The Nigerian postgraduate medical journal
-
Niger Postgrad Med J · Jun 2007
Urgency of surgery and presence of maternal disease influence the choice of anaesthesia for Caesarean section at LUTH.
Worldwide, Caesarean sections are commonly done under regional anaesthesia which offers numerous advantages over general anesthesia. However there are still indications for the use of general anaesthesia in obstetric practice. This includes emergent Caesarean sections. This study sought to determine the factors that inform the decision on the choice of anaesthesia for Caesarean section in a tertiary institution in Nigeria. ⋯ The choice of anaesthesia depends on the urgency of surgery and the medical condition of the mother. General anaesthesia was more likely to be administered for bleeding emergencies and foetal distress. Spinal anaesthesia was preferred for elective and urgent cases or when maternal disease existed.
-
Niger Postgrad Med J · Dec 2006
Randomized Controlled Trial Comparative StudyComparison of suxamethonium and priming with atracurium for rapid sequence orotracheal intubation in a Nigerian adult population.
To compare suxamethonium with atracurium using the priming principle, for rapid sequence orotracheal intubation assessing onset time, time to successful laryngoscopy and intubation and quality of intubating conditions. ⋯ Atracurium, using the priming principle, is an option in our environment for modified rapid sequence induction when suxamethonium is contraindicated.
-
Niger Postgrad Med J · Sep 2006
Randomized Controlled Trial Comparative StudyPost-dural puncture headache following caesarean section in Nigerian parturients: A comparison of two spinal needles.
The purpose of this study was to evaluate the role of needle diameter of the same tip configuration in the causation of Post Dural Puncture Headache (PDPH). ⋯ There was no difference in the insertion characteristics between the two needles.
-
Niger Postgrad Med J · Jun 2006
An audit of surgical admissions to the intensive care unit of the Lagos University Teaching Hospital (1997 - 2002).
To review the pattern of adult surgical admissions into the Intensive Care Unit (ICU) of Lagos University Teaching Hospital (LUTH). ⋯ At LUTH, trauma and obstetric complications constituted the major causes for ICU adult surgical admissions.
-
Niger Postgrad Med J · Mar 2006
Internal jugular and subclavian catheterisation: indications, problems and prospects in a Nigerian dialysis centre.
To highlight the indications, problems and prospects of bedside non-surgically inserted jugular and subclavian dual lumen catheters. ⋯ We conclude that percutaneous bedside internal jugular and subclavian (venous) catheterisation using dual lumen catheter is safe and devoid of major complications.