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...

Non-invasive ventilation (NIV) is not proven to be effective in treating respiratory failure severe pneumonia. However, some clinicians nevertheless attempt NIV indirectly deliver adequate oxygenation and avoid unnecessary endotracheal intubation. In this article, we report the case of a 24-year-old woman at 32 weeks' gestation who presented with hypoxemic requiring mechanical ventilation. She was successfully managed by NIV. must providers are trained This utmost importance avoiding any...

In Malaysia, melioidosis is commonly encountered as this infection known part of the endemic area for disease. Managing cases positive Burkholderia pseudomallei can involve multidisciplinary unit mainly, microbiologist, infectious disease team and intensive care it may be quite difficult to distinguish from a number other diseases on clinical setting alone. Laboratory diagnosis plays vital role in determining direction management. Investigations such culture, polymerase chain reaction (PCR)...

In an era where fast-track surgery is preferred and more cases are performed under day care surgery, anaesthesia techniques pain management evolve to suit the demand.In our study, we compared anal- gesic effectiveness between preemptive intravenous acetaminophen single-shot caudal block in paediatric patients undergoing inguinal hernia repair. This a prospective randomised study involving total of 40 American Society Anesthesiologists (ASA) 1 2 who 6 months 5 years old, into two groups:...

Dengue is a public health concern with an economic burden that currently unmet by approved vaccinations, particular treatment medicines, or effective vector-control methods. It can be challenging to identify in early stage, and if not treated properly, it have disastrous effects. We, therefore, present case of unfortunate man diagnosed severe dengue. He eventually had multiorgan failure required renal replacement therapy inotropic support. We emphasize recognition investigation dengue fever...

Melioidosis and leptospirosis are common tropical infectious diseases, but confirmed co-infection by both is rare. We describe a fulminant case of Burkholderia pseudomallei Leptospira in 29-year-old Malay lady with underlying uncontrolled type 2 diabetes mellitus, who had no obvious exposure to either organism. Despite close monitoring aggressive treatment the Intensive Care Unit (ICU), this patient eventually succumbed death from disease progression. As co-infections melioidosis can lead...

Hepatoblastoma is the most frequently occurring malignant tumor of liver in children (ages ≤5 years). The formation bronchobiliary fistula a rare complication. We present case report that describes associated anesthetic challenges we encountered for treatment this pathology.

We present a case study of 26-year-old morbidly obese man with three-day history right leg pain and swelling. The swelling was associated low grade fever. He alert conscious upon presentation to the hospital. His physical examination showed gross entire lower limb no systemic manifestations. There discharge bullae from area leg. had high blood sugar newly diagnosed type 2 diabetes mellitus. necrotizing fasciitis. An intravenous imipenem-cilastatin 500 mg every 6 h together clindamycin 900 8...

Currently, coronary artery disease (CAD) has been identified as the leading cause of mortality in Malaysia and other countries worldwide. Genetic predisposition comorbidities such hypertension diabetes mellitus, gender, lifestyle, several risk factors can contribute to development CAD. Pharmacological surgical treatments play a vital role improving quality life patients with New techniques continuous interventions have introduced improve treatment outcome. Recently, cardiothoracic teams from...

Managing a child with anterior mediastinal mass is considered as one of the most challenging cases ever encountered by an anesthetist.The main concerns are not only related to managing airway and maintaining ventilation suitable mode, but also associated cardiovascular complications, where patient at risk cardiorespiratory embarrassment before, during after induction anaesthesia.Furthermore, children anaesthesia produces array implications, hence thorough preoperative assessment essential...

Acute airway compromise caused by a deep neck space abscess significantly contributes to the morbidity and mortality, it requires quick identification rapid treatment.1 Parapharyngeal retropharyngeal abscesses affect 2.64 persons out of 100,000 population. The incidence in males females is 3.34 1.94 per people, respectively.2 Of note, might increase patient’s susceptibility COVID-19 infection. In order limit transmission such patients, an advanced treatment plan required.3 We share...