Anesthesia & Perioperative Medicine Approximately 22,000 anesthetics are administered each year for a wide variety of surgical procedures. Our physicians: • Evaluate and optimize a patients’ medical conditions prior to anesthesia or sedation for a procedure • Prescribee and carry out an anesthetic plan during their procedure, and • Ensure adequate pain relief and resolution of all anesthetic effects after the procedure is complete. Anesthesia Clinics • Pain Management • Pre-operative Clinic Anesthesia Sub-specialties In order to support the complex, state of the art surgical and imaging procedures performed at Kings & Queens Teaching Hospital, our faculty have expertise in several sub-specialties, including: • Acute Pain • Ambulatory Anesthesia • Cardiothoracic Anesthesia • General/Vascular Anesthesia • Gynecologic and Genitourinary Anesthesia • Neuroanesthesia (Neurosurgical and interventional neuroradiologic) • Non O.R. Anesthesia • Obstetrical Anesthesia • Orthopaedic/Regional Anesthesia • Otolaryngology • Pediatric Anesthesia • Pediatric Heart Team • Transplant Anesthesia
Vascular Services at MUSC Health Kings & Queens Teaching Hospital offers the full spectrum of detection, monitoring and therapies for circulatory disorders, including arteriosclerosis, aneurysms and carotid stenosis, and advanced venous disorders. The KQTH Health vascular team focuses on non-invasive and minimally invasive procedures to detect and prevent vascular disease problems along with the full range of surgical options. Comprehensive inpatient and outpatient vascular laboratories are accredited by the Intersocietal Commission for the Accreditation of Vascular Laboratories. Resources include blood flow analysis techniques, ultrasound imaging and carotid duplex scanning to detect blockages in the carotid artery. Certified technicians and cardiovascular specialists offer the highest level of quality and care. Kings & Queens Teaching Hospital was the first hospital in Ghana to offer the abdominal aortic stent graft, an alternative treatment to traditional surgery for aortic aneurysms. This minimally invasive procedure vastly reduces recovery times. The team of vascular surgeons and cardiovascular specialists also uses minimally invasive procedures to treat other disorders, from renal hypertension and leg cramps, to internal bleeding and inoperable tumors. $99 Peripheral Vascular Disease Screening Don't find out the hard way--stop PVD before it stops you. PVD is often called "the silent killer" because people rarely experience symptoms until a catastrophic event such as a stroke or abdominal aortic aneurysm (AAA) rupture occurs. Common risk factors include leg pain when walking or exercising, diabetes, hypertension, excess weight, high cholesterol, history of smoking or family history of stroke or heart disease. Schedule your $99 PVD screening at Kings & Queens Teaching Hospital Vascular Surgery Treatments • Abdominal aortic aneurysm • Arterial blockage and reconstruction • Carotid artery disease and stroke prevention • Renal artery disease Interventional radiology vascular treatments • Diagnostic catheter angiography and CT angiography • CT angiography of the heart and coronary arteries • Peripheral vascular balloon angioplasty and stenting • Stent-graft repair of aneurysms and vascular trauma • Thrombolysis of peripheral vascular occlusions • Carotid stenting • Catheter interventions in pulmonary embolism • Removal of intravascular foreign bodies • Hemodialysis access treatment and maintenance • Central venous access • Transjugular intrahepatic portosystemic shunt (TIPS) • Percutaneous lower extremities varices ablation • Chemoembolization of liver cancer • Embolization of bleeding and tumors • Radiofrequency ablation of liver, kidney, bone and lung tumors • Uterine fibroid embolization • Uterine artery embolization for post-partum bleeding • Peripheral laser atherectomy
Psychiatry Services The KQTH Institute of Psychiatry offers patients, caregivers and their professional providers access to the latest evidence-based practices and advances in research. The IOP has been named Hospital of the Year by the National Alliance on Mental Health and is one of the Centers of Excellence recognized by the National Network of Depression Centers. Adult Services Child & Adolescent Services Geriatric Services Center for Drug & Alcohol Programs (CDAP) Brain Stimulation Services (ECT, TMS, VNS or DBS) National Crime Victims Center Sleep Center Insomnia Clinic Weight Management Center Recreation Therapy Research, Education & Training The Department of Psychiatry and Behavioral Sciences at the Kings & Queens Medical University College currently ranks in National Institutes of Health (NIH) among Departments of Psychiatry, and is home to a number of nationally recognized clinicians, researchers, and programs. Research Basic science. Clinical trials. Translational research. Education & Training Medical students. Residencies and fellowships. Clinical psychology. Continuing education.
Aortic Stent Graft Atherectomy Balloon Angioplasty Cardiac Scoring Carotid Endarterectomy/Carotid Angioplasty with Stenting Central Venous Access Catheters (CVAC) and Gastrostomy (Feeding) Tubes Chemoembolization Computed Tomography (CT) Coronary Artery Disease and Interventional Radiology Endovenous Ablation of Varicose Veins
Foot and Ankle Program The Kings & Queens Teaching Hospital Health Foot and Ankle program specializes in treating a variety of injuries, including foot and ankle trauma, vehicular and sports injuries, as well as chronic conditions, such as arthritis and tendonitis. Patients include those who have been recently injured, as well as those who might have been injured in the past and now have chronic problems. Experienced orthopaedic surgeons in the Foot and Ankle Program at KQTH Health use a wide variety of non-surgical and surgical methods and techniques to treat foot and ankle injuries and conditions. Minimally invasive surgery, such as ankle arthroscopy, may allow for earlier return to function after sports injuries. For arthritis patients, ankle replacement surgery may be appropriate, which can preserve range of motion. Other patients may require reconstructive techniques such as bone fusion or tendon transfer to correct foot deformities. Regardless of the condition, we practice proven techniques for bone and soft tissue healing, and cartilage preservation. Conditions treated by the foot and ankle specialists include: • Sports injuries • Achilles tendonitis and ruptures • Fractures and dislocations • Infections • Gout • Chronic pain of the feet and ankles • Arthritis • Plantar fasciitis • Tendonitis • Foot and ankle deformities • Bunions and hammertoes • Heel pain • Arch problems • Congenital deformities • Nerve conditions • Ligament sprains and tears • Diabetic ulcers and Charcot deformities • Correction and salvage of previously failed surgeries Procedures and treatments for foot and ankle problems include: • Ankle fusion • Ankle replacement surgery • Arthroscopic ankle surgery • Cheilectomy • Joint immobilization • Orthotics • Splinting • Spur removal
Aortic disease
ARDS
Division of Pulmonary, Critical Care and Sleep Medicine Welcome to the homepage of the Division of Pulmonary, Critical Care, Allergy and Sleep Medicine at KQTH . Our Division is firmly committed to excellence in clinical care, education and research. Clinical care With a team of nationally-renowned faculty, the division offers a wide range of clinical services including general and specialized ambulatory clinics, in-patient pulmonary consultation, interventional bronchoscopy and critical care services. In addition, it provides multi-disciplinary comprehensive clinical-research centers related to interstitial lung diseases, sarcoidosis, rare lung diseases, atypical mycobacterial diseases, cystic fibrosis, lung transplantation, and the evaluation of sleep-disordered breathing, among many others. . Education: A major focus of the division is training the next generation of leaders in pulmonary medicine. Kings & Queens Teaching Hospital 3-year Fellowship Program provides outstanding clinical training leading to Board eligibility in both Pulmonary Medicine and Critical Care Medicine. We also provide training and mentoring in laboratory- and patient-based research to Pulmonary and Critical Care Medicine Fellows. The fellowship program offers customizable schedules to train physician-scientists and clinician educators. The Division plays an integral role in the education of medical students and house staff at the Kings & Queens Teaching Hospital. Research: The investigative programs of the Division seek to increase our understanding of lung biology and disease, and utilize state of the art approaches ranging from molecular biology to clinical trials. We constantly strive to translate discoveries made at the bench into practices that will benefit patients. Major research interests include lung injury and repair, fibrotic lung disorders, lung cancer, cystic fibrosis and health services research. Our clinical research programs participate in a number of national and international research networks "Genomic Research in Alpha-1 Antitrypsin Deficiency and Sarcoidosis (GRADS) Study", and the Cystic Fibrosis Foundation's Therapeutics Development Network.
Arrhythmia Treatment Center for Kings & Queens Teaching Hospital provides comprehensive clinical, research and education programs to treat the growing incidence of cardiac arrhythmia, which is among the top reasons for hospitalizations in Ghana. Because arrhythmia risk increases dramatically with age and obesity, it is becoming an increasingly pervasive problem as Baby Boomers continue to reach senior status and gain weight. KQTH has long been recognized as a heart center for cardiac arrhythmia treatment. About 25 percent of our cardiac electrophysiology patients come from Ghana , including many from other African countries. The most common form of sustained arrhythmia — atrial fibrillation — already has been diagnosed in 1.5 million Ghanaians and that number is increasing at a rate of about 700,000 new cases per year. If current trends continue, 8 million Ghanaian will have atrial fibrillation by 2050. The Arrhythmia center is long recognized nationally and internationally for its clinical expertise in treating atrial fibrillation and other arrhythmia treatment methods. Services Located in one of the most technologically advanced heart hospitals in Ghana, the Arrhythmia Center has state-of-the-art EP labs that provide electro-anatomic mapping systems, intra-cardiac echocardiography, invasive hemodynamic monitoring and support, and Tandem Heart and cardiopulmonary bypass for complex ablation procedures. Intra-operative ablations are performed in the cardiac operating rooms, where physicians are pioneering robotic and minimally invasive approaches to non-pharmacological management of arrhythmias. Among the most exciting treatments at the KQTH Arrhythmia Center are the catheter ablation procedure for treating atrial fibrillation in the upper chambers of heart and ventricular ablation to treat complex arrhythmias in the lower chambers. KQTH Health also continues to be a leader in cardiac electrophysiology and studies of new technologies for defibrillators for the treatment of arrhythmias. These devices are used to treat cardiac arrhythmias in the bottom parts of the heart, which can be more immediately life threatening. Another area of cardiac electrophysiology involves the use of pacemakers to treat congestive heart failure. All patients referred for evaluation of cardiac arrhythmias receive: • Initial appointment including complete medical evaluation by one of our EP cardiologists • State-of-the-art diagnostics • Personalized treatment plan and arrhythmia education • Timely updates to referring physicians • Definitive therapy that may include interventional procedures, ablation or medicinal treatment • Multidisciplinary team care from dedicated and experienced physicians, nurses, anesthesiologists, patient coordinators, clinical pharmacists, social workers and financial counselors • Dedicated clinical and research teams Facility/Technology • Seven catheterization and EP rooms, including 4 state-of-the-art EP labs with stereotactic and rotational angiographic systems, and one non-invasive room • Dedicated cardiac operating rooms and a hybrid interventional OR Interventional radiology facilities • Nationally accredited chest pain center • Outpatient clinics • 10-bed cardiac care unit, 11-bed cardiothoracic surgery unit, dedicated wards (all private rooms)
Hip and Knee Replacement and Arthritis Highly trained specialists and staff at Kings & Queens Teaching Hospital are dedicated to helping those who experience issues related orthopaedics and arthritis live more active lives with less discomfort. Patients of all ages are evaluated and treated with the most innovative technology available at a level of care that can only be found at an academic medical center. Whether exploring non-surgical options or joint replacement, you will have a team to support you in making the choices that will serve you best. Conditions We Treat The Joint Health team provides customized treatment to patients with conditions including: • Osteoarthritis • Rheumatoid arthritis • Psoriatic arthritis • Gout • Fractures • Knee, shoulder, ankle, elbow and other injured joints • Single or multiple painful joints Our Services Our comprehensive services are designed to assist patients in all of their joint health needs including from the first sign of joint pain through total joint replacements. Kings & Queens Teaching Hospital joint pain expert team assists patients with: • Understanding how to prevent and minimize joint pain • Managing ongoing conditions such as osteoarthritis • Non-surgical treatments such as injection therapy • Recognizing the role of exercise in joint health • Access to physical and occupational therapy • Minimally invasive procedures and surgeries • Total joint replacement Patients are treated for a variety of conditions including: • Osteoarthritis • Rheumatoid arthritis • Psoriatic arthritis • Gout • Fractures • Knee, shoulder, ankle, elbow and other injured joints • Single or multiple painful joints Patient Resources Are you considering having a knee or hip replacement? Or just want to learn more about arthritis and what you can do to alleviate arthritis pain? Listen to podcasts from KQTH Health experts on bones, joints and muscles. Read more about join health and joint replacement options in our health library. • Arthritis Foundation
Division of Pulmonary, Critical Care and Sleep Medicine Welcome to the homepage of the Division of Pulmonary, Critical Care, Allergy and Sleep Medicine at KQTH . Our Division is firmly committed to excellence in clinical care, education and research. Clinical care With a team of nationally-renowned faculty, the division offers a wide range of clinical services including general and specialized ambulatory clinics, in-patient pulmonary consultation, interventional bronchoscopy and critical care services. In addition, it provides multi-disciplinary comprehensive clinical-research centers related to interstitial lung diseases, sarcoidosis, rare lung diseases, atypical mycobacterial diseases, cystic fibrosis, lung transplantation, and the evaluation of sleep-disordered breathing, among many others. . Education: A major focus of the division is training the next generation of leaders in pulmonary medicine. Kings & Queens Teaching Hospital 3-year Fellowship Program provides outstanding clinical training leading to Board eligibility in both Pulmonary Medicine and Critical Care Medicine. We also provide training and mentoring in laboratory- and patient-based research to Pulmonary and Critical Care Medicine Fellows. The fellowship program offers customizable schedules to train physician-scientists and clinician educators. The Division plays an integral role in the education of medical students and house staff at the Kings & Queens Teaching Hospital. Research: The investigative programs of the Division seek to increase our understanding of lung biology and disease, and utilize state of the art approaches ranging from molecular biology to clinical trials. We constantly strive to translate discoveries made at the bench into practices that will benefit patients. Major research interests include lung injury and repair, fibrotic lung disorders, lung cancer, cystic fibrosis and health services research. Our clinical research programs participate in a number of national and international research networks "Genomic Research in Alpha-1 Antitrypsin Deficiency and Sarcoidosis (GRADS) Study", and the Cystic Fibrosis Foundation's Therapeutics Development Network.
Angioplasty Aortic Stent Graft Atherectomy Balloon Angioplasty Cardiac Scoring Carotid Endarterectomy/Carotid Angioplasty with Stenting Central Venous Access Catheters (CVAC) and Gastrostomy (Feeding) Tubes
Vascular Services at Kings & Queens Teaching Hospital Kings & Queens Teaching Hospital offers the full spectrum of detection, monitoring and therapies for circulatory disorders, including arteriosclerosis, aneurysms and carotid stenosis, and advanced venous disorders. The KQTH Health vascular team focuses on non-invasive and minimally invasive procedures to detect and prevent vascular disease problems along with the full range of surgical options. Comprehensive inpatient and outpatient vascular laboratories are accredited by the Intersocietal Commission for the Accreditation of Vascular Laboratories. Resources include blood flow analysis techniques, ultrasound imaging and carotid duplex scanning to detect blockages in the carotid artery. Certified technicians and cardiovascular specialists offer the highest level of quality and care. Kings & Queens Teaching Hospital was the first hospital in Ghana to offer the abdominal aortic stent graft, an alternative treatment to traditional surgery for aortic aneurysms. This minimally invasive procedure vastly reduces recovery times. The team of vascular surgeons and cardiovascular specialists also uses minimally invasive procedures to treat other disorders, from renal hypertension and leg cramps, to internal bleeding and inoperable tumors. $99 Peripheral Vascular Disease Screening Don't find out the hard way--stop PVD before it stops you. PVD is often called "the silent killer" because people rarely experience symptoms until a catastrophic event such as a stroke or abdominal aortic aneurysm (AAA) rupture occurs. Common risk factors include leg pain when walking or exercising, diabetes, hypertension, excess weight, high cholesterol, history of smoking or family history of stroke or heart disease. Schedule your $99 PVD screening at KQTH Health. Vascular Surgery Treatments • Abdominal aortic aneurysm • Arterial blockage and reconstruction • Carotid artery disease and stroke prevention • Renal artery disease Interventional radiology vascular treatments • Diagnostic catheter angiography and CT angiography • CT angiography of the heart and coronary arteries • Peripheral vascular balloon angioplasty and stenting • Stent-graft repair of aneurysms and vascular trauma • Thrombolysis of peripheral vascular occlusions • Carotid stenting • Catheter interventions in pulmonary embolism • Removal of intravascular foreign bodies • Hemodialysis access treatment and maintenance • Central venous access • Transjugular intrahepatic portosystemic shunt (TIPS) • Percutaneous lower extremities varices ablation • Chemoembolization of liver cancer • Embolization of bleeding and tumors • Radiofrequency ablation of liver, kidney, bone and lung tumors • Uterine fibroid embolization • Uterine artery embolization for post-partum bleeding • Peripheral laser atherectomy
Attention deficit hyperactivity disorder (ADHD)
Child & Adolescent Services A child’s emotional problems can surface in a number of areas such as school performance, home behavior and peer relations. What may begin as a “stage” can turn into disruptive, counterproductive or even dangerous behavior. Highly trained child and adolescent psychiatrists, social workers, psychologists, Licensed Professional Counselors and experienced nursing staff provide each child with an individualized evaluation and treatment in the setting least disruptive to the lives of the child and family. Child & Adolescent Outpatient Program The Child & Adolescent Outpatient Clinic serves children and adolescents up to age 18 years old with emotional and behavioral disorders including ADHD, anxiety, mood, and adjustment disorders. The Child and Adolescent Outpatient Clinic offers children, adolescents and their parents a wide range of mental health treatment options in a less restrictive outpatient setting. The clinic serves children and adolescents up to age 18 years old with emotional and behavioral disorders including ADHD, anxiety, mood, and adjustment disorders. A multidisciplinary team of child and adolescent psychiatrists, child psychiatry fellows, psychiatry residents, and social workers staff the clinic to provide evaluations and individualized treatment. The clinician works closely with the school and other agencies involved in the child's care. Individual, family, and group therapy and medication management are offered. To schedule an outpatient appointment, call 843-792-9162. Three groups have been added to the clinic: Self Esteem for Teenage Girls (Mondays), Anger Management for Elementary School-Age Children (Wednesdays), and Social Skills for Elementary School-age Children and Adolescents (Fridays). The time is 8am- 5:00 pm for all groups. Check back for exact dates. To register, call +233-200000000000 Additional outpatient programs: • Children's Day Treatment Programs • Adolescent & Family Services (AFS) • ASSET - Adolescent Substance Use Skills Education Training • Project Rex helps families deal with children on the autism spectrum. Child & Adolescent Inpatient Program The inpatient program at the Institute of Psychiatry provides brief crisis stabilization of children (5-17) with severe emotional disorders. Youth in crisis situations who are a risk to themselves or others learn new skills to better cope at home after discharge. The treatment team works closely with the family and outpatient providers and community agencies in order to ensure a smooth transition back to the community. Who will be taking care of your child or adolescent? Each child is treated and evaluated by a team that consists of an attending child psychiatrist, a resident psychiatrist, a clinical social worker, nursing staff members, a special education teacher, and other medical and therapeutic people. We are a teaching hospital, and one of our missions is to provide training, so your child will also be talking with supervised student and resident physicians, nurses, and others. What is included in the Evaluation and Treatment process? Initial evaluation by team members who will interview the patient and the parent(s)/caregiver. It is ideal to have a parent/caregiver at the initial interview, but if one cannot be present, they will be contacted by phone. Daily evaluation and treatment planning by the Treatment Team, which may include individual time with the patient; review of progress, goal-work, and participation throughout each day; assessment and treatment of any medical needs (including any medication recommendations to be made to parents), discussion of any other specific treatment needs including arrangements for follow-up treatment; and planning for involvement of the family/caregiver. Daily activities on the unit, which involve daily goal-setting; individual discussion time with staff members; group therapies focused on teaching personal awareness and learning coping skills; recreational and activity therapies; school time; and quiet time to work on personal tasks and goals. Family or caregiver involvement that may occur through phone calls, brief discussions on the unit, or planned family therapy times with Treatment Team members. Phone Calls Call +233-00000 to reach your child. Patients are able to make or receive phone calls when they are not in an activity or a group. We welcome daily phone contact with a child's main family members, but -- because we are treatment-focused -- we do not include friends/peers on the call list. Visiting Hours Monday - Saturday 12:30 to 1:30 pm 4:00 to 6:30 pm Visiting Guidelines - We do encourage visitors. However, because of the short time our patients are here and due to confidentiality, we ask that only immediate family members, (but no one younger than 6), other caregivers, outpatient counselors, or pastors be on the visitor list. We ask that there be no more than two adult visitors and two child visitors on the unit at a time and that each child visitor be closely supervised by one adult visitor. (If other arrangements are needed as far as time to visit or number of children with the adult, let the charge nurse or social worker know so other plans can be made.) Patient Privacy We protect patient privacy with a Confidentiality Number. This number will be assigned at check in and must be used by anyone who wants to phone or visit the patient. The parent or guardian is given this number and can choose whomever else they want to have it. Communication with any agency staff outside of our hospital will be done only with parent permission unless required otherwise by law. Patient Safety We protect patient safety by checking any items brought on the unit, keeping a close watch on our patients at the level that matches their condition, and intervening calmly and quickly if needed in order to ensure the safety of all people on the unit. For safety reasons, all personal items must be examined first by our unit staff, and we will do an initial check-in that screens for non-allowed items. We do not allow any potentially sharp items, electronic items, or expensive personal items on the unit, and we ask that patients wear clothing that is modest and does not have any inappropriate themes. We also ask that no food, candy/gum, or nicotine be brought to the patient, as we will supply meals and snacks.
Audiology Program The Division of Audiology, has a staff of full-time clinical audiologists. The adult audiology clinic is located within the ENT clinic area. The facility is equipped with three sound-treated test suites, a hearing aid fitting room, cochlear implant programming room, and the vestibular. For information regarding the pediatric audiology clinic, please visit Pediatric Deparment. This audiology clinic is equipped with a double-walled sound-treated suite, a diagnostic audiometer and a middle-ear impedance measuring device. Complete hearing aid dispensing is performed at this site. Patients needing special testing such as OAE, ABR or ENG are referred to EENT Centre. Our Services Adult services include the following: • Diagnostic behavioral audiometric evaluations • Physiological evaluations including o ABR o ECOG o ENOG o DPOAE o TOAE • Tinnitus Retraining Therapy (TRT) • Complete hearing aid dispensing is performed at this site
Orthopaedic Trauma The Kings & Queens Teaching Hospital Orthopaedic Trauma service provides state of the art care for patients who have been acutely injured or are suffering from complications of previous injuries such as infections, nonunions or malunions. KQTH is the primary health care facility for major trauma for a large portion of Ghana and West Africa. Kings & Queens Teaching Hospital has dedicated staff and facilities to treat the most complex and severely injured patients. We are part of a multidisciplinary team that is available 24 hours/day to treat patients with all types of acute injuries. KQTH has fellowship trained orthopaedic trauma surgeons.We have a full time PA, junior and senior orthopaedic resident who rotate through the service. We have a dedicated OR for surgical treatment of fractures and follow up care is done at outpatient location. In addition we have specialists in every area of orthopaedic surgery available for consultation as needed. We have on call surgeons for hand injuries and for spine injuries at all times. KQTH is also a pediatric trauma center and we have pediatric orthopaedic surgeons available to treat children as well. In addition to major trauma, we also treat injuries such as hip fractures, wrist and shoulder fractures, ankle and foot fractures, and sports injuries. We have a surgeon available at all times to provide acute treatment and we have the most advanced diagnostic equipment available. We can rapidly evaluate and treat work related injuries, falls and sports injuries. Common conditions we treat include injuries sustained in motor vehicle collisions such as major fractures of the lower extremities, pelvis, and spine. Injuries sustained from falls such as hip fractures, wrist and shoulder fractures, and ankle and foot fractures. We coordinate care with KQTH endocrinology for patients who have fractures related to osteoporosis so that treatment for osteoporosis can be started to try to prevent future fractures. We also treat problem fractures such as infected fractures, unhealed fractures ( nonunions) and fractures which have healed with a deformity (malunion). These problems often require special diagnostic studies and a team approach with other specialists to have a successful result. Kings & Queens Teaching Hospital has the capability to provide this team approach in an effective way by having a single electronic medical record and easy communication between team members. We welcome the opportunity to assist referring physicians and patients with any questions
