Sultan Qaboos University medical journal
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Sultan Qaboos Univ Med J · May 2012
Adult Sickle Cell Disease: A Five-year Experience of Intensive Care Management in a University Hospital in Oman.
Sickle cell disease (SCD) is an inherited disease caused by an abnormal type of haemoglobin. It is one of the most common genetic blood disorders in the Gulf area, including Oman. It may be associated with complications requiring intensive care unit (ICU) admission. This study investigated the causes of ICU admission for SCD patients. ⋯ Acute chest syndrome is the main cause of ICU admission in SCD patient. Unlike other supportive measures, the use of inotropic support and/or mechanical ventilation is an indicator of high mortality rate SCD patient.
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Sultan Qaboos Univ Med J · Nov 2011
Complications of Central Venous Catheterisation: Breakage of guidewire-a disaster averted.
Central venous catheterisation (CVC) is a common bedside invasive procedure done in medical practice. Even though it is a safe procedure when done with ultrasound guidance, difficulties and complications do occur even in experienced hands. Here, we describe the difficulties encountered in the form of the breakage of the guidewire while inserting a CVC in a patient with sickle cell disease.
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Sultan Qaboos Univ Med J · Nov 2011
Medical Tourism Abroad: A new challenge to Oman's health system - Al Dakhilya region experience.
This study aimed to understand why people seek medical advice abroad given the trouble and expense this entails. The types of medical problems for which treatment abroad was sought, preferred destinations and satisfaction with the treatment were explored. A secondary aim was to give feedback to stakeholders in the health care system on how to handle this issue and meet the needs of the community. ⋯ Various facts about medical treatment abroad need to be disseminated to the public. This will necessitate greater effort in public health promotion and education.
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Sultan Qaboos Univ Med J · Dec 2009
Comparative study of the radial and femoral artery approaches for diagnostic coronary angiography.
Femoral artery access is the standard approach for coronary procedures; however, the radial approach has gained sound recognition as an alternative to femoral access. We present our early experience with the transradial approach. ⋯ The transradial approach for coronary angiography is associated with significantly reduced local vascular complications and shorter hospital stays. The femoral approach is the standard access site for coronary angiography; however, interventional cardiologists should acquire experience in the radial approach as an alternative in specific situations.