African journal of medicine and medical sciences
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The aim of this audit was to evaluate the frequency of caesarean delivery, anaesthetic techniques employed, investigate potential trends and the rate of maternal complications associated with general or regional anaesthesia in our institution. ⋯ Obstetric general anaesthesia is low in our hospital. Our result showed that general anaesthesia was a significant risk factor for maternal complications during caesarean section.
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Removal of orthopaedic implants is often done after complete healing of fractures. Orthopaedic implants are removed for a variety of reasons such as patients' request after fracture union, implant failure and other complications arising from the use of implants. ⋯ Healed fractures and implant failure are the commonest indications for removal of orthopaedic implants in our centre. Implant removal should be advocated when they have failed or become symptomatic. However, appropriate patient selection and adequate surgical technique should be employed to achieve satisfactory outcome.
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Caudal block is a commonly performed day case anaesthetic procedure in children for most infraumbilical surgeries worldwide [1] as it provides good analgesia in the perioperative period. In Nigeria there is paucity of data on caudal block hence the justification for this study. ⋯ Children who had herniotomy under caudal block with 0.5 ml/kg of 0.25% plain bupivacaine had good analgesia with minimal complications. Caudal block in children is easy to perform and it's suitable for most day case infraumbilical surgeries.
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Multicenter Study
Knowledge, access and usage pattern of HINARI by researchers and clinicians in tertiary health institutions in south-west Nigeria.
The digital divide is a global challenge. The Health Internetwork Access to Research Initiative (HINARI) is one of the most successful efforts aimed at bridging the digital divide in access to health information in developing countries. There is a dearth of empirical studies on usage pattern of this resource in Nigeria. The aim of this study was to assess knowledge and usage pattern of HINARI by clinicians and researchers in tertiary health institutions in Southwestern Nigeria. ⋯ Knowledge and use of HINARI resources are high. However, clinicians and researchers are not deriving full benefits from HINARI because few had received training on how to use it. A learner-centered training and wide distribution of the HINARI User Name and Password within the institutions is recommended to address this problem.
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Randomized Controlled Trial
Morphine-sparing effect of intravenous paracetamol for post operative pain management following gynaecological surgery.
The study evaluated the morphine sparing effect of intravenous Paracetamol and the incidence of side effects in the recovery room following lower abdominal gynaecological surgery. ⋯ Intravenous Paracetamol improved analgesia and reduced the amount of morphine consumption in the immediate postoperative period with reduced opioid side effects and better patient satisfaction.