Niger J Clin Pract
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Intraoperative cardiac arrests are not uncommon and are related to both surgical and anaesthetic factors. This study aimed to examine the factors which predispose to a periopeartive cardiac arrest, to assess the appropriateness of therapy and the outcome. ⋯ Majority of cardiac arrests were due to hypovolaemia from massive blood loss. There is a need for the provision of adequate banked blood as well as improvement in training in the management of in-hospital cardiac arrest to ensure a better outcome.
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In spite of its limitations, documentation of health facility utilization is an aspect of planning for patient care. Information obtained from such studies is usually useful in evaluating existing facilities, documenting trends in patients needs and improving facilities for patients care. ⋯ The services of this hospital are used mainly by the lower socio economic class of the society. There is a delay in presentation of patients even to emergency room. The delay in presentation of children to hospital for treatment could be due to lack of education or knowledge, economic hardships, and absence of health insurance.
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To determine the incidence of discharge against medical advice (DAMA) among under-fives in Benin City, document reasons for these discharges and suggest ways of reducing its occurrence. ⋯ Discharge of hospitalised under-fives against medical advice is a common social paediatric problem with gender differentials in its incidence. We believe that with improvement in the socio-economic status of our parents the incidence of DAMA will be greatly reduced.