU) tertiary care hospital, aged >18 years old included study. Patients’ demographic data, VT