Necrotizing tonsillitis is rare and may lead to life-threatening upper airway obstruction in children, requiring emergency management. An 8-month-old boy presented with unresolved fever was diagnosed acute tonsillitis. Despite prior treatment amoxicillin paracetamol, the persisted, accompanied by leukopenia. Intravenous C-penicillin initiated, but respiratory distress ensued, necessitating non-invasive ventilatory support subsequent intubation due increased stridor. Intubation challenging...

Background & objective: Preoperative anxiety is a natural human psychology, and the physicians usually prescribe tranquillizers to allay of their anxiety. Various other means have also been employed for this purpose. We aimed investigate impact lavender aromatherapy on preoperative propofol requirement at induction anesthesia. Methodology: A total 108 female patients were enrolled in study, levels evaluated using Visual Analogue Scale (VAS) three different time points. Patients randomly...

Summary Aim To determine if the addition of adrenaline, clonidine, or their combination altered pharmacokinetic profile levobupivacaine administered via caudal epidural route in children. Methods Children aged <18 years old scheduled to undergo sub‐umbilical surgery were plain 2.5 mg·ml −1 with adjuvants adrenaline 5 mcg·ml clonidine 2 combination. Covariate analysis included weight and postnatal age (PNA). Time–concentration was undertaken using nonlinear mixed effects models. A...

Rhodotorula mucilaginosa fungaemia is rare and highly resistance to antifungal therapy. We herein report a case involving 31-year-old male admitted after high-velocity road traffic accident. He sustained grade IV liver injury with right hepatic vein thrombosis, necessitated an urgent laparotomy. Post-operatively, repeated imaging of the abdomen revealed presence biloma. Percutaneous subdiaphragmatic drainage was done but appeared ineffective, prompting second surgery for hemi-hepatectomy....

Rhodotorula mucilaginosa fungemia is rare and highly resistant to antifungal therapy. We herein report a case involving 31-year-old male admitted after high-velocity road traffic accident. He sustained grade IV liver injury with right hepatic vein thrombosis, which necessitated an urgent laparotomy. Post-operatively, repeated imaging of the abdomen revealed presence biloma. Percutaneous subdiaphragmatic drainage was carried out but appeared ineffective, prompting second surgery for...

Pseudomonas putida is a rare pathogen leading to nosocomial and central nervous system infections. Despite having low virulence being organism cause bacteremia, it can evolve into multidrug-resistant lead mortality morbidity in the intensive care setting. A 64-year-old male gardener was presented with extensive acute subarachnoid hemorrhage intraventricular extension causing hydrocephalus requiring embolization coiling following cerebral angiogram, which showed bilateral posterior...

<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 &gt; 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)....

A logbook system is essential to ensure standardized competency in medical education. This survey will provide the first overview of our current and can serve as an initial proposal for improvement a more relevant valuable tool assess postgraduate training programme. was conducted among all Universiti Kebangsaan Malaysia (UKM) anaesthetic trainees. The data this collected by using Google Forms. link form distributed UKM questionnaire consisted five sections, demographic data, strengths...

Shivering is described as an involuntary, repetitive activity of the skeletal muscles that can have deleterious effects on anaesthetized patients. This study aimed to evaluate effectiveness phenylephrine infusion in preventing perioperative shivering patients undergoing lower segment cesarean section under spinal anesthesia and observe change patient's core temperature between control groups.A total 118 scheduled for elective were recruited this prospective, double-blind, randomized...

Background: The original EuroSCORE was proposed in 1995, with a predicted mortality rate of 3.9%. study aimed to assess the validity European System for Cardiac Operative Risk Evaluation-II (EuroSCORE II), presented 2012, predicting 30-day in-hospital observed cardiac surgical patients operated Universiti Kebangsaan Malaysia Medical Centre (UKMMC).Methodology: It retrospective on who had undergone coronary artery bypass graft surgery during 6 y from January 01, 2011 December 31, 2016, UKMMC....