West African journal of medicine
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Randomized Controlled Trial Clinical Trial
The effect of parental presence at induction of anaesthesia on the behaviour of unsedated Nigerian children presenting for day-case anaesthesia.
The effect of parental presence at induction of anaesthesia on one hundred and eighteen children presenting for day-case inguinal operations and the behaviour of the attending parents at induction were studied. Of the 24 children aged 5 years and below whose parents at were present at induction, 25% were distressed, while 80% of 36 children of this age group whose parents were absent showed distress. ⋯ In both age groups induction heart rates were significantly higher in the children whose parents were absent. All parents except one who cried and another one who was too anxious, were helpful at induction and they would welcome the same opportunity to be present at the children's induction.
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Case Reports
Matchet cut injury at the wrist as a cause of traumatic radial artery aneurysm: a case report.
A sixty year old Yoruba farmer presented at Ela Memorial Medical Centre, Ilorin with recurrent spontaneous bleeding from traumatic left radial artery aneurysm. This was due to a clash between a Fulani Cattle rearer and the Yoruba farmer. This sort of situation is rampant across Nigeria. ⋯ Careless treatment of vascular damage could result into aneurysm formation. Medical personnel treating injuries should be aware of vascular injuries and refer the patient promptly for appropriate management. Communal disputes should be settled quickly before they lead to communital clashes which could lead to vascular injuries for which surgeons who could cope with such injuries are far-in-between in Nigeria.