Singap Med J
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Higher-order multiple births have implications for perinatal and maternal morbidity and mortality. This study aimed to determine the incidence and outcomes of higher-order multiple pregnancies in a rural area in Southeast Nigeria. ⋯ The Igbo women of Ebonyi State, Nigeria, have a high rate of higher-order multiple births. These are attended by increased obstetric and perinatal complications. Abdominal delivery is therefore recommended in order to reduce the rate of intrapartum stillbirth and birth asphyxia among triplets.
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Comparative Study
Validity and reliability of the Thai version of the Experiences of Close Relationships-Revised questionnaire.
This study aimed to investigate the psychometric properties of the Thai version of the Experiences of Close Relationships-Revised (Thai ECR-R) questionnaire. ⋯ The overall psychometric properties of the Thai ECR-R were acceptable. In order to render it more congruent with Thai culture, a revision of some items was considered. Further research on other age groups should be conducted in future.
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Comparative Study
Perioperative risk factors in obese patients for bariatric surgery: a Singapore experience.
Morbid obesity and obstructive sleep apnoea (OSA) are increasingly encountered in anaesthetic practice today. Difficult intubation may be seen more frequently in our practice. This high-risk group may also be more prone to complications in the postoperative period. ⋯ It is important to anticipate and prepare for a difficult intubation scenario in patients with severe OSA and a larger neck circumference. Close monitoring is recommended for patients with respiratory comorbidities and advanced age.
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Anaphylactic and anaphylactoid reactions during anaesthesia are a major cause of concern for anaesthesiologists. During the perioperative period, any symptomatology relating to sudden-onset haemodynamic collapse or increased airway pressures during certain surgical procedures should raise suspicion of anaphylaxis. ⋯ Anaphylactic reactions should be seriously considered whenever a hydatid cystectomy is performed, especially in the event of a sudden haemodynamic collapse. Early diagnosis and correct treatment are essential to ensure a favourable patient outcome.
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Comparative Study
Prognostic indicators related to risk of death in shock patients: a new simplified score.
We analysed the parameters associated with mortality outcome in shock patients. ⋯ Acidosis, tachycardia, renal impairment and impaired consciousness within the first 24 hours are the main predictors of shock state, and should be used for assessment of survival outcome in shock patients.