Anuja Abayadeera

• MD, FRCA
• Professor at University of Colombo

Thoraco omphalopagus type accounts for about 74% of all conjoined twins. This is the first reported case of successful separation of conjoined twins in Sri Lanka. Need of detailed preoperative assessment, multidisciplinary team approach, pre- operative meetings to collate information, formulating an agenda and developing a plan of action, organised...

The editorial is about when blood and blood procuct transfusion should occur in ICU patients.

Phaeochromocytoma in pregnancy is associated with high maternal and neonatal mortality rates. Recently, improved management and antenatal diagnosis have reduced the maternal mortality rate below 1% and neonatal mortality rate below 15% respectively.

The present day anaesthesiologist is no longer a person whose only role is to give an intravenous injection, hold a mask or squeeze a bag to induce a deep sleep to enable the surgeons to perform surgery. We have moved on to be multi-talented, multi-tasking individuals with many newly acquired skills and up to date knowledge. We anaesthetize patient...

This is a topic that is hardly discussed in any forum in Sri Lanka whether scientific or non scientific. Even though doctors are not under stress to take end of life decisions in this country, time and again the intensive care clinicians have to face these dilemmas. Traditionally we do not discuss and accept different modalities of end of life deci...

Introduction: Per rectal suppository administration of diclofenac sodium is commonly used for post-operative pain relief. This audit was conducted to assess whether, patients were informed of administration of diclofenac sodium suppository and to find out whether they were questioned about contraindications and cautions for its use. Method: Audit c...

Venous thromboembolism (VTE) is a significant global cause for morbidity and mortality of surgical patients. Clinical guidelines written by the National Institute of Clinical Excellence (NICE) in Great Britain is available to manage this problem. The Sri Lanka Health Service currently has no such guidelines. We conducted a retrospective audit of cu...

A 49-year-old man was diagnosed as HIV infected, with a CD4 count of 60 cells/μl. He was started on an antiretroviral treatment regimen comprising zidovudine, lamivudine and efavirenz. Following treatment, his CD4 count improved and the viral load was undetectable. He was subsequently found to have a moderately differentiated adenocarcinoma of the...

Introduction: During preoperative preparation, patients undergo investigations to detect asymptomatic diseases. The probability of finding significant abnormalities on such “routine" investigations is small, and these investigations unnecessarily increase costs of perioperative care. We evaluated current practices, compliance with national guidelin...

38 consecutive consenting patients undergoing donor nephrectomy via loin incision were studied and assessed for the severity of pain by using both NRS and VAS at the beginning of commencing post-operative analgesia and then 2, 6, 12 and 24 hour intervals respectively. Data were analyzed to identify the correlation between the scales. 157 readings f...

Background: During preoperative preparation patients undergo investigations to detect asymptomatic diseases. The probability of finding significant abnormalities on such “routine” investigations is small, unnecessarily increasing costs of perioperative care. We evaluated current practices, compliance with guidelines and costs of preoperative invest...

Background Effective skin disinfection before spinal and epidural anaesthesia is essential to avoid bacterial infection. Three disinfectants, Betadine, Cetavlon and a combination of Chlorhexidine, Cetrimide and Isopropyl alcohol are used in hospitals as skin disinfectant solutions. We compared the ability of these disinfectant solutions to reduce t...